Anxiety, Depression, and Nature of Acne Vulgaris in Adolescents

Department of Psychiatry, Celal Bayar Üniversitesi, Saruhan, Manisa, Turkey
International Journal of Dermatology (Impact Factor: 1.31). 05/2000; 39(5):354-7. DOI: 10.1046/j.1365-4362.2000.00907.x
Source: PubMed


The reported prevalence of acne in adolescence is variable; improved treatment may have modified its prevalence and severity; acne has been related to psychiatric morbidity for many years.
Two thousand six hundred and fifty-seven high school students were examined, and adolescents with acne were interviewed about the subject of acne vulgaris. The severity of acne was graded using the Global Acne Grading System (GAGS). The Hospital Anxiety and Depression (HAD) scale was evaluated for one of every two subjects with acne (n = 308) and for the same number of sex-matched control subjects (n = 308) to determine the prevalence of depression and anxiety.
Six hundred and fifteen of the subjects (23. 1%) were determined to have acne. Acne prevalence in girls and boys was 16.1% and 29.2%, respectively (P < 0.001). Two hundred and twenty-five (15.8%) of 1424 boys and only 109 (8.8%) of 1233 girls had moderate or severe/very severe acne (P < 0.001), but the GAGS scores in the groups of boys and girls with acne were not significantly different. The acne and control groups showed no significant differences in the HAD anxiety and depression subscale scores. The HAD anxiety subscale scores of girls were significantly higher than those of boys in the acne group. The severity of acne was not correlated with the HAD anxiety or depression subscale scores.
Acne results in higher anxiety in adolescent girls. Although acne and moderate/severe acne are more common in adolescent boys, the severity of acne was found to be similar in boys and girls with acne. Adolescent girls are more vulnerable than boys to the negative psychological effects of acne.

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    • "Furthermore, GAGS and AQoL showed no significant differences among genders both at T0 and at T1. Contradictory results about the influence of gender on clinical course and quality of life of acne vulgaris have been reported in literature. A greater impairment of clinical scores in males and of quality of life in females has been often reported789. Regarding adverse events, we didn't find statistically significant differences among genders, both regarding their occurrence and number (1 or >1), even if males are more likely to experience cheilitis and more than 1 averse event, while females are more affected by xerosis. "

    Preview · Article · Jan 2015
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    • "Psychological and social consequences of acne vulgaris are considerable although it is not causing severe morbidity or physical disability [2, 17–20]. Acne often leads to significant psychological and physical morbidity [21, 22]. More than a cosmetic nuisance, acne can produce anxiety, depression, and other psychological problems that affect patients' lives in ways comparable to life-threatening or disabling diseases [23]. "
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    ABSTRACT: Objective. This study was conducted to assess the knowledge, beliefs, and psychosocial effect of acne vulgaris among acne patients attending referral dermatology clinic in Al-Khobar city. Material and Methods. A cross-sectional study was conducted on all Saudi acne patients (males and females) attending referral dermatology clinic in Al-Khobar Governmental Hospital. The data were collected by using a structured self-administered questionnaire. Results. Like other studies conducted before, we found that 58.33% of our sample have poor knowledge about factors that affect acne vulgaris with a significant correlation with both age and gender (P = 0.012 and P = 0.031, resp.). There was significant association of reporting affected social activities with age and educational level (P = 0.023 and P = 0.013, resp.). Variation between both genders regarding reporting feeling stressed due to acne was significant (P = 0.001). The majority of our sample sought medical advice after one year. The most commonly used treatment for acne vulgaris before seeking medical help was peeling products. The majority of our patients thought that acne needs no treatment by physicians. Doctors' treatment is considered guaranteed and safe by the vast majority of our patients. Conclusion. This study showed that knowledge about acne is still insufficient among acne patients.
    Full-text · Article · Dec 2013
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    • "Western studies have shown that acne impacts heavily on the quality of life of its sufferers. Patients with acne vulgaris tend to have anxiety, depression, embarrassment, stigmatization , social withdrawal, lower self esteem, eating disorders, body dysmorphic disorders and unemployment (Cunliffe, 1986; Aktan et al., 2000; Koo, 1995; Law et al., 2006). "
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    ABSTRACT: This cross-sectional study was done to determine the impact of acne vulgaris on the quality of life in Sarawak, Malaysia and to examine its relationship with acne severity. Quality of life was measured in 173 patients using Dermatology Life Quality Index (DLQI). The mean DLQI score was 4.1 which was not dissimilar to that of psoriasis locally. Patients with family income <USD 1000/month had higher mean DLQI scores (4.8 vs. 3.2, p = 0.02). There was also a tendency for indigenous groups to have higher DLQI scores compared to Chinese although it was not significant (4.5 vs. 3.5, p = 0.15). Females were significantly more impaired in the domains of symptoms and feelings (2.1 vs. 1.5, p = 0.02); and work and school (0.3 vs. 0.2, p = 0.04). DLQI was weakly correlated with acne severity in patients mild acne (Pearson coefficient = 0.27, p = 0.01) but become insignificant for patients with moderate and severe acne. No correlation was seen between DLQI and age of patients. In conclusion, acne should view as a psychologically disabling disease by health care professionals and administrators requiring optimal management and resource allocation. Education of junior doctors and medical student is also important.
    Preview · Article · Jul 2012
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