Anxiety, Depression, and Suicidal Ideation amongst Patients with Facial Dermatoses (Acne, Rosacea, Perioral Dermatitis, and Folliculitis) in Lithuania

Lukavičiūtė, Laura; Gancevičienė, Rūta; Navickas, Petras; Navickas, Alvydas; Grigaitienė, Jūratė; Zouboulis, Christos C.

doi:10.1159/000506627

Cited by 17 publications

(10 citation statements)

References 28 publications

(31 reference statements)

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“…In this meta-analysis of the 14 studies [17,18,[25][26][27][28][29][30][31][32][33][34][35][36], we pooled data on 14,134,021 patients with rosacea and 686,447,139 controls (Table 1). Only one study included [ 100,000 patients and three studies included [ 10,000 patients.…”

Section: Study Characteristicsmentioning

confidence: 99%

Depression and Anxiety in Rosacea Patients: A Systematic Review and Meta-Analysis

Dai

Lin

Zhang

et al. 2021

Dermatol Ther (Heidelb)

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Introduction: Depression and anxiety are common among people with rosacea. However, the exact magnitude of the prevalence rate and odds ratios (ORs) for depression and anxiety, respectively, in rosacea patients is unclear, and no systematic review or meta-analysis of published data has yet been performed. We therefore performed as systematic review and metaanalysis to determine the prevalence rates and ORs for depression and anxiety in rosacea patients.Methods: We performed a systematic search of the PubMed, Embase and Medline databases for all observational studies published up to October 2020 that reported the prevalence rates and ORs for depression and anxiety in patients with rosacea. The primary outcome measures were prevalence rates and ORs for depression and anxiety in patients with rosacea. Heterogeneity across studies was assessed with the I 2 statistic. Sources of heterogeneity were explored through subgroup and meta-regression analyses. Results: A total of 14 studies involving 14,134,021 patients with rosacea were included in the systematic review and meta-analysis. The pooled prevalence of depression was 19.6% (95% confidence interval [CI] 15.0-24.3%) and that of anxiety was 15.6% (95% CI 11.8-19.3%). The prevalence of depression and anxiety was significantly lower in studies using clinical criteria to diagnose depression and anxiety (9.2 and 10.2%, respectively) than in those studies using screening tools (26.2% [P \ 0.01] and 22.7% [P = 0.03], respectively). The methodological quality of the included studies greatly contributed to the heterogeneity. Patients with rosacea were more likely to experience depression (OR 2.21, 95% CI 1.79-2.72) and anxiety (OR 2.31, 95% CI 1.56-3.44) than healthy controls. Conclusions: This systematic review and metaanalysis indicates that patients with rosacea are at a higher risk of experiencing depression and anxiety. More efforts are warranted to recognize R. Dai and BJ. Lin contributed equally to this study.

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Section: Study Characteristicsmentioning

confidence: 99%

Depression and Anxiety in Rosacea Patients: A Systematic Review and Meta-Analysis

Dai

Lin

Zhang

et al. 2021

Dermatol Ther (Heidelb)

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“…A study comparing acne and seborrheic dermatitis found that acne patients had a higher rate and severity of anxiety and depression[ 10 ]. A study in Lithuania comparing acne and rosacea patients aged 18–70 found that acne patients had higher anxiety and rosacea patients had higher depression[ 11 ]. The fact that these studies were completed with a smaller number of patients is a limitation.…”

Section: Discussionmentioning

confidence: 99%

The Psychosocial Impact of Chronic Facial Dermatoses in Adults

Ozcan

Sungur

Özcan

et al. 2023

Dermatol Pract Concept

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Introduction: Skin diseases have negative psychological and social consequences, especially when they are chronic and affect a visible area of the body, such as the face. Objectives: The purpose of this study is to investigate and compare the psychosocial impact of three common chronic dermatoses of the face: acne, rosacea, and seborrheic dermatitis. Methods: The Dermatology Life Quality Index (DLQI), Hospital Anxiety and Depression Scale (HADS), and Social Appearance Anxiety Scale (SAAS) were used to compare acne, rosacea, and seborrheic dermatitis patients and healthy controls. The relationships between DLQI, HADS, and SAAS results were investigated, as well as their associations with disease duration and severity. Results: The study included 164 acne patients, 134 rosacea patients, 120 seborrheic dermatitis patients, and 124 controls. The patient groups had significantly higher DLQI, HADS, and SAAS scores than the control group. Rosacea patients had the highest DLQI and SAAS scores, as well as the highest anxiety prevalence. Patients with seborrheic dermatitis had the highest rate of depression. The DLQI, HADS, and SAAS results were moderately correlated with each other, but their relationship with disease duration and severity was insignificant or weak at best. Conclusions: Chronic facial dermatoses have a detrimental impact on mood and quality of life. Although patients with acne, rosacea, and seborrheic dermatitis have distinct lesions, the outcomes in terms of quality of life, anxiety, and depression are largely similar. Furthermore, these patients have a higher prevalence of social anxiety as a result of their overall appearance rather than just their faces.

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“…Thoughts about suicide had 12% of patients. They also had the highest mean score in the anxiety subscale (7,1 ± 0,25) and depression subscale, almost the same as rosacea (5 ± 0,23 acne, 5 ± 0,31 rosacea) (15). The case of suicidal thoughts was also controlled in Altunay et al research, where 213 acne patients from 13 European countries were analyzed using HADS, DLQI and EuroQol 5 scales.…”

Section: Description Of Knowledgementioning

confidence: 95%

Acne vulgaris and mental health

Pawlicki

Łopuszyńska

Kozioł

et al. 2021

J Educ Health Sport

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Introduction: Acne vulgaris is one of the most common diseases in the world, which affects millions of people. Despite its objectively mild clinical severity, it is able to markedly change one’s appearance. Moreover it is said to be one of many factors that are responsible for mental health impairments.Results: Studies showed significant relation between acne and psychological disorders. Both depression and anxiety scores were higher in individuals with acne compared to healthy ones. Some studies reported an increased risk of suicide in this group as well. Research which included quality of life evaluation showed its impairment in larger part of respondents.Conclusions: Acne vulgaris is linked with an increased risk of serious psychiatric disorders. Therefore it is important to think about them when this condition is diagnosed.

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Anxiety, Depression, and Suicidal Ideation amongst Patients with Facial Dermatoses (Acne, Rosacea, Perioral Dermatitis, and Folliculitis) in Lithuania

Cited by 17 publications

References 28 publications

Depression and Anxiety in Rosacea Patients: A Systematic Review and Meta-Analysis

Depression and Anxiety in Rosacea Patients: A Systematic Review and Meta-Analysis

The Psychosocial Impact of Chronic Facial Dermatoses in Adults

Acne vulgaris and mental health

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