Evaluation of psychological well-being and social impact of atrophic acne scarring: A multinational, mixed-methods study

Tan, Jerry; Beissert, Stefan; Cook‐Bolden, Fran; Chavda, Rajeev; Harper, Julie; Hebert, Adelaide A.; Lain, Edward; Layton, Alison; Rocha, Marco; Weiss, Jonathan; Dréno, Brigitte

doi:10.1016/j.jdin.2021.11.006

Cited by 19 publications

(33 citation statements)

References 14 publications

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“…For example, increased extracellular components can lead to keloid or hypertrophic scar formation, whereas a decrease in these elements results in atrophic scars (Fabbrocini et al., 2010; Goodman, 2000). Scars are often associated with esthetic, functional, and/or psychological issues and may adversely affect a person's quality of life (Bijlard et al., 2017; Tan et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

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Platelet‐rich plasma in the treatment of scars, to suggest or not to suggest? A systematic review and meta‐analysis

Ebrahimi

Alimohamadi

Janani

et al. 2022

J Tissue Eng Regen Med

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Despite the rising trend for applying platelet‐rich plasma (PRP) in the management of various types of scars, there is no convincing evidence supporting its use. This motivated us to review the randomized clinical trials that examine the effectiveness and safety of PRP, alone or in combination with other methods, for the management of atrophic or hypertrophic/keloidal scars. The Web of Science, Scopus, Google Scholar, and Cochrane Library databases were systematically searched until September 1st, 2020. Thirteen clinical trials were enrolled in the meta‐analysis, and 10 more were reviewed for their results. The random effect meta‐analysis method was used to assess the effect size of each outcome for each treatment type, and I2 was used to calculate the statistical heterogeneity between the studies. Patients treated with PRP experienced an overall response rate of 23%, comparable to the results seen with laser or micro‐needling (22% and 23%, respectively) When used alone, moderate improvement was the most frequently observed degree of response with PRP (36%) whereas, when added to laser or micro‐needling, most patients experienced marked (33%, 43%, respectively) or excellent (32% and 23%, respectively) results. Concerning the hypertrophic/keloid scars, the only study meeting the required criteria reported a better improvement and fewer adverse effects when PRP was added to the intralesional corticosteroids. Platelet‐rich plasma appears to be a safe and effective treatment for various types of atrophic scars. In addition, when added to ablative lasers or micro‐needling, it seems to considerably add to the efficacy of treatment and reduce the side effects.

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Section: Introductionmentioning

confidence: 99%

“…Scars are often associated with esthetic, functional, and/or psychological issues and may adversely affect a person's quality of life (Bijlard et al, 2017;Tan et al, 2022).…”

mentioning

confidence: 99%

Platelet‐rich plasma in the treatment of scars, to suggest or not to suggest? A systematic review and meta‐analysis

Ebrahimi

Alimohamadi

Janani

et al. 2022

J Tissue Eng Regen Med

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“…In the context of the 2 qualitative study arms that were part of a larger mixed-method study interrogating the burden of FTA and AS, participants were asked to complete a personification exercise called “Letter to my Disease.” The study was conducted in 6 countries, namely, USA, Canada, Brazil, France, Italy, and Germany. Recruitment was performed over telephone following a purposive sample strategy.…”

Section: Methodsmentioning

confidence: 99%

Projective Personification Approach to the Experience of People With Acne and Acne Scarring—Expressing the Unspoken

Tan

Chavda

Leclerc³

et al. 2022

JAMA Dermatol

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cne is a common condition afflicting many adolescents that may even persist during adulthood. [1][2][3][4] Acne has the potential to adversely affect health-related quality of life (HRQoL). [5][6][7][8][9] Acne scarring is a long-term complication experienced to some extent by most who have had acne and can persist for a lifetime. 10 Many studies have attempted to describe the psychosocial effects of acne, but only a few have explored the negative effects of acne scarring. Acne scarring, although poorly researched, has been associated with psychosocial morbidity and impaired HRQoL. Evidence suggests that acne scarring can negatively influence the self-esteem and self-confidence of individuals, leading to anxiety, depression, and perceived decreased employability, which in turn can affect their social and vocational functioning. 11-13 Furthermore, acne scarring 14 is associated with stigmatization, which can affect their emotional well-being and social life. 15 Most studies exploring the effects of acne on psychosoc ial well-being have foc used on fac ial ac ne using dermatology-specific questionnaires. [16][17][18] In-depth data on the association of both facial and truncal active acne (FTA) and its sequelae, acne scars (AS), with the psychosocial wellbeing are increasing but still limited. [19][20][21][22] A qualitative, in-depth exploration of burden, defined as something oppressive or worrisome, 23 of active FTA and AS with a projective technique is an innovative perspective to provide an insight into HRQoL of afflicted individuals. 24 The present study aimed to demonstrate the association of FTA and AS IMPORTANCE The association of acne with emotional and social well-being is not limited to active acne because acne scarring can extend long after cessation of active lesions.OBJECTIVE To explore the psychosocial burden of facial and truncal acne (FTA) and acne scars (AS) in a spontaneous manner using qualitative research. DESIGN, SETTING, AND PARTICIPANTSThis qualitative study recruited participants via local panels. A personification exercise, "Letter to my Disease," was developed for participants of 2 independent arms, FTA and AS, of an international qualitative study in the form of letter completion.MAIN OUTCOMES AND MEASURES Study outcomes comprised perceptions, psychosocial effects of FTA and AS, and coping behaviors.RESULTS A total of 60 participants were recruited for the FTA and AS study. Among participants with FTA, 17 were women (57%), 21 (70%) were aged 13 to 25 years, and 9 (30%) were aged 26 to 40 years. Twenty-six (87%) participants had severe active acne and 4 (13%) had moderate active acne. Among participants with AS, 18 were women (60%), 9 (30%) were aged 18 to 24 years, and 21 (70%) were aged between 25 and 45 years. Of these 60 participants, 56 (FTA, 28 and AS, 28) completed the projective exercise, "Letter to my Disease," the analysis of which is presented in the current study. During completion of the letter exercise, participants spontaneously expressed emotional and physical burden as w...

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“…Badanie wykazało, że 25,7% uczestników czuje się mniej atrakcyjnych z powodu blizn, a 37,5% pacjentów uważało, że ich blizny wpływają na postrzeganie ich przez inne osoby. Autorzy zwracają uwagę na potrzebę skutecznego i wczesnego leczenia trądziku w celu zapobiegania powstawaniu blizn [11].…”

Section: Trądzikunclassified

Depression and suicide risk in dermatological diseases - a review of the literature

Hordejuk¹,

Marczak

Szymkiewicz

et al. 2022

J Educ Health Sport

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Introduction Depression can be an independent disease entity, but can also result from other somatic diseases. Psychodermatology is a scientific field that deals with the interactions between dermatology and psychiatry and psychology. It is estimated that psychiatric disorders may co-occur in up to 30-60% of people with dermatological conditions. Mood disorders of the depressive type are most common among this group of patients [1]. It is important that skin specialists pay attention to the mental state of their patients in their daily practice. Objective In our work, we would like to draw attention to the interplay between psychiatric and dermatological diseases. Methods A literature search was performed in the PubMed medical publication database using the following keywords: depression; dermatology; skin; somatic; psychiatry; psoriasis; atopic dermatitis; acnes vulgaris; suicidal risk. Results There is a proven risk of depression in patients with psoriasis, acne and atopic dermatitis. These diseases also increase the risk of suicidal thoughts. Conclusions Awareness among professionals and patients of the co-occurrence of these disorders is insufficient, which in some cases can lead to serious consequences for the patient and affect the effectiveness of treatment of both dermatological and psychiatric disorders.

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Evaluation of psychological well-being and social impact of atrophic acne scarring: A multinational, mixed-methods study

Cited by 19 publications

References 14 publications

Platelet‐rich plasma in the treatment of scars, to suggest or not to suggest? A systematic review and meta‐analysis

Platelet‐rich plasma in the treatment of scars, to suggest or not to suggest? A systematic review and meta‐analysis

Projective Personification Approach to the Experience of People With Acne and Acne Scarring—Expressing the Unspoken

Depression and suicide risk in dermatological diseases - a review of the literature

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