Evaluation of social anxiety, self-esteem, life quality in adolescents with acne vulgaris

Unal, D; Emiroğlu, Nazan; Cengiz, Fatma Pelin

doi:10.1515/ijamh-2016-0035

Cited by 13 publications

(11 citation statements)

References 19 publications

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“…Besides, isotretinoin treatment is generally preferred in severe acne patients, which may also be a confounder of these findings. The mean quality of life score in our patients (16.06 ± 5.54) was higher than those in the previous studies in Turkey with the same questionnaire like those of Demircay et al (13.5) [26] and Unal et al (13.58 ± 4.84) [42]. The samples in these studies were younger than those in our study and were malefemale mixed groups unlike our study which included only females.…”

Section: Discussioncontrasting

confidence: 78%

The association of depression, loneliness and internet addiction levels in patients with acne vulgaris

Öztekin

2020

BioPsychoSocial Med

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Background: Acne vulgaris is a very common skin disorder that has negative effects on the mood, self image and social relations of the patients. We want to evaluate the effects of acne vulgaris and its severity on depression, loneliness, internet addiction levels, and the quality of life of young adult females. Methods: Two hundred three female acne vulgaris patients and 202 healthy controls who admitted to the dermatology clinic of a university hospital formed the study sample. Global Acne Grading System (GAGS) was used to assess the severity of acne. The Young Internet Addiction Scale-Short Form (YIAS-SF), The Acne Quality of Life Scale (AQLS), The University of California Los Angeles-Loneliness Scale (UCLA-LS), and The Beck Depression Inventory (BDI) were used to collect information about the patients. Results: The median BDI and the mean UCLA-LS and YIAS-SF scores were higher in the Acne group than those in the control group. The correlations between acne severity and the 3 scales were not significant but the correlations between AQLS and BDI, UCLA-LS, and YIAS-SF were highly significant. In multiple regression analysis, age and the BDI score predicted the YIAS-SF score significantly. Conclusions: Our findings support the previous findings that acne vulgaris patients are prone to depression and loneliness, and expand these findings to the vulnerability against internet addiction. Loneliness and depression should be assessed and, if found, targeted by psychological means to prevent internet addiction in acne vulgaris patients.

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Section: Discussioncontrasting

confidence: 78%

The association of depression, loneliness and internet addiction levels in patients with acne vulgaris

Öztekin

2020

BioPsychoSocial Med

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“…The comparison of QoL between teenagers with and without acne did not show any significant difference in some studies, despite score changes found in both groups. The authors described these patients as “victims of their body's inadequacy” ( Unal et al, 2016 ). Furthermore, adolescents are usually not well informed about the cause, consequences, and therapeutic possibilities of their condition ( El-Khateeb et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

The impact of acne treatment on quality of life and self-esteem: A prospective cohort study from Lebanon

Kaikati

Zoghaib

Kechichian

et al. 2021

International Journal of Women's Dermatology

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Background Acne is highly prevalent among teenagers and young adults, with proven negative psychological and emotional impact. To our knowledge, no study has been conducted to quantify the repercussions of acne on quality of life (QoL) and self-esteem in Lebanon. Objective This study aimed to highlight the effect of acne treatment on QoL and self-esteem of Lebanese adolescents and young adults. Methods In this observational prospective study, patients between 15 and 40 years old with moderate-to-severe acne were allocated to one of two treatment groups (isotretinoin vs. systemic antibiotics combined with topical treatments) and followed for a period of 6 months. The effect of acne on QoL was measured using the Dermatology Life Quality Index, Cardiff Acne Disability Index, and Rosenberg Self-esteem Scale before treatment initiation (T1), after 3 months (T2), and after 6 months (T3). A multivariate analysis of covariance model was used. Results Sixty-two patients were included, of whom 79% were female and 61.3% had moderate acne. Fifty-five percent of patients were treated with systemic antibiotics combined with topical treatments, and 45% received isotretinoin. Mean scores of Cardiff Acne Disability Index, Dermatology Life Quality Index, and Rosenberg Self-esteem Scale at T1 were comparable between the two groups. A significant improvement was noticed in both groups at T2 and T3. The multivariate analysis of covariance model showed an interaction of time and age that concerned 25- to 40-year-old patients in both groups, who were the most negatively affected by acne at T1 and improved the most at T3. Conclusion This study demonstrated the equivalence between acne treatments in improving QoL and revealed the social obstacle that acne creates and its recrudescence in the subgroup of women of childbearing age.

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“…The authors attributed the improvement of person's skin and body image with increased self‐esteem 34 . In a study conducted on patients with AV, it was shown that self‐esteem decreased with increasing anxiety and decreasing quality of life, but it was not found different from the control group 35 . In a study involving 3775 students aged 18 from Norway, Germany and the United States of America, 25% of female and 13% of men patients with AV stated that they felt worthless.…”

Section: Acne and Low Self Esteemmentioning

confidence: 99%

“…34 In a study conducted on patients with AV, it was shown that self-esteem decreased with increasing anxiety and decreasing quality of life, but it was not found different from the control group. 35 In a study involving 3775 students aged 18 from Norway, Germany and the United States of America, 25% of female and 13% of men patients with AV stated that they felt worthless. Patients in both genders with AV indicate that they feel less worthless than the control groups, while this is more evident in female patients.…”

Section: Acne and Anxietymentioning

confidence: 99%

Psychodermatology of acne: Dermatologist's guide to inner side of acne and management approach

Kayıran

Karadağ

Jafferany

2020

Dermatologic Therapy

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Acne vulgaris (AV) is a skin disease that is commonly seen and causes scar formation especially when left untreated. It can cause serious psychological comorbidities due to the intense involvement of appeared areas such as face and also being common in adolescence in which the body perception is not yet well established. Although psychiatric comorbidities frequently accompany AV patients in dermatology, they almost never directed to dermatology-psychiatry liaison clinics. Depression, anxiety, stress, decreased self-esteem, suicidal thoughts and even suicide attempts are too frequent to ignore in these patients, and many studies have been conducted on the positive or controversial effects of acne treatments. For this reason, serious responsibilities fall to dermatologists. They should not treat AV lesions only, but also to determine the AV patients' psychological conditions and to direct them to get help when necessary.

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Evaluation of social anxiety, self-esteem, life quality in adolescents with acne vulgaris

Abstract: Clinicians should be aware of the psychiatric comorbidities when treating adolescents with acne vulgaris. Especially, low self-esteem and life quality impairment should warn clinicians to predict high social anxiety levels in adolescent acne patients.

Cited by 13 publications

References 19 publications

The association of depression, loneliness and internet addiction levels in patients with acne vulgaris

The association of depression, loneliness and internet addiction levels in patients with acne vulgaris

The impact of acne treatment on quality of life and self-esteem: A prospective cohort study from Lebanon

Psychodermatology of acne: Dermatologist's guide to inner side of acne and management approach

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