Identifying the Impacts of Acne and the Use of Questionnaires to Detect These Impacts: A Systematic Literature Review

Smith, Hayley; Layton, Alison; Thiboutot, Diane; Smith, Abbey; Whitehouse, Heather; Ghumra, Waseem; Verma, Meenakshi; Tan, Jerry; Jones, Georgina; Gilliland, Kathryn L.; Patel, Megha; Otchere, Elaine; Eady, E. Anne

doi:10.1007/s40257-020-00564-6

Cited by 18 publications

(17 citation statements)

References 40 publications

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“…Laboratory results further support the clinical findings, since in our study severity scores and DLQI worsened in both acne and rosacea patients after 6 weeks of masks, in agreement with previous reports described a detrimental influence on quality of life in patients affected by these dermatoses 24,25 …”

Section: Discussionsupporting

confidence: 92%

COVID‐19 related masks increase severity of both acne (maskne) and rosacea (mask rosacea): Multi‐center, real‐life, telemedical, and observational prospective study

Damiani

Gironi

Grada

et al. 2021

Dermatologic Therapy

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Masks are essential for COVID-19 prevention, but recently they were suggested to modify cutaneous facial microenvironment and trigger facial dermatoses. To evaluate mask-related rosacea and acne (maskne) in untreated patients during lockdown. In this multi-center, real-life, observational prospective study, we enrolled stable, untreated acne and rosacea patients that wore masks during lockdown at least 6 h/ day. They underwent two teledermatological consultations, at the baseline and after 6 weeks. Clinical, pharmacological, and psychological data were recorded. A total 66 patients, 30 (median age: 34.0 [30.25-29.75] yoa) with acne and 36 patients (median age: 48 [43-54] years) with rosacea, were enrolled in this study. After 6 weeks of mask and quarantine, patients with acne displayed an increased Global Acne Grading Scale (GAGS) score in mask-related areas (P < .0001). Likewise, after 6 weeks of mask and quarantine, patients with rosacea displayed a worsen in both physican (P < .0001) and patient (P < .0001) reported outcomes. Remarkably, patients reported also a statistically significant decrease in their quality of life (P < .0001).Masks appear to trigger both acne and rosacea flares. Additional studies are needed to generate evidence and inform clinical decision-making.acne due to masks, COVID-19, mask rosacea, maskne, pandemics, rosacea due to masks | INTRODUCTIONDuring COVID-19 pandemics, the introduction of personal protective equipments (PPE), such as masks and gloves, drastically changed facial and hand dermatoses dermatoepidemiology. 1,2 Focusing on facial dermatoses, Hua et al 3 evaluated the short-term cutaneous impact of Giovanni Damiani and Laura C. Gironi have contributed equally to this study.

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Section: Discussionsupporting

confidence: 92%

COVID‐19 related masks increase severity of both acne (maskne) and rosacea (mask rosacea): Multi‐center, real‐life, telemedical, and observational prospective study

Damiani

Gironi

Grada

et al. 2021

Dermatologic Therapy

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“…This review has demonstrated the extensive use of the CADI, described as the easiest QoL scale to use in routine dermatology practice 87 . Additionally, a recent systematic review identified the CADI to be among the top five most commonly used instruments for measuring the impacts of acne 88 . However, frequency of use is not a guide to the quality of a measure.…”

Section: Discussionmentioning

confidence: 99%

“…87 Additionally, a recent systematic review identified the CADI to be among the top five most commonly used instruments for measuring the impacts of acne. 88 However, frequency of use is not a guide to the quality of a measure. Several studies reported choosing the CADI because of its short completion time of around 1 min in English 4 and 1Á5 minutes in Filipino.…”

Section: Discussionmentioning

confidence: 99%

Clinical experience and psychometric properties of the Cardiff Acne Disability Index (CADI)*

et al. 2021

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The Cardiff Acne Disability Index (CADI) is a questionnaire designed to measure the quality of life of teenagers and young adults with acne. It has been used clinically and within therapeutic research globally. This review aims to appraise all published data regarding the clinical and research experience of the CADI, its psychometric properties and validation, from its publication in 1992 until September 2020, in a single reference source. A literature search was conducted using MEDLINE via Ovid, PubMed, EBSCOhost, Web of Science and Scopus. All full articles in the English language were included. A total of 96 clinical studies were identified and analysed. The CADI has been used in 44 different countries, including four multinational studies, and has validated translations in 25 languages. Overall, 29 therapeutic interventions have used the CADI, demonstrating its responsiveness to change. The reliability of the CADI has been assessed in 14 studies through test-retest and internal consistency studies. In total, 57 studies have demonstrated aspects of its validity through correlation to other measures, and five studies have investigated the dimensionality of the CADI. There is evidence of high internal consistency, test-retest reliability, responsiveness to change and significant correlation with other objective measures. The minimal clinically important difference and validated score meaning bands have not yet been reported. This information is needed to improve the interpretability of CADI scores for clinical use and in research. The authors of the CADI have also rephrased Question 2 of the measure to ensure inclusivity.What is already known about this topic?• Acne significantly impacts quality of life in patients.• There are several skin-specific and acne-specific instruments used in day-to-day practice and research.• The validation and other measurement properties of the Cardiff Acne Disability Index (CADI) have not been easily accessible.What does this study add?• The CADI has been extensively used and is a reliable and valid tool.• There is a need to develop validated CADI score bands and calculate the minimal clinically important difference.• The CADI authors have rephrased Question 2 to ensure that the wording is inclusive.• There is inconsistent reporting of CADI data and a need for guidelines when reporting and publishing quality-of-life data.

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“…Scales that were used in studies below were: Symptom Check List 90 (SCL-90) and its revised version (SCL 90-R), Dermatology Life Quality Index (DLQI), Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), Cardiff Acne Disability Index (CADI), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7), Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), Skindex-29, The Hospital Depression and Anxiety Scale (HAD Scale), Difficulties in Emotion Regulation Scale (DERS-16), Acne Quality of Life (AQOL), EuroQoL, Global Symptom Index (GSI) and Global Acne Grading Scale (GAGS). The most commonly used are: DLQI, CADI, Acne-QoL, HADS and Skindex-29 (6).…”

Section: Description Of Knowledgementioning

confidence: 99%

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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Identifying the Impacts of Acne and the Use of Questionnaires to Detect These Impacts: A Systematic Literature Review

Cited by 18 publications

References 40 publications

COVID‐19 related masks increase severity of both acne (maskne) and rosacea (mask rosacea): Multi‐center, real‐life, telemedical, and observational prospective study

COVID‐19 related masks increase severity of both acne (maskne) and rosacea (mask rosacea): Multi‐center, real‐life, telemedical, and observational prospective study

Clinical experience and psychometric properties of the Cardiff Acne Disability Index (CADI)*

Acne vulgaris and mental health

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