Psychosocial aspects of rosacea with a focus on anxiety and depression

Abstract

BackgroundRosacea is a common, chronic skin condition characterized by facial redness and inflammatory lesions. The disease can lead to social stigmatization and may significantly reduce the quality of life of patients. Psychosocial impact of rosacea can be severe and debilitating; however, it is still underestimated.ObjectiveThis paper provides a literature review focused on depression and anxiety in patients with rosacea.ConclusionRosacea patients have an increased risk of developing depression and anxiety and tend to avoid social situations. However, there are still limited data on this condition. Effective treatment of clinical symptoms brings significant improvement in psychological symptoms. Further studies should be conducted to investigate in more detail the psychological impact of rosacea. In addition, improvement of the efficacy of rosacea treatment is still needed.

Open‐label study assessing the efficacy and tolerability of topical skin care and sun protection alone and in combination with intense pulsed light therapy

“…The condition may be aggravated by numerous triggers such as microorganisms, ultraviolet light, ethanol, nutrition, temperature extremes, psychosocial stress, and hormones . Symptoms of rosacea can lead to social stigmatization and can have a detrimental effect on the quality of life of affected patients …”

“…3 Symptoms of rosacea can lead to social stigmatization and can have a detrimental effect on the quality of life of affected patients. 4,5 Several topical therapies are available for treating rosacea 6 ; however, they are unlikely to reduce telangiectasia. 3 Intense pulsed light (IPL) devices can successfully treat the clinical manifestations of rosacea that fail to respond to medical therapies, such as telangiectases and background centrofacial erythema.…”

Use of a novel 589‐nm solid‐state laser for treatment of facial erythema

“…A survey of a cohort of patients with erythemotelangiectatic rosacea found that they experience a substantial negative impact of their disease on multiple quality of life instruments . Patients with rosacea have also shown an increased propensity for anxiety and depression …”

Evaluation of the effectiveness of combination therapy for papulopustular rosacea with 15% azelaic acid gel and 1% clindamycin phosphate gel in combination with cosmetics

“…Розацеа -хроническое, рецидивирующее заболевание (как правило кожи лица), которое сопровождается воспалением, имеет полиэтиологическую природу и характеризуется прогредиентным течением, а также резистентностью к традиционной терапии [1][2][3][4][5][6]. Согласно клинико-статистическим данным, розацеа весьма распространена, составляя 5-20% в структуре дерматологической заболеваемости, причем за последние 10-15 лет этот показатель имеет стойкую тенденцию к повышению [1,2,7,8].…”

“…Следует подчеркнуть и социальное значение розацеа, поскольку впервые заболевание начинается на третьем десятилетии жизни и достигает расцвета в 40-50 лет на видимых участках кожи с запуском пролиферативных процессов и формированием фим. Представление о собственной непривлекательности пагубно влияет на психику пациентов, приводя к тревоге и депрессии [4,7].…”