Quality of life in young adults with acne: Results of a cross‐sectional study

Singh, Inder Pal; Poonia, Kavita; Bajaj, Kanika

doi:10.1111/jocd.14540

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…However, in many patients, acne is linked to severe psychiatric comorbidities and can even lead to suicidal thoughts and attempts 8 . Several investigators underlined the heavily disturbed quality of life (QoL) of acne patients 9,10 . Acne treatment, including topical, systemic, and laser therapies, may be beneficial for the improvement of patients' self‐esteem and well‐being 11 .…”

Section: Introductionmentioning

confidence: 99%

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Facial acne causes stigmatization among adolescents: A cross‐sectional study

Szepietowska

Dąbrowska

Nowak

et al. 2022

J of Cosmetic Dermatology

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Background Stigmatization is defined as a discrediting mark which sets the person from others and hindering interpersonal relationships. Literature data on stigma in acne subjects are scarce. Aims This study was undertaken to assess feelings of stigmatization in adolescents with facial acne. Material/Methods The study was performed on 730 high‐school students aged 15 to 19 years with the mean age of 17.05 ± 1.18 years. Self‐reported acne was found in 74.9% of subjects. The severity of acne was self‐assessed with the standardized color images based on Investigators Global Assessment (IGA). Stigmatization was studied with 6‐Item Stigmatization Scale (6‐ISS) and Perceived Stigmatization Questionnaire (PSQ). Additionally, quality of life (QoL) was evaluated with Dermatology Life Quality Index (DLQI). Results 58% of adolescents with acne presented with feelings of stigmatization. Within the acne population, stigmatization was significantly more common in females than in males (p < 0.001). The mean level of stigmatization according to 6‐ISS was significantly higher in acne sufferers than in those free from acne (1.68 ± 2.42 points and 0.55 ± 1.50 points, respectively; p < 0.001). Feelings of stigmatization were significantly more pronounced by females than males (p < 0.001). Staring at the skin and the fact that others are not attracted to person due to skin lesions were main problems raised by the study participants with acne. 6‐ISS scores correlated with acne severity (r = 0.278; p < 0.001) and both 6‐ISS and PSQ scores with QoL impairment (r = 0.530; p < 0.001 and r = 0.341; p < 0.001, respectively). Conclusions Facial acne is a highly stigmatized skin disease and requires a holistic therapeutic approach.

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Section: Introductionmentioning

confidence: 99%

“…8 Several investigators underlined the heavily disturbed quality of life (QoL) of acne patients. 9,10 Acne treatment, including topical, systemic, and laser therapies, may be beneficial for the improvement of patients' self-esteem and wellbeing. 11 Nevertheless, studies on stigmatization in acne subjects are very limited.…”

mentioning

confidence: 99%

Facial acne causes stigmatization among adolescents: A cross‐sectional study

Szepietowska

Dąbrowska

Nowak

et al. 2022

J of Cosmetic Dermatology

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“…Singh reported that “feelings of embarrassment and interference with social activities” scored significantly higher for women in a study of 1392 subjects with acne, using the Dermatologic Life Quality Index (DLQI) and the Cardiff Acne Disability Index (CADI) (28), the strongest association was facial scarring, which resulted in the highest frequency of acne-related repercussions, knowing that acne vulgaris can cause permanent physical scarring, negatively affect quality of life and self-image, and has been associated with higher rates of anxiety, depression and suicidal ideation (29). In Egypt, a study on the severity and impact on quality of life and self-esteem among adolescents according to the CADI score showed that 48.96% of students with clinically confirmed acne experienced a mild level of disability, while 11.46% of students with acne had a severe level of disability, low self-esteem was significantly more prevalent among females than males (30).…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the quality of life of acne-suffering adolescents in Honduras, Central America, and its repercussions

Espinoza-Turcios

Chinchilla-Castañeda

Sosa-Mendoza

et al. 2023

Preprint

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Introduction: Adolescence is a stage of physical, psychological, and social changes, which determine the personality of the individual, which can be influenced by physical appearance because of alterations in the skin texture of adolescents. Patients with dermatosis have a higher risk of developing depression, anxiety and suicidal ideas. Acne is an important factor for quality of life and affects adolescents both physically and psychosocially. Objective : To determine the factors associated with the repercussions of acne in adolescents in Honduras. Methodology: Analytical cross-sectional study. The Cardiff Acne Disability Index (CADI) scale was used through a questionnaire in Google Forms. Descriptive and analytical statistics were obtained. Results: Of the 3,272 young participants, with respect to quality of life, 25.8% (845) had medium or high repercussions, 5.3% were very depressed by the appearance of their skin in the month prior to filling out the questionnaire. When multivariate analysis was performed, it was found that those who had medium or high repercussions due to acne were women (RPa: 1.33; 95%CI: 1.20-1.48; p-value<0.001), those of indigenous ethnicity (RPa: 1.36; 95%CI: 1.05-1.75; p-value=0.019), those who had scars on the face (RPa: 13.08; 95%CI: 10.02-17.05; p-value<0.001) or those who had the father (RPa: 1.13; 95%CI: 1.01-1.25; p-value=0.031) or siblings with acne (RPa: 1.16; 95%CI: 1.04-1.28; p-value=0.005). Conclusion: It was found that gender, belonging to an indigenous ethnicity, having scars on the face or that having a close relative who had suffered from acne were associated with medium or high repercussions on the quality of life; it is important to take care of acne in this stage of life to avoid repercussions in adulthood.

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“…Acne is regarded as one of the most common reasons for visiting the [ 25 ] doctor. The disease has a profound negative influence on patients’ well-being [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. Therefore, the European Dermatology Forum S3-Guideline for the Treatment of Acne strongly recommends consideration of health-related QoL in acne patients as routine daily measurement as well as the assessment of treatment effectiveness [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although acne is not a life-treating condition, independently of its clinical severity, it heavily influences patients’ psychosocial status [ 5 , 6 , 7 , 8 , 9 ]. Acne patients have been demonstrated to have significantly lower quality of life (QoL) [ 9 , 10 ] and a higher level of stigmatization [ 9 , 11 ]. Moreover, a European project on dermatology outpatients carried out in 13 countries by the European Society for Dermatology and Psychiatry (ESDaP) showed that acne patients are at increased risk for the development of depression and anxiety reactions.…”

Section: Introductionmentioning

confidence: 99%

Females May Have Less Severe Acne, but They Suffer More: A Prospective Cross-Sectional Study on Psychosocial Consequences in 104 Consecutive Polish Acne Patients

Szepietowska,

Stefaniak,

Krajewski

et al. 2023

JCM

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Acne is a common skin condition affecting both adolescents and adults, and it can profoundly impact patients’ quality of life and mental well-being. This prospective cross-sectional study aims to explore the differences in psychosocial aspects between male and female acne patients in Poland. A total of 104 consecutive acne patients were included in this study. Clinical severity, patients’ quality of life, stigmatization levels, and psychiatric disturbances were evaluated using the following instruments: Investigator Global Assessment (IGA), Dermatology Life Quality Index (DLQI), Cardiff Acne Disability Index (CADI), 6-Item Stigmatization Scale (6-ISS), and Hospital Anxiety and Depression Scale (HADS). This study found that female patients exhibited significantly less severe acne and experienced significantly decreased quality of life and increased levels of stigmatization. Furthermore, anxiety levels among female patients exceeded those observed in their male counterparts. Notably, no disparities in the severity of depression were observed between the two gender groups. Correlations were discerned among all psychosocial parameters in the entire study cohort and in the female subgroup, while such correlations were not uniformly observed among male participants. This study underscores the importance of considering psychosocial aspects and implementing routine measurements in the management of acne to improve patients’ well-being.

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Quality of life in young adults with acne: Results of a cross‐sectional study

Cited by 6 publications

References 30 publications

Facial acne causes stigmatization among adolescents: A cross‐sectional study

Facial acne causes stigmatization among adolescents: A cross‐sectional study

Factors affecting the quality of life of acne-suffering adolescents in Honduras, Central America, and its repercussions

Females May Have Less Severe Acne, but They Suffer More: A Prospective Cross-Sectional Study on Psychosocial Consequences in 104 Consecutive Polish Acne Patients

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