The association between acne care provision and quality of life: A cross‐sectional survey

Abstract

Background and Aims It has been suggested that professional acne care can be effective not only in reducing clinical signs but also in improving quality of life (QOL). This study aims to reach a better understanding of the association between QOL and professional acne care. The study also investigates other factors that might influence QOL such as age, gender, and acne severity. Methods Between 2019 and 2020, a cross‐sectional survey‐based study was conducted among 362 acne patients. Data were collected by the Cardiff Acne Disability Index (CADI) and a Global QOL scale. Analysis of covariance (ANCOVA) and post hoc comparisons were conducted to analyze the association between professional acne care and health‐related QOL. Results No statistically significant differences were found in QOL measured by CADI among patients visiting the four investigated acne caregivers (mean CADI score: dermatologist, 4.49; GPs, 4.42; dermal therapist, 4.07; beautician, 4.20, P = .24). However, the impact of the treatment on the QOL, which was measured by the level of Global QOL improvement before and after care, demonstrated a statistically significant improvement when attending a dermatologist, compared to the care provided by beauticians (Global QOL improvement: dermatologist, 1.50; GP, 1.01; dermal therapist, 1.10; beautician, 0.54, P = .05). Females experienced a more impaired acne‐related QOL than males (P = .05), and increased acne severity was associated with a more impaired QOL (P < .05). Conclusions This study delineated factors that influence QOL in acne patients. As the QOL was not associated with the type of caregiver, the greatest QOL improvement before and after care was achieved after medical treatment by the dermatologist. Females and individuals dealing with more severe types of acne experienced a more impaired acne‐related QOL. It is recommended to take these factors into account in acne management to optimize professional treatment in line with patient needs.

Patient Perceptions About Acne, Nutrition, and a Dietary Information Gap

“…The severity of the disease may be influenced by certain external aspects like psychological and lifestyle factors, occupational factors, medication, pollutants, climatic factors, and nutrition (Dréno et al, 2018;Eichenfield et al, 2021). Although acne is very often considered only an aesthetic problem, it is a serious disease that potentially generates not just low selfesteem, poor perception of one's body, social withdrawal, and relevant impairments of quality of life (de Vries et al, 2022), but also psychiatric comorbidities as depression, and social anxiety disorders (Claudel et al, 2020;Eichenfield et al, 2021).…”

Pharmaceutical Care of Acne Patients Using Systemic Retinoids

“…Çàõâîðþâàííÿ ìîaeå ñïðè÷èíèòè ïîñò³éí³ ô³çè÷í³ ðóáö³, íåãàòèâíî âïëèâàòè íà ñàìîîö³íêó ïàö³ºíò³â, ï³äâèùóâàòè ð³âåíü òðèâîãè, ïðîâîêóâàòè äåïðåñ³þ òà ñó¿öèäàëüí³ äóìêè [10,12,16]. ßê³ñòü aeèòòÿ (ßAE) ïàö³ºíò³â ³ç àêíå ìîaeå áóòè çíà÷íî çíèaeåíîþ [5,8,10,12,19]. Âïëèâ àêíå, â öüîìó àñïåêò³, îñîáëèâî ïðè âàaeêîìó ïåðåá³ãó, ìîaeíà ïîð³âíþâàòè ³ç òàêèìè çàõâîðþâàííÿìè ÿê áðîíõ³àëüíà àñòìà, åï³ëåïñ³ÿ, öóêðîâèé ä³àáåò, á³ëü ó ñïèí³ òà àðòðèò [5,8,18].…”

“…ßê³ñòü aeèòòÿ (ßAE) ïàö³ºíò³â ³ç àêíå ìîaeå áóòè çíà÷íî çíèaeåíîþ [5,8,10,12,19]. Âïëèâ àêíå, â öüîìó àñïåêò³, îñîáëèâî ïðè âàaeêîìó ïåðåá³ãó, ìîaeíà ïîð³âíþâàòè ³ç òàêèìè çàõâîðþâàííÿìè ÿê áðîíõ³àëüíà àñòìà, åï³ëåïñ³ÿ, öóêðîâèé ä³àáåò, á³ëü ó ñïèí³ òà àðòðèò [5,8,18]. Íàäàííÿ àäåêâàòíî¿ ìåäè÷íî¿ äîïîìîãè äîçâîëÿº çìåíøèòè êë³í³÷í³ îçíàêè àêíå òà ï³äâèùèòè ßAE ïàö³ºíò³â [8], ïðîòå ïîòðåáóº çíà÷íèõ ô³íàíñîâèõ âèòðàò [12].…”

“…Âïëèâ àêíå, â öüîìó àñïåêò³, îñîáëèâî ïðè âàaeêîìó ïåðåá³ãó, ìîaeíà ïîð³âíþâàòè ³ç òàêèìè çàõâîðþâàííÿìè ÿê áðîíõ³àëüíà àñòìà, åï³ëåïñ³ÿ, öóêðîâèé ä³àáåò, á³ëü ó ñïèí³ òà àðòðèò [5,8,18]. Íàäàííÿ àäåêâàòíî¿ ìåäè÷íî¿ äîïîìîãè äîçâîëÿº çìåíøèòè êë³í³÷í³ îçíàêè àêíå òà ï³äâèùèòè ßAE ïàö³ºíò³â [8], ïðîòå ïîòðåáóº çíà÷íèõ ô³íàíñîâèõ âèòðàò [12]. Çîêðåìà, â ͳìå÷÷èí³ âàðò³ñòü ë³êóâàííÿ àêíå ùîð³÷íî ïåðåâèùóº 400 ì³ëüéîí³â ºâðî [12,21].…”

“…Ðîçãëÿíóò³ êåðóíêè òà ìåñåäae³ ÔÎ ïðè çàñòîñóâàíí³ ñèñòåìíèõ ðåòèíî¿ä³â íå º âè-÷åðïíèìè, ùî ââàaeàºìî îáìåaeåííÿì ïðîâåäåíîãî äîñë³äaeåííÿ. Äëÿ êîíêðåòíîãî ïàö³ºíòà âàaeëèâèìè ìîaeóòü áóòè ïèòàííÿ, ïîâ'ÿ-çàí³ ç ðîçëàäàìè íàñòðîþ [1,4,22], ëàçåðíèì ë³êóâàííÿì, ï³ë³íãîì, äåðìàáðàç³ÿìè, âîñêîâîþ åï³ëÿö³ºþ [1,4], ïîð³ä³ííÿì òà ñòîíøåííÿì âîëîññÿ [14,30], àäãåðåíñîì [1,7,23], îö³íêîþ ßAE, ïîâ'ÿçàíî¿ ç³ çäîðîâ'ÿì [5,8,19] òîùî.  ÷àñòèí³ ôàðìàêîåêîíîì³÷íî¿ îö³íêè ÔÒ, çà ºäèíî¿ ìåòîäîëî㳿 ðîçðàõóíê³â äëÿ óñ³-º¿ òåðèòî𳿠Óêðà¿íè, ìè êåðóâàëèñÿ äîñòóï-í³ñòþ òà âàðò³ñòþ ËÇ ³ ëàáîðàòîðíîãî ìîí³òîðèíãó ó ì. Ëüâîâ³, ùî ìîaeå äåùî â³äð³çíÿòèñÿ â³ä ³íøèõ ðåã³îí³â.…”