Acne, anxiety, depression and suicide in teenagers: A cross‐sectional survey of New Zealand secondary school students

Journal of Paediatrics and Child Health - Tập 42 Số 12 - Trang 793-796 - 2006
Diana Purvis1, Elizabeth Robinson2, Sally Merry3, Peter Watson4
1Department of Dermatology, Great Ormond Street Hospital for Sick Children, London, United Kingdom,
2School of Population Health, Faculty of Medical and Health Sciences,
3Department of Psychological Medicine, and
4Adolescent Health Research Group, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand

Tóm tắt

Aim:  To examine the associations between acne and depressive symptoms, anxiety and suicidal behaviours.Methods:  This was a secondary analysis of a cross‐sectional survey –‘Youth2000’ (New Zealand national survey of youth health). A total of 9567 secondary school students aged 12–18 years participated in the survey. The main outcome measures were self‐reported acne, depressive symptoms (Reynolds Adolescent Depression Scale > 77), anxiety (Anxiety Disorder Index from Multidimensional Anxiety Scale for Children) and self‐reported suicide attempts.Results:  ‘Problem acne’ was associated with an increased probability of depressive symptoms, odds ratio 2.04 (95% confidence interval 1.70–2.45); anxiety, odds ratio 2.3 (1.74–3.00); and suicide attempts, odds ratio 1.83 (1.51–2.22) in a logistic model that included age, gender, ethnicity, school decile and socio‐economic status. The association of acne with suicide attempts remained after controlling for depressive symptoms and anxiety, odds ratio 1.50 (1.21–1.86).Conclusion:  Young people presenting with acne are at increased risk of depression, anxiety and suicide attempts. Attention should be paid to their mental health, and the importance of asking directly regarding suicide is emphasised.

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