The impact of acne vulgaris on quality of life and psychic health in young adolescents in Greece: results of a population survey

Anais Brasileiros de Dermatologia - Tập 87 Số 6 - Trang 862-869 - 2012
Eleni Tasoula1, Stamatios Gregoriou2, John Chalikias3, Dimitris Lazarou2, Iphigenia E. Danopoulou4, Andreas Katsambas4, Dimitris Rigopoulos2
1University of Athens Medical school, Dermatology Department, Attikon Hospital - Xaidari, Greece.
2University of Athens, Xaidari, Greece
3Athens University of Economics, Athens, Greece
4Univ. of Athens, Athens, Greece

Tóm tắt

BACKGROUND: Acne vulgaris can severely affect social and psychological functioning. OBJECTIVE: The aim of this study was to investigate the impact of acne vulgaris and its severity on Quality of Life of young adolescents in Greece. METHODS: We conducted a questionnaire based survey among 1560 adolescent between the ages of 11 and 19 years old and 1531 of these were completed. Adolescents with acne filled all the questions including the Children Dermatology Life Quality Index. Adolescents without acne filled the questions about age, family history of acne, stress and smoking. Data were analyzed with Pearson Chi Square test. RESULTS: Acne prevalence was 51.2% affecting both sexes equally. Self reported mild acne was present in 71.2% and moderate-severe acne in 28.8% of the study population. The mean age of the study population was 15.77y. The median score of Children Dermatology Life Quality Index was 4.02. The impact of acne on quality of life is associated with the severity of the acne (p<0.0001). Patients with moderate/severe acne experience greater psychosocial and emotional impairment (p<0.0001). Body image is modified proportionally to the severity of acne (p<0.0001). Symptoms and treatment of acne are factors that also influence their quality of life. Girls and boys are equally affected. Stress and heredity are correlated with acne and its severity (p<0.0001). We didn't find any correlation between smoking and acne. CONCLUSION: Acne affects Quality of Life of young adolescents in Greece. The impact is proportional to the severity of acne. More severe acne is associated with greater effect on quality of life with implications for self esteem, body image and relationships with others.

Từ khóa


Tài liệu tham khảo

Lewis-Jones MS, 1995, The Children's Dermatology Life Quality Index (CDLQI): initial validation and practical use, Br J Dermatol, 132, 942, 10.1111/j.1365-2133.1995.tb16953.x

Lowe JG, 1993, The stigma of acne, Br J Hosp Med, 49, 809

Mallon E, 1999, The quality of life in acne, J Am Acad Dermatol, 140, 672

Bolton MA, 2010, The impact of Body Image on Patient Care, Prim Care Companion J Clin Psychiatry, 12

Cotterill JA, 1981, Dermatological non-disease: a common and potentially fatal disturbance of cutaneous body image, Br J Dermatol, 104, 611, 10.1111/j.1365-2133.1981.tb00746.x

Gupta MA, 2001, Dissatisfaction with skin appearance among patients with eating disorders and non-clinical controls, Br J Dermatol, 145, 110, 10.1046/j.1365-2133.2001.04292.x

Cusumano DL, 2001, Media influence and body image in 8-11-year-old boys and girls: a preliminary report of the multidimensional media influence scale, Int J Eat Disord, 29, 37, 10.1002/1098-108X(200101)29:1<37::AID-EAT6>3.0.CO;2-G

Khan N A, 2011, Impact of today's media on university student's body image in Pakistan: a conservative, developing country's perspective, BMC Public Health, 11

Finlay AY, 1994, Dermatology Life Quality Index (DLQI)-a simple practical measure for routine clinical use, Clin Exp Dermatol, 19, 210, 10.1111/j.1365-2230.1994.tb01167.x

Walker N, 2006, Quality of life and acne in Scottish adolescent children: use of the Children's Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI), J Eur Acad Dermatol Venereol, 20, 45, 10.1111/j.1468-3083.2005.01344.x

Mallon E, 1999, The quality of life in acne: a comparison with general medical conditions using generic questionnaires, Br J Dermatol, 140, 672, 10.1046/j.1365-2133.1999.02768.x

Dreno B, 2003, Epidemiology of acne, Dermatology, 206, 7, 10.1159/000067817

Pawin H, 2007, Living with acne: A study of adolescents' personal experiences, Dermatology, 215, 308, 10.1159/000107624

Abdel-Hafez K, 2009, The impact of acne vulgaris on the quality of life and psychologic status in patient from upper Egypt, Int J Dermatol, 48, 280, 10.1111/j.1365-4632.2009.03838.x

Hanisah A, 2009, Prevalence of acne and it's impact on the quality of life in school-aged adolescents in Malaysia, J Prim Health Care, 1, 20, 10.1071/HC09020

Gupta MA, 2003, Psychiatric and psychological co-morbidity in patients with dermatologic disorders: epidemiology and management, Am J Clin Dermatol, 4, 833, 10.2165/00128071-200304120-00003

Ilgen E, 2005, There is no correlation between acne severity and AQOLS/DLQI scores, J Dermatol, 32, 705, 10.1111/j.1346-8138.2005.tb00829.x

Motley RJ, 1989, How much disability is caused by acne?, Clin Exp Dermatol, 14, 194, 10.1111/j.1365-2230.1989.tb00930.x

Girman CJ, 1996, Evaluating health related quality of ife in patients with facial acne: development of a self administered questionnaire for clinical trials, Qual Life Res, 5, 131, 10.1007/BF00540020

Niemeier V, 1998, Coping with acne vulgaris: Evaluation of the Chronic Skin Disorder Questionnaire with acne, Dermatology, 196, 108, 10.1159/000017842

Salek MS, 1996, Questionnaires techniques in assessing acne handicap: reliability and validity study, Qual Life Res, 5, 131, 10.1007/BF00435978

Reich A, 2008, Acne itch: do acne patients suffer from itching?, Acta Derm Venereol, 88, 38, 10.2340/00015555-0355

Hayashi N, 2004, A cross-sectional analysis of quality of life in Japanese acne patients using the Japanese version of Skindex -16, J Dermatol, 31, 971, 10.1111/j.1346-8138.2004.tb00639.x

Halvorsen JA, 2008, Comparison of self reported skin complains with objective skin signs among adolescents, Acta Dermatol Venereol, 88, 573, 10.2340/00015555-0505

Kilkenny M, 1998, The prevalence of common skin conditions in Australian school students: 3. acne vulgaris, Br J Dermatol, 139, 840, 10.1046/j.1365-2133.1998.02510.x

Rademaker M, 1989, Acne in school children: no longer a concern for dermatologists, BMJ, 298, 1217, 10.1136/bmj.298.6682.1217

Choi CW, 2011, The clinical features of late onset acne compared wit early onset acne in women, J Eur Acad Dermatol Venereol, 25, 454, 10.1111/j.1468-3083.2010.03813.x

Wu SF, 1998, The role of anxiety and anger in acne patients: a relationship with severity of the disorder, J Am Acad Dermatol, 18, 325

Magin P, 2006, Psychological sequelae of acne vulgaris: results of a qualitative study, Can Fam Physician, 52

Tedechi A, 2007, Corrective camouflage in pediatric dermatology, Cutis, 79, 110

van Der Meeren HL, 1985, The psychological impact of severe acne, Cutis, 36, 84

Feingold A, 1992, Good-looking people are not what we think, Psychol Bull, 111, 304, 10.1037/0033-2909.111.2.304

Uzun O, 2003, Body dysmorphic disorder in patients with acne, Compr Psychiatry, 44, 415, 10.1016/S0010-440X(03)00102-0

Jowett S, 1985, Skin disease and handicap: an analysis of the impact of skin conditions, Soc Sci Med, 20, 425, 10.1016/0277-9536(85)90021-8

Lewis-Jones MS, 1993

Jones-Caballero M, 2008, Self-Reported Adherence to Treatment And Quality of Life in Mild to Moderate Acne, Dermatol, 217, 309, 10.1159/000151441

Rubinow DR, 1987, Reduced anxiety and depression in cystic acne patients after successful treatment with oral isotretinoin, J Am Acad Dermatol, 17, 25, 10.1016/S0190-9622(87)70166-2

Finlay AY, 1997, Quality of life measurement in dermatology: a practical guide, Br J Dermatol, 136, 305, 10.1111/j.1365-2133.1997.tb14934.x

Hahn HB, 2001, Use of the Dermatology Life Quality Index (DLQI) in a Midwestern US urban clinic, J Am Acad Dermatol, 45, 44, 10.1067/mjd.2001.110880

Dalgard F, 2008, Self-esteem and body satisfaction among adolescents with acne: Results from a population survey, J Am Acad Dermatol, 59, 746, 10.1016/j.jaad.2008.07.013

Lasek RJ, 1998, Acne vulgaris and the quality of life of adult Dermatology patients, Arch Dermatol, 134, 454, 10.1001/archderm.134.4.454

Feton-Danou N, 2010, Psychological impact of acne vulgaris, Ann Dermato Venereol, 137, S62, 10.1016/S0151-9638(10)70028-4

Gupta MA, 1990, Psychiatric aspects of the treatment of mild to moderate facial acne: Some preliminary observations, Int J Dermatol, 29, 719, 10.1111/j.1365-4362.1990.tb03777.x

Cash TF, 2004

Veron-Guidry S, 1996, Development of a body image assessment procedure for children and preadolescents, Int J Eat Disord, 20, 287, 10.1002/(SICI)1098-108X(199611)20:3<287::AID-EAT8>3.0.CO;2-K

Xu X, 2010, Body dissatisfaction ,engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents, Body image, 7, 156, 10.1016/j.bodyim.2009.11.003

McCabe MP, 2010, Are there different sociocultural influence on body image and body change strategies for overweight adolescent boys and girls?, Eat Behav, 11, 156, 10.1016/j.eatbeh.2010.01.005

Field AE, 2001, Peer, parent and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys, Pediatrics, 107, 54, 10.1542/peds.107.1.54

Schulpis K, 1999, Psychological and sympatho-adrenal status in patients with cystic acne, J Eur Acad Dermatol Venereol, 13, 24, 10.1111/j.1468-3083.1999.tb00839.x

Chiu A, 2003, The response of skin disease to stress, Arch Dermatol, 139, 897, 10.1001/archderm.139.7.897