Psychosocial Impact of Acne: A Community Based Cross Sectional Study

Background: It is well-known that acne vulgaris is a common malady of adolescence and is easily recognized Objective: To evaluate the level of impact among acne patients on their quality of life. Methods: A total of 200 patients studied. Acne severity was graded using Global Acne Grading System (GAGS) after the clinical diagnosis. All the patients went through self-administered questionnaire of Cardiff Acne Disability Index (CADI) to fill out, to assess the reflection of patients’ experiences and perceptions. Result: Out of 200 patients, 114(57.0%) were females and 86(43.0%) were males. The maximum number of patients was in the age group of 16-20 years (142/200, 71%). Out of total 86 males, 50 (58.3%) had moderate to severe acne, whereas 62(54.38%) females had such a severe acne. 50.87% (58/114) of females had high CADI scores in comparison to only 27.9(24/86) of males. The impact on quality of life was more in the age-group of 21-30 years even though in this age group clinical severity of acne was mild to moderate only. Conclusion: Study found that individuals with acne had profound emotional, as well as, social impact on their quality of life.

Download Full-text

Quality of life in patients with acne vulgaris in a tertiary care centre: a cross sectional study

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20191770 ◽

2019 ◽

Vol 5 (2) ◽

pp. 406

Author(s):

Hafsa Eram ◽

Vinma H. Shetty ◽

Saumya Goel ◽

Amita Murali Babu

Keyword(s):

Quality Of Life ◽

Acne Vulgaris ◽

Psychological Impact ◽

Cross Sectional ◽

Female Ratio ◽

Number Of Patients ◽

The Mean ◽

The Impact ◽

Score Range

Background: Acne vulgaris is a chronic inflammatory disease of pilosebaceous units which has great psychological impact and causes depression, anxiety, and low self-esteem.Methods: It was a hospital-based, cross-sectional, prestructured, questionnaire-based study done in 120 individuals in the age group 12-30 years using two specific HRQoL indices-Cardiff Acne Disability Index (CADI) and Acne-speciﬁc Quality of Life (Acne-QOL) to understand the impact of acne on the quality of life.Results: Male to female ratio was 2:3. The mean age was 19.23±1.7. The mean CADI score was 5.3. Majority of the patients had grade 2 acne. Based on the CADI questionnaire, the number of males (61.7%) and females (60.2%) was maximum in the medium score. Grade 1 acne had maximum number of patients showing low score followed by grade 2 acne. Based on the acne-QoL questionnaire, maximum patients were in the 11-20 score range, followed by the 21-30 score range.Conclusions: Acne is not only a cosmetic problem, but also has significant psychological impact. Hence, impact of acne on QoL must be considered in the management of facial acne.

Download Full-text

A Study on Prevalence of Acne Vulgaris and Its Impact on Quality of Life in Adolescents of Kendriya Vidyalaya’s of Jalahalli Area of Bangalore

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210905 ◽

2021 ◽

Vol 11 (9) ◽

pp. 33-40

Author(s):

Shabnam .

Keyword(s):

Quality Of Life ◽

Acne Vulgaris ◽

Poor Quality ◽

Cross Sectional ◽

Developmental Issues ◽

Severe Acne ◽

Strong Relation ◽

Socio Demographic Factors ◽

The Impact

Background and Objective: Acne vulgaris is a chronic condition affecting more than 85% of adolescents and young adults. It is one of the most common diseases affecting humanity and its impact on quality of life (QoL) is important. The interaction of acne and psychosocial issues is complex and, in adolescence, can be associated with developmental issues of body image, socialization and sexuality. Thus, the present study was conducted to assess the prevalence of acne vulgaris, its impact on quality of life and to study socio-demographic factors, family history and lifestyle among the selected schools in Jalahalli area of Bengaluru. Methods: The present study was descriptive cross sectional school based study conducted in the Jallahalli area of Bengaluru city from January 2017 to December 2017. A total of 200 subjects were included. A predesigned, pretested, structured questionnaire consisting of questions on various aspects regarding socio-demographic profile, assessment of quality of life and symptoms of acne vulgaris were administered to the participants fulfilling inclusion criteria. Data regarding the severity of acne vulgaris and Quality of life status were obtained by using Global Acne Grading System and CADI and CDLQI/DLQI respectively. SPSS 18.0 software was used for data analysis. Results: Findings of the study revealed that, Acne prevalence was 87% affecting both sexes. Self reported mild acne was present in 85.1% and moderate severe acne in 14.9% of the adolescents. The mean age of the subjects was 14.78 years. 52.5% were females and 47.5% were males. A strong relation was found between the severity of acne and quality of life (p<0.001).Subject with moderate/severe acne experience greater impairment in quality of life (p<0.001). Heredity is correlated with acne and its severity was significant. Interpretation and Conclusion: Acne affects the quality of life of an adolescent. The impact is proportional to the severity of acne. More severe acne is associated with greater effect on quality of life. The present study reveals that increasing prevalence of Acne vulgaris and poor quality of life among the adolescents. Evaluation of quality of life in such patients may greatly help in the better management of acne, hence improving their quality of life. Key words: Acne vulgaris; Adolescent; Quality of life; GAGS; CDLQI/DLQI.

Download Full-text

The Incidence of Depression and the Decrease of Quality of Life in Patients with Moderate-Severe Inflammatory Acne

Medical University ◽

10.2478/medu-2019-0020 ◽

2019 ◽

Vol 2 (4) ◽

pp. 143-149

Author(s):

C.A. Verdeja-Robles ◽

C.E. Velazquez-De la Rosa ◽

A. Gutiérrez-Morgas

Keyword(s):

Quality Of Life ◽

Skin Diseases ◽

Acne Vulgaris ◽

Poor Quality ◽

Cross Sectional ◽

Severe Acne ◽

Long Time ◽

Life Threatening ◽

The Impact

Abstract Objective: to know the prevalence of depression in patients with moderate-severe acne vulgaris. Hypothesis: the incidence of depression increases in patients with moderate-severe acne vulgaris and will therefore decrease the quality of life. Background: acne is a very frequent dermatosis in the outpatient clinic, it is not considered a life-threatening disease. It has been associated with negative emotional status. Also, suffering from it for a long time has been associated with depression, anxiety and frustration. The complications of acne in the psychosocial aspect are related to academic or vocational performance, self-esteem and adolescents’ quality of life. Materials and Methods: the type of study was retrospective cross-sectional descriptive observational study. The sampling was carried out at the facilities of the Popular Autonomous University of the State of Puebla, taking into account any person within the institutional organisation within the range of 12-20 years of age, with a total of 50 participants. The Hamilton assessment scale of depression and the Cardiff Acne disability index were applied to all patients with dermatological diagnosis of moderate-severe vulgar acne in a period between February-October 2019. Results: a total of 50patients were analysed, of which 28 were women aged 12 to 20 years and 22 men (28 women and 13 men) and severe acne in 9 patients, all over 17 years of age and male. According to the degree of depression, 28% (n = 14) of the patients were obtained without some degree of depression; 60% (n = 30) with minor depression; 12% (n = 6) with moderate depression. Regarding the quality of life: 40% (n = 20) of the patients showed good quality of life, 46% (n = 23) regular quality of life and 14% (n = 7) showed poor quality of life. Conclusion: orderly study of the psychic impact of acne and other skin diseases on people suffering them is recent and is carried out through questionnaires that try to measure the impact the diseases have on the patients’ quality of life.

Download Full-text

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 ◽

10.1590/s0365-05962012000600007 ◽

2012 ◽

Vol 87 (6) ◽

pp. 862-869 ◽

Cited By ~ 60

Author(s):

Eleni Tasoula ◽

Stamatis Gregoriou ◽

John Chalikias ◽

Dimitris Lazarou ◽

Ifigenia Danopoulou ◽

...

Keyword(s):

Quality Of Life ◽

Dermatology Life Quality Index ◽

Quality Index ◽

Acne Vulgaris ◽

Life Quality ◽

Young Adolescents ◽

Severe Acne ◽

Study Population ◽

The Impact

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.

Download Full-text

The Social and Psychological Impact of Superficial Dermatophytic Infection using Dlqi and Ghq-12: A Cross-Sectional Study in 174 Patients at a Tertiary Care Centre in Southern-East Rajasthan

10.47363/jdmrs/2021(2)133 ◽

2021 ◽

pp. 1-6

Author(s):

Shivani Saini ◽

◽

Agarwal Shail ◽

Jain Manish ◽

Yadav Devendra ◽

...

Keyword(s):

Quality Of Life ◽

Psychological Impact ◽

Cross Sectional Study ◽

World Population ◽

Sectional Study ◽

Cross Sectional ◽

Number Of Patients ◽

The Mean ◽

The Impact

Background: Dermatophytosis is a common fungal infection affecting 20-25% of the world population. Aims: Our study was aimed to assess its impact on health-related quality of life(QoL), mental health, and various variables. Materials and Methods: A cross-sectional study was done from April 2019 to September 2019 on 174 patients of dermatophytosis of aged more than 16 years with their informed consent. The impact of infection on the quality of life was assessed by using the Dermatology life quality index questionnaire and General health questionnaire-12 was used to assess psychological impact. A visual analogue scale was used to assess the severity of pruritus. Appropriate statistical tests were applied. Results: Males to females ratio was 1.4:1. The age group of 21-30 was having the highest number of patients with the mean age of 27.8±9.97. Most patients had BSA under 10%. The mean value of DLQI and GHQ-12 were found 15.989±7.407 and 2.8563±2.8964, respectively. We found that dermatophytosis had a very large effect on the quality of life as the maximum number of patients(39%) were within this category. The “work and school” part in the questionnaire gained maximum importance(52.8%). The mean VAS score was 6±2.733 with most patients(32.7%) had moderate itching. We found a positive correlation between VAS and DLQI, VAS and GHQ-12, DLQI, and GHQ-12 with the statistical significance. Conclusion: In our study dermatophytosis affected the quality of life as well as the psychological health of patients. Therefore proper treatment of superficial dermatophtytosis is essential to prevent it from further complications

Download Full-text

Impact of the onset of fixed appliance therapy on adolescents’ quality of life using a specific condition questionnaire: A cross-sectional comparison between male and female individuals

Journal of Orthodontics ◽

10.1177/1465312519851220 ◽

2019 ◽

Vol 46 (3) ◽

pp. 195-204 ◽

Cited By ~ 1

Author(s):

Larissa Corradi-Dias ◽

Saul Martins Paiva ◽

Henrique Pretti ◽

Isabela Almeida Pordeus ◽

Lucas Guimarães Abreu

Keyword(s):

Quality Of Life ◽

Orthodontic Treatment ◽

Social Impact ◽

Negative Impact ◽

Cross Sectional ◽

Fixed Appliance ◽

Fixed Appliances ◽

Physical Impact ◽

The Impact

Objective: To evaluate the impact of the first six months of orthodontic treatment with fixed appliances on the oral health-related quality of life (OHRQoL) of adolescents, comparing boys and girls, using a specific condition questionnaire. Design: Cross-sectional. Setting: School of Dentistry of the Federal University of Minas Gerais, Belo Horizonte, Brazil Participants: Adolescents aged 10–17 years. Methods: Forty-six adolescents participated in this study. Adolescents’ OHRQoL was evaluated using the Brazilian version of the questionnaire Impact of Fixed Appliances Measure. This questionnaire comprises 43 questions distributed across nine domains: aesthetics; functional limitation; dietary impact; oral hygiene impact; maintenance impact; physical impact; social impact; time constraints; and travel/cost/inconvenience implications. The answer options follow the Likert scale, in the range of 1–5. A higher score indicates a more negative impact on the OHRQoL. Adolescents’ malocclusion was assessed using the Dental Aesthetic Index. Information on family income, adolescents’ age and tooth extraction was also collected. A directed acyclic graph was used to identify potential confounders. Statistical analysis involved the chi-square test, the Student’s t test and the analysis of covariance. The minimal clinically important difference was also calculated. Results: Of the 46 participants, 25 were girls and 21 were boys. The female adolescents presented a more negative impact from the orthodontic treatment on the quality of life when compared to the male adolescents ( P < 0.001), regardless of the influence of the confounding variables. The most negative repercussions were identified in the domains of oral hygiene ( P = 0.002), physical impact ( P < 0.001) and social impact ( P < 0.001). Conclusion: The impact of the first six months of orthodontic treatment on OHRQoL is more negative in female individuals than in male individuals. The results of this study may be useful for the oral healthcare provider during the counselling of adolescents undergoing fixed appliance therapy.

Download Full-text

Impact of acne on quality of life among university students

10.5742/mewfm.2021.93985 ◽

2021 ◽

Vol 19 (2) ◽

Author(s):

Ghadah Mohammad Alasbi ◽

Fatima Riaz ◽

Halimah Nasser Kidwan ◽

Zanah Abdullah Zanah Abdullah ◽

Tabinda Ashfaq ◽

...

Keyword(s):

Quality Of Life ◽

University Students ◽

Conflict Of Interest ◽

Acne Vulgaris ◽

Personal Characteristics ◽

Self Perception ◽

Severe Acne ◽

Role Emotional ◽

The Impact

Objective: To know the impact of acne among female university students on their quality of life. Methodology: A cross sectional study conducted included 260 female students at the King Khalid University. A self-administered questionnaire was used in Arabic for data collection. It consisted of personal data, practices and conditions related to health, specific questions on acne vulgaris and the Acne Quality of Life (QOL) questionnaire. Results: Prevalence of acne among participant students was 87%. Its severity among 48% of participants was mild, 39.6% was moderate, while 12.3% had severe acne. Its prevalence did not differ significantly according to participants’ personal characteristics. The mean score for self-perception was 18.4+8.0, for role emotional was 14.4+8.8, for role social was 14.4+6.4, for acne symptoms was 13.4+5.2, while mean overall score was 60.5+24.4. Acne QOL scores for all domains were significantly lower among students who have acne. Scores for all domains and overall scores were lowest among students having severe acne. Students’ acne QOL scores differed significantly according to their family monthly income regarding “self-perception” (p=0.005), role emotional (p=0.037) and overall (p=0.012). Conclusions: Prevalence of facial acne is very high among students and significantly affects their QOL. During management of acne patients, health care professionals should consider its psychosocial aspect. Limitations: Generalizability of the results is limited to female university students only and limited personal characteristics were assessed in the present study. Conflict of interest: There is no conflict of interest involved with this study Key words: Acne, quality of life, female university students.

Download Full-text

Prevalence and Psychological Impact of Acne on Quality of Life among Undergraduate Medical students of Lahore, Pakistan

Journal of Sheikh Zayed Medical College ◽

10.47883/jszmc.v12i02.169 ◽

2021 ◽

Vol 12 (1) ◽

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Negative Impact ◽

Acne Vulgaris ◽

Psychological Impact ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

And Gender ◽

The Impact

Background: Acne Vulgaris is a rife and chronic dermal disorder, which commonly occurs in pubescent. This disease is characterized by the emergence of comedones, papules, pustules, nodules, or cysts which results from obstruction and inflammation of pilosebaceous units. Objective: To finding out the prevalence and psychological impact of acne on the quality of life in undergraduate medical students of Lahore, Pakistan. Methodology: A cross-sectional study was conducted during the month of October 2020, 291 among undergraduate medical students from eight medical colleges of Lahore, selected through simple random sampling, on both male and female undergraduate medical students. To assist them; they were given a simple grading criterion to self-diagnose their current acne severity and quality of life was evaluated by Cardiff Acne Disability Index. Data were analyzed by using SPSS version 22. Results: A total of 213 (73.2%) prevalence of acne was found among the participants who responded (291). No significant relation between acne severity and gender was found (p=0.151). There was no association between CADI score and gender (p=0.366). However, a significant correlation was found between CADI score and acne severity (p=0.000). In the population studied, 4.7% showed their acne severely impacting their quality of life, 27.7% have moderate, 58.7% have mild and 8.9% have no impact at all. Conclusion: High Prevalence rate of acne and its significant negative impact on QOL indicates that it is a very common dermatological disorder. Effective interventions can make substantial contributions to derogate the impact of acne severity on QOL.

Download Full-text

Impact of acne on quality of life in young Pakistani adults and its relationship with severity: A multicenter study

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.3.2819 ◽

2021 ◽

Vol 37 (3) ◽

Author(s):

Shaheen Naveed ◽

Sadia Masood ◽

Atiya Rahman ◽

Safia Awan ◽

Saadia Tabassum

Keyword(s):

Quality Of Life ◽

Young Adults ◽

Multicenter Study ◽

Acne Vulgaris ◽

Tertiary Care ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Severe Acne

Objectives: The current study aimed to determine the effect of acne vulgaris on quality of life of young adults and to assess the correlation between acne severity and impairment of quality of life (QOLI). Methods: In this multi-center cross-sectional study, 163 young adults with acne vulgaris were assessed for severity and quality of life impairment between December 2016 and May 2017 at three tertiary care hospitals. Cardiff Acne Disability Index (CADI) was used to assess the quality of life while the severity of acne measured by Global Acne Grading System (GAGS). Data were collected on standardized forms, with CADI, GAGS scores, and sociodemographic data and analyzed using SPSS version 9. The quantitative variables were presented as means, median and qualitative variables expressed as frequency and percentages. P-value ≤0.05 was considered as statistically significant. Results: Out of 163 patients enrolled in this study, the mean age was 21.6 ± 4.9 years and 124 were females and 39 males. In mild QOLI, 56 (87.5%) cases were affected with mild, 11 (13.4%) with moderate and 1 (1.5%) case had severe acne. While, in moderate QOLI, 8(12.5%) cases were of mild, 60 (73.2%) were moderate and 6 (35.3%) cases affected with severe acne. The severe impairment of QOL noted in 11 (13.4%) moderate and 10 (58.8%) severe acne cases. The relationship between sex was statistically significant, (P<0.001). The result showed significant correlation between severity of acne vulgaris and the quality of life impairment of these patients (P<0.001). Conclusion: This study showed significant correlation between acne vulgaris and quality of life impairment. Cardiff acne disability index has proven to be a reliable tool to assess the quality of life. It is recommended to be used routinely in dermatology clinics to provide tailored treatment to individuals because mild disease may be disproportionately distressing for patients. doi: https://doi.org/10.12669/pjms.37.3.2819 How to cite this:Naveed S, Masood S, Rahman A, Awan S, Tabassum S. Impact of acne on quality of life in young Pakistani adults and its relationship with severity: A multicenter study. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.2819 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Download Full-text

Assessment of quality of life in patients with severe acne

Medical alphabet ◽

10.33667/2078-5631-2021-9-12-15 ◽

2021 ◽

pp. 11-15

Author(s):

N. V. Gryazeva ◽

A. V. Tamrazova

Keyword(s):

Quality Of Life ◽

Acne Vulgaris ◽

Self Esteem ◽

Common Disease ◽

Age Group ◽

Severe Acne ◽

New Methods ◽

Anxiety Depression ◽

Main Factor

Acne vulgaris is a common disease affecting up to 85 % of adolescents. Localization of dermatosis in cosmetically signifiant areas, the duration of the therapy and the formation of post-acne symptoms have a high psycho-emotional load and negatively affect the quality of life. Due to the fact that acne affects the most vulnerable and socially sensitive age group, it is imperative not to overlook psychological abnormalities such as anxiety, depression and suicidal thoughts. This review presents the types of diagnostic scales for assessing the quality of life of patients with acne, pathogenesis and risk factors for scar formation – the main factor affecting the self-esteem of patients with acne vulgaris, and also proposed new methods of combination therapy with the use of corticosteroids and isotretinoin in the treatment of severe forms.

Download Full-text