Association of depression, anxiety and stress in acne vulgaris in Bangladesh

Authors

  • Towhida Noor Department of Dermatology and Venereology, Matador Diagnostic and Wellness Center, Dhaka, Bangladesh
  • ASM Morshed Department of Psychiatry, Dr. Sirajul Islam Medical College, Dhaka, Bangladesh.
  • Md Ashrafuddin Ahmed Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorder, Shahbag, Dhaka, Bangladesh.
  • Fahmida Haque Department of Dermatology and Venereology, Gonoshasthaya Somajvittik Medical College Hospital, Dhaka, Bangladesh.
  • Mohammed Saiful Islam Bhuiyan Department of Dermmatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
  • Armin Hasan6 Department of Dermatology and Venereology, Universal Medical College and Hospital, Dhaka, Bangladesh.
  • Amit Guha Shaheed Taj Uddin Ahmad Medical College Hospital, Gazipur, Dhaka, Bangladesh.
  • Md. Tanvir Rahman United Hospital Limited, Dhaka, Bangladesh.

Abstract

  Objective To observe the association of depression, anxiety and stress in acne vulgaris patients in Bangladesh.   Methods The study was designed as a descriptive, cross-sectional study for the duration of 6 months (from July 2021 to December 2021) and a pre-validated structured questionnaire was used. The study included 102 acne vulgaris patients with 16–40 years of age who consulted dermatology clinic at a tertiary care hospital of Dhaka, Bangladesh.   Results Severity of acne vulgaris was assessed by Global Acne Grading System (GAGS) and psychological impact of acne vulgaris was assessed by the Bangla Validated Depression, Anxiety and Stress Scale 21(DASS-21). It revealed that nearly one-fourth (24.5%; n=25) had severe to extremely severe stress, while the figure for anxiety and depression was 43.1% (n=44). A positive, strong and significant correlation was observed between acne, stress, anxiety and depression (acne vs. stress: 0.853, acne vs. anxiety: 0.790, acne vs. depression: 0.838; p<0.01).   Conclusion The present study suggest and recommend for an assessment of psychological status in acne patients in Bangladesh to identify any sort of psychological illness and provide necessary support to alleviate their sufferings.  

Author Biography

Towhida Noor, Department of Dermatology and Venereology, Matador Diagnostic and Wellness Center, Dhaka, Bangladesh

Assistant Professor, Department of Dermatology and Venereology Dr. Sirajul Islam Medical College and Hospital

References

Zaenglein AI, Pathy AL, Schlosser BJ et al. Guideline of care for the management of acne vulgaris. J Am Acad Dermatol. 2016;74(5):945-73.

Goldsmith LA, Katz SI, Gilchrest BA et al. Fitzpatrick’s Dermatology In General Medicine. Eight Edition.USA. the McGraw –Hill companies.2012.

Cotterill JA, Cunliffe WJ. Suicide in dermatological patients. Br J Dermatol. 1997;137:846-50.

Saric-Bosanac S, Clark AK, Sivamani RK, Shi VY. The role of hypothalamus-pituitary-adrenal (HPA)-like axis in inflammatory pilosebaceous disorders. Dermatol Online J. 2020;26(2):13030/qt8949296f..

Doshi A, Zaheer A, Stiller MJ. A comparison of current acne grading systems and proposal of a novel system. Int J Dermatol. 1997;36(6):416–8.

Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335–43.

Alim SMAHM et al. Translation of DASS 21 into Bangla and validation among medical students. Bangladesh Journal of Psychiatry.2014;28(2).

Akin A, Çetın B. The Depression Anxiety and Stress Scale (DASS): The study of Validity and Reliability. Educ Sci Theory Pract. 2007;7(1).

Zigmond, AS, RP Snaith. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.

Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosomatic Res. 2002;52:69–77

Hussien NN, Eladl AM. Anxiety and Depression in Egyptian Patients with Acne Vulgaris. Journal of High Institute of Public Health. 2021;51(1):19-24.

Öztürk A, Deveci E, Bagcioglu E et al. Anxiety, depression, social phobia, and quality of life in Turkish patients with acne and their relationships with the severity of acne. Turk J Med Sci. 2013;43:660-6.

Mufaddel A, Elnour AA, Omer AA et al. Psychiatric Comorbidity in Patients with Acne. Open J Psychiatry. 2017;7:176-185.

Xu S, MM, Zhu Yet al. The analysis of acne increasing suicide risk. Medicine. 2021;100:24.

Lukaviciute L, Navickas P, Navickas A, Grigaitiene J, Ganceviciene R, Zouboulis CC. Quality of life, anxiety prevalence, depression symptomatology and suicidal ideation among acne patients in Lithuania. J Eur Acad Dermatology Venereol. 2017;31(11):1900–6.

Aktan S, md, Özmen E, md, cedil, anli, et al. Anxiety, depression, and nature of acne vulgaris in adolescents. Int J Dermatol. 2000;39(5):354–7.

Yazici K, Baz K, Yazici AE, Köktürk A, Tot S, Demirseren D, et al. Diseaseâ€specific quality of life is associated with anxiety and depression in patients with acne. J Eur Acad Dermatol Venereol. 2004;18(4):435–9.

Golchai J. Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Indian J Dermatol. 2010;55(4):352.

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Published

2023-07-02

Issue

Vol. 33 No. 2 (2023): April-June

Section

Original Articles

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