Psychosocial impact of acne vulgaris in adolescents presenting to skin OPD of a public hospital
DOI:
https://doi.org/10.66344/jpad.v33i3.2296Abstract
Background Acne vulgaris is very common disorder with inflammation of pilosebaceous unit. It involves areas with high distribution of sebaceous glands like the face and upper trunk. This disease has a peak incidence in adolescence, reaching up to 85%.1 Acne poses a significant emotional and psychological effect in adolescents, which is the peak time of their social and physical development.2 Many international studies are available but till date, no conclusive data is available regarding psychosocial impact of acne vulgaris, particularly in adolescents of Pakistan.
Methods We conducted a cross-sectional study over 06 months (January to July 2019) among adolescents presenting to dermatology OPD, PAF Hospital Islamabad. One hundred eighty adolescents diagnosed with Acne Vulgaris were evaluated through the Cardiff Acne Disability Index (CADI). SPSS version 20 (IBM Corp., Armonk, NY, US) was used to analyze the data.
Results Our sample consisted of 44.4% Female and 55.6% male patients with a mean age of 17.41±1.67 years. 80.6% of patients were students. 67.8% of patients had mild, 31.1% moderate, and 1.1% severe acne. The calculated mean CADI score was 7.69±3.32. Our study showed 26% adolescents had severe, 44% had moderate, while 30% had mild impact on quality of life. The results also showed a significant association between impaired quality of life of acne severity and gender.
Conclusion Acne vulgaris shows a considerable psychosocial impact on adolescents in Pakistan. Along with the dermatologist, a mental health professional might offer a more holistic approach to treating such patients.
References
1. Melnik BC. Acne vulgaris: The metabolic syndrome of the pilosebaceous follicle. Clin Dermatol. 2018;36(1):29–40.
Available from: https://www.sciencedirect.com/science/article/abs/pii/S0738081X1730161X
2. Vilar GN, Santos LA dos, Sobral Filho JF. Quality of life, self-esteem and psychosocial factors in adolescents with acne vulgaris. Anais Brasileiros de Dermatologia. 2015;90(5):622–9.
3. Harvey A, Huynh TT. Inflammation and
acne: putting the pieces together. J Drugs Dermatol. 2014;13(4):459–63.
Available from: https://pubmed.ncbi.nlm.nih.gov/24719066/
4. Tan JKL, Bhate K. A global perspective on the epidemiology of acne. Br J Dermatol. 2015;172 Suppl 1:3–12.
Available from: https://www.ncbi.nlm.nih.gov/pubmed/25597339
5. McLellan C, Frey MP, Thibotout D, Layton A, Chren MM, Tan J. Development of a Comprehensive Quality-of-Life Measure for Facial and Torso Acne. J Cutan Med Surg. 2018;1:1203475418756379.
6. Prabhakar D, Peterson EL, Hu Y, Rossom RC, Lynch FL, Lu CY et al. Dermatologic conditions and risk of suicide: a case-control study. Psychosomatics. 2018;59(1):58-61
7. Gupta MA, Pur DR, Vujcic B, Gupta AK. Suicidal behaviors in the dermatology patient. Clinics Dermat. 2017;35(3):302–11.
8. Vallerand IA, Lewinson RT, Parsons LM, Lowerison MW, Frolkis AD, Kaplan GG, Barnabe C, Bulloch AGM, Patten SB. Risk of depression among patients with acne in the UK: a population-based cohort study. Br J Dermatol. 2018;178(3):194-5.
9. Vilar GN, Santos LA, Sobral Filho JF. Quality of life, self-esteem and psychosocial factors in adolescents with acne vulgaris. An Bras Dermatol. 2015;90(5):622-9.
10. Walker N, Lewis-Jones MS. Quality of life and acne in Scottish adolescent schoolchildren: use of the Children's Dermatology Life Quality Index©(CDLQI) and the Cardiff Acne Disability Index©(CADI). J Eur Acad Dermatol Venerol. 2006;20(1):45-50.
11. Cardiff Acne Disability Index [Internet]. Cardiff University. Available from: https://www.cardiff.ac.uk/medicine/resources/quality-of-life-questionnaires/cardiff-acne-disability-index
12. Aghaei S, Mazharinia N, Jafari P, Abbasfard Z. The Persian version of the Cardiff Acne Disability Index. Reliability and validity study. Saudi Med J. 2006;27(1):80–2.
Available from: https://pubmed.ncbi.nlm.nih.gov/16432599/.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Saad Zia Ahmed Khan Khan; Dr Shayan; Dr Muneeza Rizwan
This work is licensed under a Creative Commons Attribution 4.0 International License.
Submission declaration
Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.
By submitting a manuscript, authors confirm that the work has not been published previously (except as an abstract, lecture, or academic thesis), is not under review elsewhere, and has been approved by all authors and relevant authorities. Once accepted, the article will be openly accessible under the CC BY 4.0 license, ensuring wide dissemination and reuse with proper attribution.
