Assessment of depression in patients of acne vulgaris and its correlation with severity of acne, post acne scarring and gender

Authors

  • Nitin Mishra Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001
  • Madhur kant Rastogi Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001
  • Pratik Gahalaut Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001
  • Neeraj Srivastava MLB Medical College, Bundelkhand University, Jhansi, Uttar Pradesh - 284001
  • Anuj Aggarwal Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001

Keywords:

BDI score, acne, depression, gender based differences.

Abstract

Objective To determine level of depression and correlate it with gender, duration, severity and scarring in patients having acne vulgaris. Methods All the patients of acne vulgaris over a time period of one year were included in the study. Beck Depression Inventory (BDI) scores were used to assess depression levels. Grading of acne and postacne scars was done based on consensus criteria. SPSS software was used to determine Pearson correlation between different variables. Results Males had more significant scarring compared to females. BDI scores significantly correlated with acne severity, duration of acne and post acne scarring. Negative correlation between BDI scores and education level was also noticed. Conclusion In a patient of acne vulgaris proper attention should be paid towards psychological impairments and patient’s self-assessment of depression levels. Prompt and effective treatment should be instituted for acne vulgaris, as well as, postacne scarring. Improving education levels may alleviate severity of depression in patients of acne vulgaris. 

Author Biographies

Nitin Mishra, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001

Associate Professor,Department of Dermatology, Venereology and Leprosy 

Madhur kant Rastogi, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001

Assistant Professor,Department of Dermatology, Venereology and Leprosy

Pratik Gahalaut, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001

Professor,Department of Dermatology, Venereology and Leprosy

Neeraj Srivastava, MLB Medical College, Bundelkhand University, Jhansi, Uttar Pradesh - 284001

Assistant Professor,Department of Dermatology, Venereology and Leprosy

Anuj Aggarwal, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh - 243001

Senior Resident,Department of Dermatology, Venereology and Leprosy

References

Ediléia Bagatin, Denise Lourenço Timpano, Lilia Ramos dos Santos Guadanhim, Vanessa Mussupapo Andraus Nogueira, Luiz Roberto Terzian, Denise Steiner, Mercedes Florez. Acne vulgaris: prevalence and clinical forms in adolescents from São Paulo, Brazil. An. Bras. Dermatol. vol.89 no.3 Rio de Janeiro May/June 2014

Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: a community-based study. Br J Dermatol 2001;145:274-9.

Burton JL, Cunliffe WJ, Stafford I, Shuster S. The prevalence of acne vulgaris in adolescence. Br J Dermatol 1971;85:119-126.

Stern RS. The prevalence of acne on the basis of physical examination. J Am Acad Dermatol 1992;26:931-5.

Cunliffe WJ, Gould DJ. Prevalence of facial acne vulgaris in late adolescence and in adults. Br Med J 1979;28:1109-10.

Kellett SC, Gawkrodger DJ. The psychological and emotional impact of acne and the effect of treatment with isotretinoin. Br J Dermatol 1999;140:273-82.

Gupta MA, Gupta AK. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol 1998;139:846-50.

Mallon E, Newton JN, Klassen A, Stewart-Brown SL, Ryan TJ, Finlay AY. The quality of life in acne: a comparison with general medical conditions using generic questionnaires. Br J Dermatol 1999;140:672-6.

Tan JK. Psychosocial impact of acne vulgaris: evaluating the evidence. Skin Therapy Lett 2004;9:13,9.

Zich JM, Attkisson CC, Greenfield TK. Screening for depression in primary care clinics: the CES-D and the BDI. Int J Psychiatry Med 1990;20:259-77.

Kellett SC, Gawkrodger DJ. A prospective study of the responsiveness of depression and suicidal ideation in acne patients to different phases of isotretinoin therapy. Eur J Dermatol 2005;15:484-8.

Pochi PE, Shalita AR, Strauss JS, Webster SB, Cunliffe WJ, Katz HI et al. Report of the consensus conference on acne classification. J Am Acad Dermatol 1991;24:495-500.

Goodman GJ, Baron JA. Postacne scarring: a qualitative global scarring grading system. Dermatol Surg 2006;32:1458-66.

Carter CL, Dacey CM. Validity of the Beck Depression Inventory, MMPI, and Rorschach in assessing adolescent depression. J Adolesc 1996;19:223-31.

Winter LB, Steer RA, Jones-Hicks L, Beck AT. Screening for major depression disorders in adolescent medical outpatients with the Beck Depression Inventory for Primary Care. J Adolesc Health 1999;24:389-94.

Shilpa Garg, Sukriti Baveja. Combination Therapy in the Management of Atrophic Acne Scars J Cutan Aesthet Surg. 2014 Jan-Mar; 7(1):18–23.

Simpson NB, Cunliffe WJ. Disorders of the sebaceous glands. In: Rook's text book of dermatology. Burns T, Breathnach S, Cox N, Griffiths C. eds. 7th edn. Oxford: Blackwell Publishing Ltd, 2004;42:33-75.

Cristhine de Souza Leão Kamamoto, Karime Marques Hassun, Ediléia Bagatin, Jane Tomimori. Acne-specific quality of life questionnaire (Acne-QoL): translation, cultural adaptation and validation into Brazilian-Portuguese language. An. Bras. Dermatol. vol.89 no.1 Rio de Janeiro Jan./Feb. 2014

Yazici K, Baz K, Yazici AE, Köktürk A, Tot S, Demirseren D, et al. Disease -specific Quality of life is associated with anxiety and depression in patients with acne. J Eur Acad Dermatol Venereol 2004;18:435-9.

Wu SF, Kinder BN, Trunnell TN, Fulton JE. Role of anxiety and anger in acne patients: A relationship with the severity of the disorder. J Am Acad Dermatol 1988;18:325-32.

Magin PJ, Adams J, Heading GS, Pond CD. Patients with skin disease and their relationship with their doctors: a qualitativestudy of patients with acne, psoriasis and eczema. Med J Aust 2009;190:62-4.

Magin P, Adams J, Heading G, Pond D, Smith W. Psychologicalsequelae of acne vulgaris:

results of a qualitative study. Can Fam Physician 2006;52:978-9.

Koo JY, Smith LL. Psychological aspects of acne. Pediatr Dermatol 1991;8:185-8.

Golchai J, Khani SH, Heidarzadeh A, Eshkevari SS, Alizade N, Effekhari H. Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Ind J Dermatol 2010;55:352-4.

Aktan S, Ozmen E, Sanli B. Anxiety, depression, and nature of acne vulgaris in adolescents.

Int J Dermatol 2000;39:354-7.

Khan MZ, Naeem A, Mufti KA. Prevalence of mental health problems in acne patients. J Ayub Med Coll Abbottabad 2001;13:7-8.

Marron SE, Tomas-Aragones L, Boira S. Anxiety, Depression, Quality of Life and Patient Satisfaction in Acne Patients Treated with Oral Isotretinoin. Acta Derm Venereol 2013;93:701-6.

Golchai J, khani SH, Heidarzadeh A, Eshkevari SS, Alizade N, Eftekhari H. Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Indian J Dermatol 2010;55:352-4.

Behnaz Behnam, Ramin Taheri, Raheb Ghorbani, and Peyvand Allameh. Psychological Impairments in the Patients with Acne. Indian J Dermatol. 2013;58:26-9.

Pearl A, Arroll B, Lello J, Birchall NM. The impact of acne: A study of adolescent's Attitudes, Perception and Knowledge. N Z Med J 1998;111:269-71.

Kurtalid N,Hadžigrahid N, Tahirovid H, Šadid S. Assessment of anxiety and depression in adolescents with acne vulgaris related to the severity of clinical features and gender. Acta Medica Academica 2010;39:159-64.

Purvis D, Robinson E, Merry S, Watson P. Acne, anxiety, depression and suicide in teenagers: a cross-sectional survey of New Zealand secondary school students. J Paediatr Child Health 2006;42:793-6.

Uslu G, Sendur N, Uslu M, Savk E, Karaman G, Eskin M. Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey. J Eur Acad Dermatol Venereol 2008;22:462-9.

Pearl A, Arroll B, Lello J, Birchall NM. The impact of acne: a study of adolescents' attitudes, perception and knowledge. N Z Med J 1998;111:269-71.

Grahame V, Dick DC, Morton CM, Watkins O, Power KG. The psychological correlates of treatment efficacy in acne. Dermatol Psychosom 2002;3:119-25.

Hahm BJ, Min SU, Yoon MY, Shin YW, Kim JS, Jung JY, Suh DH. Changes of psychiatric parameters and their relationships by oral isotretinoin in acne patients. J Dermatol 2009;36:255-61.

Cotterill JA, Cunliffe WJ. Suicide in dermatological patients . Br J Dermatol 1997;137:246-50.

Niemeier V, Kupfer J, Demmelbauer-Ebner M, Stangier U, Effendy I, Gieler U. Coping with acne vulgaris: Evaluation of the chronic skin disorder questionnaire in patients with acne. Dermatology 1998;196:108-15.

Goulden V, Clark SM, McGeown C, Cunliffe WJ. Treatment of acne with intermittent isotretinoin. Br J Dermatol 1997;137:106-8.

Downloads

Published

2018-05-27

How to Cite

1.
Mishra N, Rastogi M kant, Gahalaut P, Srivastava N, Aggarwal A. Assessment of depression in patients of acne vulgaris and its correlation with severity of acne, post acne scarring and gender. J Pak Assoc Dermatol [Internet]. 2018May27 [cited 2025Jan.25];27(4):313-9. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/931

Issue

Section

Original Articles