Psychosocial Aspects of Adult Acne: Data from 13 European Countries.

Abstract:

:The link between acne and psychiatric morbidities has been demonstrated in many studies; however, large scale studies aiming to reveal the psychosocial impact of acne are rare. The aim of this study was to assess the psychological burden of adult acne patients. This analysis was based on a multicenter study including 213 acne patients and 213 controls from 13 European countries. The Hospital Anxiety and Depression Scale (HADS), Dermatology Life Quality Index, and EuroQol 5 dimensions 3 levels scores of the patients with acne were analyzed. Patients with acne (n = 213) had higher HADS scores for anxiety (mean ± standard deviation 6.70 ± 3.84) and depression (3.91 ± 3.43) than the controls (p < 0.001 for both). For patients with acne, 40.6% reported that they were very concerned about their skin disease, 12.3% had suicidal ideation, and, among those, 10 (4%) patients implied that acne was the cause of their suicidal thoughts. After adjusting for other variables, patients who had suicidal ideation (p = 0.007, and adjusted odds ratio 3.32 [95% confidence interval (CI): 1.39-7.93]) and stressful life events (p < 0.001, and adjusted OR 5.85 [95% CI: 2.65-12.86]) had a greater chance of fulfilling the HADS criteria for anxiety. This study highlights the need for a psychotherapeutic approach in order to recognize the concerns of acne patients and optimize their treatment.

journal_name

Acta Derm Venereol

authors

Altunay IK,Özkur E,Dalgard FJ,Gieler U,Tomas Aragones L,Lien L,Poot F,Jemec GB,Misery L,Szabó C,Linder D,Sampogna F,Evers AWM,Halvorsen JA,Balieva F,Szepietowski JC,Romanov DV,Marron SE,Finlay AY,Salek S,Kupfer J

doi

10.2340/00015555-3409

subject

Has Abstract

pub_date

2020-02-05 00:00:00

pages

adv00051

issue

4

eissn

0001-5555

issn

1651-2057

journal_volume

100

pub_type

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