Frequency of depression, anxiety and stress in patients with acne vulgaris

Authors

  • Zahid Rafiq SAHIWAL MEDICAL COLLEGE,SAHIWAL PAKISTAN
  • Syed Muntazir Mehdi

Keywords:

Acne Vulgaris, Depression, Anxiety, Stress

Abstract

Objective To determine the frequency of depression, anxiety and stress among acne vulgaris patients. Methods This cross-sectional study was conducted in Department of Dermatology at DHQ/ GHAQ Teaching Hospital/ Sahiwal Medical College, Sahiwal after approval from ethical review committee. A total of 100 patients of acne vulgaris filling the inclusion and exclusion criteria were enrolled. Acne severity was graded into three grades mild, moderate and severe. DASS (Depression Anxiety Stress Score) questionnaire (21 Questions) was translated and filled on proforma. Data was analyzed by SPSS. Results In 100 patients, there were 58 females and 42 males. Mean age was 21 years in both genders. There was significant number of patients (39%) with family history of acne vulgaris. Majority of them were students (59%) and unmarried (82%).  Mild (47%) and moderate (43%) severity of acne vulgaris constitute 90% of total patients and rest of patients (10%) belonged to severe form. Depression was observed in most cases (62%) as compared to anxiety (51%) and stress (40%) in different severity of acne patients. Moderate degree of depression 48% (n=30) and anxiety 49% (n=25) cases and mild degree of stress 50% (n=20) cases were noticed in majority among different severity of acne vulgaris. Conclusion There is significant impact of psychological issues on acne vulgaris patient as shown by frequency of depression, anxiety and stress in this study. Thus, highlight the need of close liaison of dermatologist and psychiatrist in management of acne vulgaris. 

References

O'Sullivan RL, Lipper G, Lerner EA. The neuro-immuno-cutaneous-endocrine network: relationship of mind and skin. Arch Dermatol. 1998;134(11):1431-5.

Jain N, Bukharia A, Khess C, Munda SK. Psychiatric morbidity among patients with psoriasis and acne: A comparative study. J Pak Assoc Dermatol. 2016;26(4):337-346.

Lynn DD, Umari T, Dunnick CA, Dellavalle RP. The epidemiology of acne vulgaris in late adolescence. Adolesce Health Med Ther. 2016;7:13–25.

Tan JK, Bhate K. A global perspective on the epidemiology of acne. Br J Dermatol. 2015;172(1):3-12.

Revol O, Milliez N, Gerard D. Psychological impact of acne on 21st-century adolescents: decoding for better care. Br J Dermatol. 2015;172(1):52-8.

Kumar S, Singh R, Kaur S, Mahajan BB. Psychosocial impact of acne on quality of life in North India: A hospital-based cross-sectional study. J Pak Assoc Dermatol. 2016;26(1): 35-39.

Yang YC, Tu HP, Hong CH, Chang WC et al. Female gender and acne disease are jointly and independently associated with the risk of major depression and suicide: A national population-based study. BioMed Res Int. 2014:1-7.

Dréno B. Assessing quality of life in patients with acne vulgaris. Am J Clin Dermatol. 2006;7(2):99-106.

Shahzad N, Nasir J, Ikram U, Qadir A et al. Frequency and psychosocial impact of acne on university and college students. J Coll Physicians Surg Pak. 2011;21(7):442-3.

Mufaddel A, Elnour AA., Omer AA, Alshora EH. Psychiatric comorbidity in patients with acne. Open J Psych. 2017; 7(3):176-85.

Gorelick J, Daniels SR, Kawata AK et al. Acne-related quality of life among female adults of different races/ethnicities. J Dermatol Nurses Assoc. 2015;7(3):154–62.

Skroza N, Tolino E, Mambrin A, Zuber S et al. Bernardini. Adult acne versus adolescent acne: A Retrospective study of 1,167 patients. J Clin Aesthet Dermatol. 2018;11(1):21-5.

Walton S, Wyatt EH, Cunliffe WJ. Genetic control of sebum excretion and acne—a twin study. Br J Dermatol. 1988;118(3):393-6.

Hanisah A, Omar K, Shah SA. Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia. J Prim Health Care. 2009;1(1):20.

Golchai J, khani SH, Heidarzadeh A et al. Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Indian J Dermatol. 2010; 55(4): 352.

Niemeier V, Kupfer J, Gieler U. Acne vulgaris – Psychosomatic aspects. J Dtsch Dermatol Ges. 2006;4(12):1027-36.

Wen L, Jiang G, Zhang X et al. Relationship between acne and psychological burden evaluated by ASLEC and HADS surveys in high school and college students from central China. Cell Biochem Biophys. 2014;71(2):1083-8.

Tan JK, Li Y, Fung K, Gupta AK et al. Divergence of demographic factors associated with clinical severity compared with quality of life impact in acne. J Cutan Med Surg. 2008;12(5):235-242.

Erdemir AT, Bagci IS, Yuksel IE, Turan E. Evaluation of social appearance anxiety and quality of life in patients with acne vulgaris. Istanbul Med J. 2013;14(1):35-9.

Ghaderi R, Saadatjoo A, Ghaderi F. Evaluating of life quality in patients with acne vulgaris using generic and specific questionnaires. Dermatol Res Pract. 2013;2013:1-6.

Duman H, Topal IO, Kocaturk E, Duman MA. Evaluation of anxiety, depression, and quality of life in patients with acne vulgaris, and quality of life in their families. Dermatologica Sinica. 2016;34(1):6-9.

Salman A, Kurt E, Topcuoglu V, Demircay Z. Social anxiety and quality of life in vitiligo and acne patients with facial involvement: A Cross-sectional controlled study. Am J Clin Dermatol. 2016;17(3):305-11.

Alshahwan M. The Prevalence of anxiety and depression in Arab Dermatology patients. J Cutan Med Surg. 2015; 19(3):297-303.

Ahmed AE, Al-Dahmash AM, Al-Boqami QT, Al-Tebainawi Y. Depression, anxiety and stress among Saudi Arabian Dermatology patients: Cross-sectional study. Sultan Qaboos Univ Med J. 2016;16(2):217-23.

Awad SM, Morsy H, Sayed AA et al. Oxidative stress and psychiatric morbidity in patients with facial acne. J Cosmet Dermatol. 2018;17(2):203-8.

Mina S, Jabeen M, Singh S, Verma R. Gender differences in depression and anxiety among atopic dermatitis patients. Indian J Dermatol. 2015;60(2):211.

Albuquerque RG, Rocha MA, Bagatin E et al. Could adult female acne be associated with modern life? Arch Dermatol Res. 2014;306(8):683-8.

Downloads

Published

2021-01-04

How to Cite

1.
Rafiq Z, Mehdi SM. Frequency of depression, anxiety and stress in patients with acne vulgaris. J Pak Assoc Dermatol [Internet]. 2021Jan.4 [cited 2024May18];30(4):598-603. Available from: http://jpad.com.pk/index.php/jpad/article/view/1511

Issue

Section

Original Articles