QUALITY OF LIFE AND DEPRESSION AMONG YOUNG PATIENTS SUFFERING FROM ACNE

Authors

  • Muhammad Zeeshan Haroon Department of Community Medicine AMC
  • Aftab Alam Psychiatry, ATH
  • Ihsan Ullah IBMS Peshawar
  • Rashid Ali
  • Muhammad Faridullah Taimur
  • Kainat Raza

Abstract

Background: In addition to depression, acne has considerable negative effects on the quality of life (QOL) which is estimated to be equal to that reported by patients with other chronic diseases. The immense suffering of ace patients both terms of depression and deterioration in quality of life and subsequent compromised social, vocational and academic performance makes them seek professional help more often for non-cutaneous manifestations e.g., poor body image, anxiety, depression etc. This study was conducted to determine the prevalence of depression and status of quality of life in acne patients visiting outpatient dermatology. Methods: This was a cross-sectional study conducted in the outpatient dermatology department of Ayub Teaching Hospital, Abbottabad between January and August 2018. The 74 consecutive acne cases visiting the dermatology OPD during the study period between the ages of 13 and 30 years were assessed for depression and QOL. Data was collected by Dermatology life quality Index (DLQI) and Patient Health Questionnaire (PHQ 9). Results: The ages of acne patients ranged between 14 years to 28 years with a mean age of 21.6 ±3.034 years. Majority 49 of the acne patients (66.2%) were female. Mean DLQI was 59±5.38. Of the total, 9 (12.2%) acne patients had no effect on the quality of life, 23 (31.1%) had small effect, 23 (31.1%) had moderate effect, 18 (24.3%) had large effect and 1 (1.4%) had extremely large effect on their quality of life. Mean PHQ-9 scale score was 7.72±4.93. Six (8.1%) acne patients were categorized as having no depression, 17 (23%) had minimal depression, 25 (33.8%) were having mild depression, 18 (24.3%) were moderately depressed and patients with moderately severe depression constituted only 8 (10.8%) acne patients. Conclusion: Acne is associated with depression and deterioration in QOL, which are more pronounced in teens and women.Keywords: Acne; Depression; Quality of Life; Psycho-dermatology

Author Biographies

Muhammad Zeeshan Haroon, Department of Community Medicine AMC

AP, Department of Community Medicine AMC

Aftab Alam, Psychiatry, ATH

Psychiatry ATH

Ihsan Ullah, IBMS Peshawar

Deptt of Pathology (Microbiology) IBMS Psh

References

Jan F, Huma Z, Tariq N, Sajjad N. Menstrual syndrome: severity, frequency and symptomatology in adolescent girls of Quetta, Pakistan. J Exp Biol Agric Sci 2016;4(2):128–32.

Lynch, F, Dickerson J, Feeny D, Clarke G, MacMillan A. "PS2-46: Validity and Reliability of Health-Related Quality of Life Instruments in Teens with Depression". Clin Med Res 2014;12(1-2):105.

Caly R. “the link between skin and psychology”. Monit Psychol 2015;46(2):56.

Mental health statistics. [Internet]. YoungMinds. [cited 2018 Dec 26]. Available from: https://youngminds.org.uk/about-us/media-centre/mental-health-stats/

Seligman ME, Ernst RM, Gillham J, Reivich K, Linkins M. Positive education: positive psychology and classroom interventions. Oxf Rev Educ 2009;35(3):293–311.

Yang YC, Tu HP, Hong CH, Chang WC, Fu HC, Ho JC, 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;2014:504279.

Refatllari B, Kuneshka L, Lufi A, Canaj F. Emotional Disturbances and Socio-Demographic Characteristics in Patients with Acne Vulgaris. Br J Med Med Res 2015;6(2):226–32.

Behnam B, Taheri R, Ghorbani R, Allameh P. Psychological impairments in the patients with acne. Indian J Dermatol 2013;58(1):26–9.

Fried RG. Acne Vulgaris: The Psychosocial & Psychological Burden of Illness. [Internet]. The Dermatologist [cited 2018 Dec 26]. Available from: https://www.the-dermatologist.com/content/acne-vulgaristhe-psychosocial-and-psychological-burden-illness

Fried RG, Wechsler A. Psychological problems in the acne patient. Dermatol Ther 2006;19(4):237–40.

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(4):435–9.

Polenghi MM, Zizak S, Molinari E. Emotions and acne. Dermatol Psychosom Psychosom 2002;3(1):20–5.

Aktan S, Ozmen E, Sanli B. Anxiety, depression, and nature of acne vulgaris in adolescents. Int J Dermatol 2000;39(5):354–7.

Grahame V, Dick D, Morton C, Watkins O, Power K. The psychological correlates of treatment efficacy in acne. Dermatol Psychosom Psychosom 2002;3(3):119–25.

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(4):672–6.

Pärna E, Aluoja A, Kingo K. Quality of Life and Emotional State in Chronic Skin Disease. Acta Derm Venereol 2015;95(3):312–6.

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

Demircay Z, Seckin D, Senol A, Demir F. Patient's perspective: an important issue not to be overlooked in assessing acne severity. Eur J Dermatol 2008;18(2):181–4.

Dreno B. Assessing quality of life in patients with acne vulgaris: implications for treatment. Am J Clin Dermatol 2006;7(2):99–106.

Bewley A, Taylor RE. Psychodermatology and psychocutaneous disease. Rook's Textbook of Dermatology, Ninth Edition. 2016; p.1–45.

Jones-Caballero M, Chren MM, Soler B, Pedrosa E, Penas PF. Quality of life in mild to moderate acne: relationship to clinical severity and factors influencing change with treatment. J Eur Acad Dermatol Venereol 2007;21(2):219–26.

Grosshans E, Marks R, Mascaro JM, Torras H, Meynadier J, Alirezai M, et al. Evaluation of clinical efficacy and safety of adapalene 0.1% gel versus tretinoin 0.025% gel in the treatment of acne vulgaris, with particular reference to the onset of action and impact on quality of life. Br J Dermatol 1998;139(Suppl 52):26–33.

Newton JN, Mallon E, Klassen A, Ryan TJ, Finlay AY. The effectiveness of acne treatment: an assessment by patients of the outcome of therapy. Br J Dermatol 1997;137(4):563–7.

Magin P, Adams J, Heading G, Pond D, Smith W. Psychological sequelae of acne vulgaris: results of a qualitative study. Can Fam Physician 2006;52(8):978–9.

Uhlenhake E, Yentzer BA, Feldman SR. Acne vulgaris and depression: a retrospective examination. J Cosmet Dermatol 2010;9(1):59–63.

Hazarika N, Archana M. The psychosocial impact of acne vulgaris. Indian J Dermatol 2016;61(5):515–20.

Dunn LK, O'Neill JL, Feldman SR. Acne in adolescents: quality of life, self-esteem, mood, and psychological disorders. Dermatol Online J 2011;17(1):1.

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(4):352–4.

Al Robaee AA. Prevalence, knowledge, beliefs and psychosocial impact of acne in University students in Central Saudi Arabia. Saudi Med J 2005;26(12):1958–61.

Demura S, Sato S. Relationships between depression, lifestyle and quality of life in the community dwelling elderly: a comparison between gender and age groups. J Physiol Anthropol Appl Human Sci 2003;22(3):159–66.

Phillips KA, Castle DJ. Body dysmorphic disorder in men. Aust Fam Physician 2015;44(11):798–801.

Lasek RJ, Chren MM. Acne vulgaris and the quality of life of adult dermatology patients. Arch Dermatol 1998;134(4);454–8.

Tanghetti EA, Kawata AK, Daniels SR, Yeomans K, Burk CT, Callender VD. Understanding the burden of adult female acne. J Clin Aesthet Dermatol 2014;7(2):22–30.

Downloads

Published

2019-08-07

Most read articles by the same author(s)

<< < 1 2 3 > >>