Anxiety, depression, social phobia, and quality of life in Turkish patients with acne and their relationships with the severity of acne

To investigate the psychiatric characteristics of acne vulgaris and the effects of the disease on quality of life. Materials and methods: We included 70 acne patients and 50 healthy controls. The Structured Clinical Interview for DSM-IV Axis I Disorders, Hospital Anxiety and Depression Scale, Liebowitz Social Anxiety Scale, Quality of Life Scale Short Form, and Acne Quality of Life Questionnaire were applied. Results: Anxiety and depression scores of the acne patients were significantly higher than those of the control group. In patients with acne, significantly higher levels of social anxiety were detected. Social anxiety levels of severe acne cases were significantly higher. Social phobia was the most common axis I disorder. According to the SF-36 scale, vitality, social functioning, and emotional role difficulty scores were significantly higher in acne patients. Conclusion: Especially when acne vulgaris is severe, psychiatric evaluation and psychotherapeutic interventions particularly aimed at social anxiety symptoms and social functioning should be important parts of the treatment plan.

Anxiety, depression, social phobia, and quality of life in Turkish patients with acne and their relationships with the severity of acne

To investigate the psychiatric characteristics of acne vulgaris and the effects of the disease on quality of life. Materials and methods: We included 70 acne patients and 50 healthy controls. The Structured Clinical Interview for DSM-IV Axis I Disorders, Hospital Anxiety and Depression Scale, Liebowitz Social Anxiety Scale, Quality of Life Scale Short Form, and Acne Quality of Life Questionnaire were applied. Results: Anxiety and depression scores of the acne patients were significantly higher than those of the control group. In patients with acne, significantly higher levels of social anxiety were detected. Social anxiety levels of severe acne cases were significantly higher. Social phobia was the most common axis I disorder. According to the SF-36 scale, vitality, social functioning, and emotional role difficulty scores were significantly higher in acne patients. Conclusion: Especially when acne vulgaris is severe, psychiatric evaluation and psychotherapeutic interventions particularly aimed at social anxiety symptoms and social functioning should be important parts of the treatment plan.

___

  • Morrison I, Loken LS, Olausson H. The skin as a social organ. Exp Brain Res 2010; 204: 305–14.
  • Lewis-Jones S. The psychological impact of skin disease. Nursing Times 2000; 96: 2–4.
  • Özkan M, Durmaz G, Sabuncu Ü, Saraçoğlu N, Akgün Y, Ürer SM. Clinical efficacy of topical clindamycin phosphate and azelaic acid on acne vulgaris and emergence of resistant coagulase-negative staphylococci. Turk J Med Sci 2000; 30: 483–
  • Deveci E, Öztürk A, Kırpınar İ, Engin Rİ, Melikoğlu M, Sakat SC et al. Improvement in Attention and Executive Functions During Isotretinoin Treatment in Patients With Acne. Turkderm 2013; 47: 109-113.
  • Cotterill JA, Cunliffe WJ. Suicide in dermatological patients. Br J Dermatol 1997; 137: 246–50.
  • Niemeier V, Kupfer J, Gieler U. [Acne vulgaris--psychosomatic aspects]. J Dtsch Dermatol Ges 2010; 8 (Suppl 1): S95–104 (in German with English abstract). van der Meeren HL, van der Schaar WW, van den Hurk CM. The psychological impact of severe acne. Cutis 1985; 36: 84–6.
  • Yazici K, Baz K, Yazici AE, Kokturk 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.
  • 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.
  • Barankin B, DeKoven J. Psychosocial effect of common skin diseases. Can Fam Physician 2002; 48: 712–6.
  • Özkürkçügil A, Aydemir Ö, Yıldız M, Danacı E, Köroğlu E. DSM-IV Eksen I bozuklukları için yapılandırılmış klinik görüşmenin Türkçe’ye uyarlanması ve güvenilirlik çalışması. İlaç ve Tedavi Dergisi 1999: 233–6 (in Turkish).
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirliği. Türk Psikiyatri Dergisi 1997: 280–7.
  • Soykan C, Ozguven HD, Gencoz T. Liebowitz Social Anxiety Scale: the Turkish version. Psychol Rep 2003; 93: 1059–69.
  • Koçyiğit H, Aydemir Ö, Ölmez N, Memi A. Kısa Form-36 (KF36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999; 12: 102–6 (in Turkish).
  • Demirçay Z, Şenol A, Seçkin D, Demir F. Reliability of Turkish version of Acne Quality of Life Scale in patients with acne vulgaris. Turkderm 2006; 40: 94–7.
  • H. Gollnick, Orfanos C. Clinical assessment of acne. In: Cunliffe WJ, editor. Acne. Stuttgart: Hippokrates; 1993. p.118.
  • Öztürkcan S, Aydemir Ö, İnanır I. Akne vulgarisli hastalarda yaşam kalitesi. Türkiye Klinikleri Dermatoloji Dergisi 2002; 12: 131–4 (in Turkish).
  • Birmaher B, Axelson DA, Monk K, Kalas C, Clark DB, Ehmann M et al. Fluoxetine for the treatment of childhood anxiety disorders. J Ame Acad Child Adolesc Psychiatry 2003; 42: 415–23.
  • 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.
  • Koo JY, Smith LL. Psychologic aspects of acne. Pediatr Dermatol 1991; 8: 185–8.
  • Myhill JE, Leichtman SR, Burnett JW. Self-esteem and social assertiveness in patients receiving isotretinoin treatment for cystic acne. Cutis 1988; 41: 171–3.
  • Özcan Y, Özcan H, Ünal S. Akne vulgarisli bireylerde kisilik özellikleri. Klinik Psikiyatri 2000; 3: 56–60 (in Turkish).
  • Wu SF, Kinder BN, Trunnell TN, Fulton JE. Role of anxiety and anger in acne patients: a relationship with the severity of the disorder. Jo Ame Acad Dermatol 1988; 18: 325–33.
  • Khan MZ, Naeem A, Mufti KA. Prevalence of mental health problems in acne patients. J Ayub Med Coll Abottabad 2001; 13: 7–8.
  • Uzun O, Basoglu C, Akar A, Cansever A, Ozsahin A, Cetin M et al. Body dysmorphic disorder in patients with acne. Compr Psychiatry 2003; 44: 415–9.
  • Phillips KA, Dufresne RG Jr, Wilkel CS, Vittorio CC. Rate of body dysmorphic disorder in dermatology patients. J Am Acad Dermatol 2000; 42: 436–41.
  • Yarpuz AY, Saadet ED, Şanlı HE, Özgüven HD. [Social anxiety level in acne vulgaris patients and its relationship to clinical variables]. Türk Psikiyatri Derg 2008; 19: 29–37 (in Turkish with English abstract).
  • 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.
  • Başak PY, Ergin G. Akne vulgarisin yaşam kalitesi üzerine etkileri. Türkderm 2000; 34: 107–9.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Cytokine associated neopterin response of peripheral blood mononuclear cells to in vitro Epstein–Barr virus transformation process of B lymphocytes

Latife Arzu ARAL, Ayşegül YÜCEL ATAK

Stereological evaluation of ganglion cells in the sigmoid colon in primary and recurrent sigmoid volvulus

Sabri Selçuk ATAMANALP, Cemal GÜNDOĞDU, Deniz ÜNAL, Zekai HALICI, Abdullah KISAOĞLU, Bünyami ÖZOĞUL

Insulin effect on RANKL and OPG expression in human osteoblast-like MG63 cells

Huixin WANG, Xiaohuan ZHONG

Incidental findings on electron beam tomography renal angiography in hypertensive patients

Baki HEKİMOĞLU, Begüm Demirler Şimşir Mustafa Şekip ALTUNKAN

The effect of hypercholesterolemia on the contractions of detrusor strips in response to neural stimulation in rats

Serkan KARAİSMAİLOĞLU, Zeynep Dicle BALKANCI, Bilge PEHLİVANOĞLU, Sibel BAYRAK, İsmail KARABULUT, Ayşen ERDEM

Trends of intestinal parasites prevalence in the Gaza Strip, 1998-2007: the use of government health records

Adnan Ibrahim ALHINDI, Mervat AL-LOUH

Double-J stent placement with grasping forceps through ureteroscope working channel: a novel technique

Akif KOÇ, Ömer BAYRAK

Comparison of the effect of contrast medium, air, and ozone on ischemia/reperfusion injury due to experimental intussusception model

Mine Fedakar ŞENYÜCEL, Ebru Şebnem AYVA, Mustafa Kemal ASLAN, Özlem BOYBEYİ, Tutku SOYER, Nurkan AKSOY, Üçler KISA, Ahmet Murat ÇAKMAK

Simultaneous stenting of the ipsilateral external and internal carotid arteries

Tahir DURMAZ, Engin BOZKURT, Hüseyin AYHAN, Nihal AKAR BAYRAM

Leptin regulation of pubertal maturation in intact and pinealectomized female rats

Emine KAÇAR, Siğnem Eyuboğlu DİNÇ, Bayram YILMAZ, Haluk KELEŞTİMUR