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.

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  • 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

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

Ahmet ÖZTÜRK, Erdem DEVECİ, Erman BAĞCIOĞLU, Figen ATALAY, Zehra SERDAR

The safety and efficacy of remifentanil compared to fentanyl in pediatric endoscopy

Rauf GÜL, Şamil HIZLI, Betül KOCAMER, Senem KORUK, Levent ŞAHİN, Hüseyin KILINÇASLAN, Vahap SARIÇİÇEK

Evaluation of children with inguinoscrotal ectopic adrenal tissues

Fatih OĞUZ, Turan YILDIZ, Ali BEYTUR, Haluk SÖYLEMEZ, Ramazan ALTINTAŞ, Emine ŞAMDANCI, Saadet ALAN

Comparison of the effects of epidural 0.5% bupivacaine and 0.5% levobupivacaine administration on anesthesia quality, side effect incidence, and analgesia requirement times in hip and lower extremity surgery

Fesih KARA, Hüsnü KÜRŞAD, Mine ÇELİK*, Ayşenur DOSTBİL, İlker İNCE, Ahmet Faruk GİREN, Hacı Ahmet ALICI

Antimicrobial susceptibilities of various Arcobacter species

Ahmet ÜNVER, Halil İbrahim ATABAY, Mitat ŞAHİN, Özgür ÇELEBİ

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

Leptin regulation of pubertal maturation in intact and pinealectomized female rats

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

The effect of preemptive thoracic epidural analgesia on long-term wound pain following major thoracotomy

Abdullah CAN, Ali Fuat ERDEM, Yener AYDIN, Ali AHISKALIOĞLU, Hüsnü KÜRŞAD

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

Huixin WANG, Xiaohuan ZHONG

Investigation of hepatocyte growth factor and proinflammatory cytokine levels in patients with febrile neutropenia

Mehmet ÖZDEN, Ahmet GÖDEKMERDAN, Nafiye Fulya İLHAN, Emin Tamer ELKIRAN, Hatice Handan AKBULUT