Psychosocial Aspects of Adult Acne: Data from 13 European Countries

被引:31
作者
Altunay, Ilknur K. [1 ]
Ozkur, Ezgi [1 ]
Dalgard, Florence J. [2 ,3 ]
Gieler, Uwe [4 ,5 ]
Tomas-Aragones, Lucia [6 ]
Lien, Lars [7 ]
Poot, Francoise [8 ]
Jemec, Gregor B. E. [9 ]
Misery, Laurent [10 ]
Szabo, Csanad [11 ]
Linder, Dennis [12 ]
Sampogna, Francesca [13 ]
Evers, Andrea W. M. [14 ]
Halvorsen, Jon Anders [15 ]
Balieva, Flora [16 ]
Szepietowski, Jacek [17 ]
Romanov, Dmitry [18 ,19 ]
Marron, Servando E. [20 ]
Finlay, Andrew Y. [21 ]
Salek, Sam S. [22 ]
Kupfer, Joerg [23 ]
机构
[1] Univ Hlth Sci, Sisli Etfal Training & Res Hosp, Dept Dermatol, Istanbul, Turkey
[2] Skane Univ Hosp, Dept Dermatol, Malmo, Sweden
[3] Innlandet Hosp Trust, Natl Ctr Dual Diag, Brumundal, Norway
[4] Justus Liebig Univ, Dept Dermatol, Giessen, Germany
[5] Hamad Med Corp Doha, Rumailah Hosp, Dept Dermatol, Doha, Qatar
[6] Univ Zaragoza, Dept Psychol, Zaragoza, Spain
[7] Hedmark Univ Coll, Dept Publ Hlth, Elverum, Norway
[8] Univ Libre Bruxelles, Dept Dermatol, Brussels, Belgium
[9] Univ Copenhagen, Zealand Univ Hosp & Clin Med, Dept Dermatol, Copenhagen, Denmark
[10] Univ Hosp Brest, Dept Dermatol, Brest, France
[11] Univ Szeged, Dept Dermatol, Szeged, Hungary
[12] Ben Gurion Univ Negev, Beer Sheva, Israel
[13] Ist Dermopat Immacolata, Hlth Serv Res Unit, Rome, Italy
[14] Leiden Univ, Inst Psychol Hlth, Leiden, Netherlands
[15] Univ Oslo, Dept Dermatol, Oslo, Norway
[16] Stavanger Univ Hosp, Dept Dermatol, Stavanger, Norway
[17] Wroclaw Med Univ, Dept Dermatol Venereol & Allergoloy, Wroclaw, Poland
[18] Sechenov Univ, Sechenov Moscow State Med Univ 1, Dept Psychiat & Psychosomat Med, Moscow, Russia
[19] Mental Hlth Res Ctr, Moscow, Russia
[20] Univ Hosp Miguel Servet, Dept Dermatolog, Aragon Psychodermatol Res Grp, Zaragoza, Spain
[21] Cardiff Univ, Sch Med, Inst Infect & Immun, Cardiff, Wales
[22] Univ Hertfordshire, Sch Life & Med Sci, Hatfield, Herts, England
[23] Justus Liebig Univ, Inst Med Psychol, Giessen, Germany
关键词
acne vulgaris; anxiety; depression; health concerns; quality of life; multicenter study; QUALITY-OF-LIFE; PSYCHIATRIC COMORBIDITIES; SUICIDAL IDEATION; DEPRESSION; ANXIETY; VULGARIS; DISEASE; HEALTH; DERMATOLOGY; PREVALENCE;
D O I
10.2340/00015555-3409
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
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.
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页码:1 / 6
页数:6
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