PSYCHOLOGICAL MORBIDITY AND SELF-ESTEEM IN PATIENTS OF ACNE VULGARIS: DATA FROM A TERTIARY CARE HOSPITAL IN PAKISTAN
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Abstract
OBJECTIVES: To assess psychological morbidity and level of self-esteem in patients of acne vulgaris.
METHODS: This cross-sectional study was conducted at Shifa International Hospital, Islamabad, Pakistan from June 2017 to December 2017. Study was approved by ethical board of Shifa hospital. One hundred and fifty-six acne vulgaris patients of both genders, aging ≥16 years were selected by convenient sampling technique. Informed consent was taken from all participants. After collecting demographic details, each patient was assessed for psychological morbidity using General Health Questionnaire (GHQ-12) and self-esteem was measured by Rosenberg self-esteem scale (RSES). Data collected was analyzed by using SPSS version 20.
RESULTS: Out of 156 enrolled patients, 108 (69.2%) were females and 48 (30.8%) were males. Mean age of was 22.03±5.96 years. Mean duration of acne was 25.69±21.74 months. The most commonly affected area of the body with acne was face (n=108/156, 69.2%) followed by chest (n=24/156, 15.4%), shoulders (n=13/156, 8.3%) and back (n=11/156, 7.1%). A dominant proportion of the sample had positive family history of acne (82/156, 52.6%), were unmarried (118/156, 75.6%) and had a good educational background [graduates=53/156 (34.0%)]. A total of 27 (17.3%) patients had low esteem reported as per RSES and 146 (93.6%) were labelled as having psychological morbidity as per GHQ-12 scale. Fisher’s exact test showed no statistical significance between low esteem and psychological morbidity (p=0.2126).
CONCLUSION: The patients suffering from acne can suffer from low self-esteem. However, the proportion of patients having psychological morbidity because of acne is much higher and independent of self-esteem.
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References
Webster GF. The pathophysiology of acne. Cutis 2005;6(2 Suppl):4-7.
Baldwin HE. The interaction between acne vulgaris and the psyche. Cutis 2002;70(2):133-9.
Adebamowo CA, Spiegelman D, Berkey CS, Danby FW, Rockett HH, Colditz GA, et al. Milk consumption and acne in adolescent girls. Dermatol Online J 2006;12(4).
Dalgard F, Gieler U, Holm JØ, Bjertness E, Hauser S. Self-esteem and body satisfaction among late adolescents with acne: results from a population survey. J Am Acad Dermatol 2008;59(5):746-51. DOI: 10.1016/j.jaad.2008.07.013.
Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid‐adolescence: a community‐based study. Br J Dermatol 2001;145(2):274-9. DOI: 10.1046/j.1365-2133.2001.04346.x.
Sinclair SJ, Blais MA, Gansler DA, Sandberg E, Bistis K, LoCicero A. Psychometric properties of the Rosenberg Self-Esteem Scale: Overall and across demographic groups living within the United States. Eval Health Prof 2010;33(1):56-80. DOI: 10.1177/0163278709356187.
Gnambs T, Staufenbiel T. The structure of the General Health Questionnaire (GHQ-12): two meta-analytic factor analyses. Health Psychol Rev 2018;12(2):179-94. DOI: 10.1080/17437199.2018.1426484.
Pevalin DJ. Multiple applications of the GHQ-12 in a general population sample: an investigation of long-term retest effects. Soc Psychiatry Psychiatr Epidemiol 2000;35(11):508-12. DOI: 10.1007/s001270050272.
Fernandez‐Obregon AC. Azithromycin for the treatment of acne. Int J Dermatol 2000;39(1):45-50. DOI: 10.1046/j.1365-4362.2000.00749.x.
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. DOI: 10.1111/j.1468-3083.2004.00946.x.
Mishra N, Rastogi MK, Gahalaut P, Srivastava N, Aggarwal A. Assessment of depression in patients of acne vulgaris and its correlation with severity of acne, post acne scarring and gender. J Pak Assoc Dermatol 2018;27(4):313-9.
Khan MZ, Naeem A, Mufti KA. Prevalence of mental health problems in acne patients. J Ayub Med Coll Abbottabad 2001;13(4):7-8.
Shakoor A, Shaheen JA, Khan JI. Association of anxiety and depression with acne: evaluation of pathoplastic effect of adolescence on this comorbidity. J Pak Assoc Dermatol 2012;22(4):336-41.
Dogar IA, Man MA, Bajwa A, Bhatti A, Naseem S, Kausar S. Dermatological disorders; Psychiatric co-morbidity. Professional Med J 2010;17(02):334-9.
Gallitano SM, Berson DS. How Acne Bumps Cause the Blues: The Influence of Acne Vulgaris on Self-Esteem. Int J Womens Dermatol 2018;4(1):12-7. DOI: 10.1016/j.ijwd.2017.10.004.
Farshi MG, Sharifi HP, Rad MA. The relationship between self-esteem, mental health and quality of life in Patients with skin diseases. Asian J Med Pharm Res 2013;3(2):50-4.