Anxiety Sensitivity and Quality of Life in Patients with Acne
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Anxiety sensitivity (AS) is a continuous fundamental fear and defined as extreme fear of anxiety sensations and symptoms. High AS can cause tendency to anxiety disorders. There are many studies evaluating the anxiety in patients with acne; however, AS has not been investigated. Objective: We aimed to investigate AS in patients with acne. Methods: Two hundred and fourteen acne patients and 117 healthy control subjects, aged older than 16 years were enrolled in the study. Severity of acne was evaluated by Global Acne Grading System. The acne patients and healthy controls were asked to complete the anxiety sensitivity index-3 (ASI-3), the Beck anxiety inventory (BAI) and the Turkish version of acne quality of life index. Results: Anxiety and AS levels in acne patients were significantly higher than healthy controls (p＜0.001). Quality of life was impaired in acne patients. Quality of life was negatively correlated with anxiety and AS levels in acne patients (p=0.014, p=0.019, respectively). There was no correlation between quality of life and disease severity (p=0.556) and also there was no correlation between psychiatric scale scores (ASI-3, BAI) and disease severity (p=0.147, p=0.871, respectively). Conclusion: To our knowledge, our study is the first to report that AS is high in acne patients. Clinically, our results suggest that there might be a relationship between AS and acne. We conclude that further studies are needed in order to clarify the relationship between acne and AS and to investigate the efficacy of cognitive behavioral treatments in acne patients.
Abstract
Background: Anxiety sensitivity (AS) is a continuous fundamental fear and defined as extreme fear of anxiety sensations and symptoms. High AS can cause tendency to anxiety disorders. There are many studies evaluating the anxiety in patients with acne; however, AS has not been investigated. Objective: We aimed to investigate AS in patients with acne. Methods: Two hundred and fourteen acne patients and 117 healthy control subjects, aged older than 16 years were enrolled in the study. Severity of acne was evaluated by Global Acne Grading System. The acne patients and healthy controls were asked to complete the anxiety sensitivity index-3 (ASI-3), the Beck anxiety inventory (BAI) and the Turkish version of acne quality of life index. Results: Anxiety and AS levels in acne patients were significantly higher than healthy controls (p＜0.001). Quality of life was impaired in acne patients. Quality of life was negatively correlated with anxiety and AS levels in acne patients (p=0.014, p=0.019, respectively). There was no correlation between quality of life and disease severity (p=0.556) and also there was no correlation between psychiatric scale scores (ASI-3, BAI) and disease severity (p=0.147, p=0.871, respectively). Conclusion: To our knowledge, our study is the first to report that AS is high in acne patients. Clinically, our results suggest that there might be a relationship between AS and acne. We conclude that further studies are needed in order to clarify the relationship between acne and AS and to investigate the efficacy of cognitive behavioral treatments in acne patients.
참고문헌 (26)
- Gieler U, "Acne and quality of life-impact and management", J Eur Acad Dermatol Venereol, (29 Suppl 4), pp.12~14 (2015)
- Picardo M, "Acne and rosacea", Dermatol Ther (Heidelb), 7(Suppl 1), pp.43~52 (2017)
- Lukaviciute L, "Quality of life, anxiety prevalence, depression symptomatology and suicidal ideation among acne patients in Lithuania", J Eur Acad Dermatol Venereol, 31, pp.1900~1906 (2017)
- Salman A, "Social anxiety and quality of life in vitiligo and acne patients with facial involvement : a cross-sectional controlled study", Am J Clin Dermatol, 17, pp.305~311 (2016)
- Yazici K, "Disease-specific quality of life is associated with anxiety and depression in patients with acne", J Eur Acad Dermatol Venereol, 18, pp.435~439 (2004)
- Mantar A, "The validity and reliability of the Turkish version of the anxiety sensitivity index-3", Turk Psikiyatri Derg, 21, pp.225~234 (2010)
- Reiss S, "Anxiety sensitivity, anxiety frequency and the prediction of fearfulness", Behav Res Ther, 24, pp.1~8 (1986)
- McNally RJ, "Is anxiety sensitivity distinguishable from trait anxiety? Reply to Lilienfeld, Jacob, and Turner(1989)", J Abnorm Psychol, 98, pp.193~194 (1989)
- Naragon-Gainey K, "Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders", Psychol Bull, 136, pp.128~150 (2010)
- Schmidt NB, "Anxiety sensitivity : prospective prediction of panic attacks and Axis I pathology", J Psychiatr Res, 40, pp.691~699 (2006)
- Asmundson GJG, "Anxiety sensitivity and disabling chronic health conditions : state of the art and future directions", Scand J Behav Ther, 29, pp.100~117 (2000)
- Dixon LJ, "Anxiety sensitivity in dermatological patients", Psychosomatics, 57, pp.498~504 (2016)
- Dixon LJ, "Stress and skin disease quality of life : the moderating role of anxiety sensitivity social concerns", Br J Dermatol, 178, pp.951~957 (2018)
- Doshi A, "A comparison of current acne grading systems and proposal of a novel system", Int J Dermatol, 36, pp.416~418 (1997)
- Taylor S, "Robust dimensions of anxiety sensitivity : development and initial validation of the Anxiety Sensitivity Index-3", Psychol Assess, 19, pp.176~188 (2007)
- Ulusoy M, "Turkish version of the beck anxiety inventory : psychometric properties", J Cogn Psychother, 12, pp.163~172 (1998)
- Tuncayengin Ö, "Development of Turkish quality of life index in acne vulgaris and its changing with acne severity", Turk Klinikleri J Dermatol, 20, pp.117~125 (2010)
- Orion E, "Psychological factors in skin diseases : stress and skin : facts and controversies", Clin Dermatol, 31, pp.707~711 (2013)
- Mallon E, "The quality of life in acne : a comparison with general medical conditions using generic questionnaires", Br J Dermatol, 140, pp.672~676 (1999)
- Demircay Z, "Patient's perspective : an important issue not to be overlooked in assessing acne severity", Eur J Dermatol, 18, pp.181~184 (2008)
- Golchai J, "Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals", Indian J Dermatol, 55, pp.352~354 (2010)
- Norr AM, "Is computerized psychoeducation sufficient to reduce anxiety sensitivity in an atrisk sample? : a randomized trial", J Affect Disord, 212, pp.48~55 (2017)
- Smits JA, "The efficacy of cognitive-behavioral interventions for reducing anxiety sensitivity : a meta-analytic review", Behav Res Ther, 46, pp.1047~1054 (2008)
- Craske MG, "A cognitive-behavioral treatment for irritable bowel syndrome using interoceptive exposure to visceral sensations", Behav Res Ther, 49, pp.413~421 (2011)
- Watt MC, "A brief cognitive-behavioral approach to reducing anxiety sensitivity decreases pain-related anxiety", Cogn Behav Ther, 35, pp.248~256 (2006)
- Jung J, "Do patients with acne need cognitive behavioral therapy? An analysis of patient knowledge and behavior", Int J Dermatol, 51, pp.1319~1324 (2012)