Psychosocial Aspects of Acne Vulgaris: A Community-based Study with Korean Adolescents
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Background: Acne vulgaris is a distressing condition that affects the majority of adolescents, but the impact of acne vulgaris on the psychological aspects in this age group is poorly understood. Objective: The purpose of this study was to determine the prevalence of acne, and the level of emotional, social, and functional impairments among Korean adolescents with acne. Methods: Five hundred four middle school students (13∼16 years) participated. The severity of acne was graded by visual examination using the Korean Acne Grading System. Self-reported questionnaires, including subjective acne severity rating, the Self Image Questionnaire, the Rosenberg Self-Esteem Questionnaire, the Index of Peer Relations, and the Beck Depression Inventory were used to assess psychologic status. Results: There was a prevalence of acne in 78.9% of the study samples, with 10.2% of students having moderate-to-severe acne. Acne was more prevalent and severe in boys than girls. Participants with severe acne and girls had higher levels of emotional and social impairments. The longer the acne persisted, the more stress the students felt. The degree of stress and extent of self-image impairment were related to subjective severity more than objective grading. Conclusion: Acne is a common disorder among Korean adolescents and appears to have a considerable impact on mental health. Dermatologists should be aware of the importance of basic psychosomatic treatment in conjunction with early medical, educational intervention in the management of acne.
Abstract
Background: Acne vulgaris is a distressing condition that affects the majority of adolescents, but the impact of acne vulgaris on the psychological aspects in this age group is poorly understood. Objective: The purpose of this study was to determine the prevalence of acne, and the level of emotional, social, and functional impairments among Korean adolescents with acne. Methods: Five hundred four middle school students (13∼16 years) participated. The severity of acne was graded by visual examination using the Korean Acne Grading System. Self-reported questionnaires, including subjective acne severity rating, the Self Image Questionnaire, the Rosenberg Self-Esteem Questionnaire, the Index of Peer Relations, and the Beck Depression Inventory were used to assess psychologic status. Results: There was a prevalence of acne in 78.9% of the study samples, with 10.2% of students having moderate-to-severe acne. Acne was more prevalent and severe in boys than girls. Participants with severe acne and girls had higher levels of emotional and social impairments. The longer the acne persisted, the more stress the students felt. The degree of stress and extent of self-image impairment were related to subjective severity more than objective grading. Conclusion: Acne is a common disorder among Korean adolescents and appears to have a considerable impact on mental health. Dermatologists should be aware of the importance of basic psychosomatic treatment in conjunction with early medical, educational intervention in the management of acne.
참고문헌 (26)
- White GM, "Recent findings in the epidemiologic evidence, classification, and subtypes of acne vulgaris", J Am Acad Dermatol, 39, pp.S34~S37 (1998)
- Koo J, "The psychosocial impact of acne: patients' perceptions", J Am Acad Dermatol, 32, pp.S26~S30 (1995)
- Fried RG, "Psychological problems in the acne patient", Dermatol Ther, 19, pp.237~240 (2006)
- Koo JY, "Psychologic aspects of acne", Pediatr Dermatol, 8, pp.185~188 (1991)
- Thomas DR, "Psychosocial effects of acne", J Cutan Med Surg, 8(4), pp.3~5 (2004)
- Smithard A, "Acne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: a community-based study", Br J Dermatol, 145, pp.274~279 (2001)
- Walker N, "Quality of life and acne in Scottish adolescent schoolchildren: use of the Children's Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI)", J Eur Acad Dermatol Venereol, 20, pp.45~50 (2006)
- Rubinow DR, "Reduced anxiety and depression in cystic acne patients after successful treatment with oral isotretinoin", J Am Acad Dermatol, 17, pp.25~32 (1987)
- 성경제, "한국형 여드름 중증도 시스템", 대한피부과학회지, 42(10), pp.1241~1247 (2004), 대한피부과학회
- Song IS, "The human mind and self-concept" (1989), Yangseowon
- Rosenberg M, "Society and the adolescent self image" (1965), Prinston University Press
- Hudson WW, "The clinical measurement package: a field manual" (1982), Dorsey Press
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Kilkenny M, "Acne in Victorian adolescents: associations with age, gender, puberty and psychiatric symptoms", J Paediatr Child Health, 33, pp.430~433 (1997)
- Freyre EA, "The prevalence of facial acne in Peruvian adolescents and its relation to their ethnicity", J Adolesc Health, 22, pp.480~484 (1998)
- Rademaker M, "Acne in schoolchildren: no longer a concern for dermatologists", BMJ, 298, pp.1217~1219 (1989)
- Pearl A, "The impact of acne: a study of adolescents' attitudes, perception and knowledge", N Z Med J, 111, pp.269~271 (1998)
- Purvis D, "Acne, anxiety, depression and suicide in teenagers: a cross-sectional survey of New Zealand secondary school students", J Paediatr Child Health, 42, pp.793~796 (2006)
- Uslu G, "Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey", J Eur Acad Dermatol Venereol, 22, pp.462~469 (2008)
- Kellett SC, "The psychological and emotional impact of acne and the effect of treatment with isotretinoin", Br J Dermatol, 140, pp.273~282 (1999)
- Krowchuk DP, "The psychosocial effects of acne on adolescents", Pediatr Dermatol, 8, pp.332~338 (1991)
- Lee SH, "A statistical analysis of acne patients who visited university hospitals recently", Korean J Dermatol, 34, pp.386~393 (1996)
- Kim HJ, "A study on quality of life of patients with acne", Korean J Dermatol, 36, pp.850~854 (1998)
- Kang MJ, "Comparative study of acne on clinical features and patient understandings in adolescence and post-adolescence", Korean J Dermatol, 38, pp.589~599 (2000)
- 이승헌, "여드름 환자의 삶의 질", 대한피부과학회지, 41(10), pp.1271~1277 (2003), 대한피부과학회
- 이상훈, "여드름 환자의 삶의 질", 대한피부과학회지, 44(6), pp.688~695 (2006), 대한피부과학회