An evaluation of the quality of life in acne -A prospective study at a tertiary care hospital (original) (raw)
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A cross-sectional study on quality of life among acne vulgaris patients
International Journal of Research in Medical Sciences, 2016
Background: In India, prevalence data from dermatology clinic in a teaching hospital in Varanasi reported acne in 50.6% of boys and 38.13% of girls in the age group 12-17 years. Though it is considered to be merely a cosmetic problem, it is associated with considerable psychological impairment which is comparable with certain chronic diseases. Acne patients are prone to low self-esteem, low self-confidence and social dysfunction which may lead to anxiety, depression, obsessive compulsiveness and sometimes suicidal ideation. Acne affects the functional abilities of individuals and patients have higher rate of unemployment when compared to those without acne. Acne also may have negative impact on personal relationships, sports activities and employment opportunities in teens and young adults. The management of acne must take into account the impact of acne on the patient's quality of life. So the present study was carried out to determine the impact of acne and its clinical severity on quality of life among patients of different grades of acne patients in various age groups. Methods: The current cross sectional study was conducted in Patients diagnosed as acne vulgaris attending OPD of PCMS and RC Bhopal (India) in department of dermatology for a period of 2 year. (November 2012-October 2014). 300 patients attending the Dermatology OPD with diagnosis of acne vulgaris were taken for the study. Patients aged 16-35 years were included in our study. A detailed history was taken after obtaining consent from all the participants of study. Cardiff Acne disability index (CADI) and Dermatology life quality index (DLQI) were administered on patients to determine the impact of acne vulgaris on quality of life (QOL). Data was analyzed to compare the quality of life indices (CADI and DLQI) for duration and severity of acne. Results: Mean age of study population was 20.69 years. There was a male preponderance with ratio of 1.04:1 (M:F). According to this study 49% of patients had acne vulgaris for less than 1year. In present study maximum number 63.7% of patients presented with lesions over face followed by 14.7% of patients having lesions over face and back. According to DLQI scores of acne showed no effect in 4.3% of the patients, small effect in 26.3% of the patients, moderate effect in 38.7% of patients, very large effect in 29% of patients and extremely large effects on 1.7% of patients. According to CADI scores of acne showed low effect in 31.3% of the patients, majority had medium effect in 56.7% of patients and high effect was seen on 12 % of patients. Conclusions: Overall our study showed that quality of life is significantly impaired in patients of severe acne vulgaris. Use of these simple QOL measures as a part of integral clinical strategy will improve the outcome.
Impact of Acne Vulgaris on Patients' Quality of Life
The Medical Journal of Cairo University, 2019
Background: Acne is a common inflammatory skin disorder manifested by comedones, papules and pustules mainly at face. Acne may be complicated by nodules, cysts and residual scarring that affect life quality. Aim of Study: Was to determine the impact of acne on health related quality of life comparing with normal healthy control. Patients and Methods: The current study included 400 subjects aged from 13 to 18 years old. They were divided into patients' group and control group, each included 200 subjects with age and sex matched. The patients group with mean age of (15.6 ± 1.54); the female patients constituted 113 (56.5%). According to acne severity, the patient group included moderate acne (117) patients and severe acne in 83 patients. The control group included 114 (57%) females. Full history taking, general examination including measuring of BMI, dermatologic examination to determine site, extent and grading. Results: Acne negatively affects self-perception in comparison with control while no difference in social role between cases and control. There is a positive correlation between self-perception and the other domains, while there is a negative correlation between acne symptoms and other domains of quality of life. Conclusions: Acne can affects social and psychologic impact on life quality. Recommendations: Assessment of life quality in acne patients is a must and should be taken into consideration before deciding line of treatment.
Journal of Pakistan Association of Dermatology, 2019
Objective To detect the impact of acne vulgaris on quality of life and assess correlation between disease severity, complications and decreased life quality. Methods This cross-sectional study of one-year duration involving acne patients of 18-30 years was carried out after institutional Ethics Committee clearance. After written informed consent, patients filled a proforma including demographic data, treatment and previous psychiatric history. Clinical grade of acne and severity of pigmentation and scarring were noted. Acne severity was classified as mild, moderate or severe and DLQI was noted. Statistical analysis was performed with the Statistical Package for the Social Sciences (SPSS version 15.0), Chi-square test and Pearson’s correlation coefficient. Results Overall mean DLQI was 7.84 (females 8.02, males 7.82) showing no significant difference between the genders. There was no association seen between DLQI scores severity and complications like pigmentation ( p =0.198) and sca...
Cardiff Acne Disability Index Based Quality Of Life In Acne Patients, Risk Factors And Associations
Journal of Liaquat University of Medical & Health Sciences, 2018
BACKGROUND: Acne Vulgaris is a frequently seen dermatological condition having physical and psychosocial implications. Current study aims to assess Quality of life (QoL) in acne patients and study the associated risk factors. METHODOLOGY: This descriptive cross sectional study was conducted in 6 months duration at Dept. of Dermatology, Rawal Institute of Health Sciences Islamabad after ethical approval. Total 205 cases of acne (age>12 years) were included. Patients with severe systemic illness and endocrine disease were excluded. Global Acne Grading Scale (GAGS) was used to grade acne as mild, moderate or severe. Quality of life assessed by Cardiff Acne disability index (CADI) with outcome as no impairment, mild impairment, moderate impairment or severe impairment. Data analyzed via SPSS version 17 with Chi-square test applied for significance. The p-value <0.05 considered to be statistically significant. RESULTS: Among 205 acne cases (24% males and 76% females), mean age was 25+5.7 (14-36) years. As per GAGS score; mild acne was present in 45.4%, moderate acne(44%), severe acne (8.35%) and very severe acne (2.4%). As per CADI score, there was no impairment in 7.3%, mild impairment (19.5%), moderate impairment (61%) and severe impairment in (12%). The impaired QoL was found to be associated with gender, socioeconomic class, education, acne grade, obesity and use of alternative medicine (p<0.05). CONCLUSION: Acne vulgaris significantly impairs QoL in adolescents to varying degrees. Higher grade of acne, female gender, obesity, illiteracy and poverty are the proposed risk factors for impaired QoL in acne cases. Early identification of acne cases at risk of impaired Qol may be helpful to take QoL measures like counseling and psychological intervention in parallel with medical management. This may improve the social and psychological wellbeing of acne cases.
Cross-sectional study of quality of life impairment of adult female acne patients
2021
The effect of acne vulgaris on the quality of life of adult females is not readily documented nor the factors that impair quality of life in these adult females. The aim of this study was to document quality of life impairment and the factors that affect this quality of life in adult female acne patients. The study was a prospective cross sectional study of 56 adult female acne patients aged 25 years and above. Socio-demographic data, clinical examination were documented with a study proforma. Quality of life was assessed using Cardiff Acne Disability Index (CADI). Data was analysed using SPSS version 22. Mean of independent groups were compared using Students ‘t’ test while Chi squared test was used to compare categorical variables. For all statistical tests, P value <0.05 was adjudged to be significant. The mean age of the participants was 33.4± 8.2 and mean CADI was 6.6±3.8, minimum CADI was 2 and maximum was 15. Quality of life impairment was mild, moderate and severe in 35.7...
Which factors influence quality of life in acne patients?
Journal of the European Academy of Dermatology and Venereology, 2012
Background The factors that impact quality of life in acne patient are not fully understood.Objective The purpose of this study was to assess the relationship between quality of life with (i) acne severity; (ii) the duration of this cutaneous disease; and (iii) the gender.Methods Leeds scale to quantify acne severity, and Assessment of the Psychological and Social Effects of Acne (APSEA) score to evaluate quality of life were used.An unselected consecutive group of 50 males and 50 females affected by facial acne filled in the APSEA questionnaire during the first visit and after 3 months of treatment.Results (i) At the beginning of the treatment, APSEA score correlated with acne severity, but at the end of it, the reduction of APSEA score was less marked than the reduction of acne severity. (ii) Acne duration does not significantly influence APSEA score. (iii) Before treatment, acne severity was comparable between females and males, whereas APSEA score was significantly higher in...
Quality of Life in Acne Vulgaris Patients
2008
Background: Acne vulgaris is the most common skin disease. While neither life threatening nor physically debilitating, acne can severely affect social and psychological functioning. The present study aims to study the overall impact of acne vulgaris on the patient’s quality of life. Patients and Methods: A total of 150 patients with acne vulgaris and 50 healthy controls were evaluated. Acne patients were evaluated through Dermatology Life Quality Index (DLQI), Culture Free Self-Esteem Inventory-Adult version (CFSEI-AD) and Symptom Chick List-90-Revised (SCL-90.R). The controls were evaluated through SCL-90.R, and CFSEI-AD. Results: The mean scores of Dermatology Life Quality Index (DLQI) in male acne patients were found to be higher than that of female patients in symptoms and feelings, daily activities, personal relationships and treatment and only significant for leisure (P = 0.005) and total score (P = 0.022). Culture Free Self-Esteem Inventory (CFSEI-AD) score of patients was si...
Quality of Life in Patients with Acne Vulgaris
MGM journal of medical sciences, 2019
Background: Dermatological diseases have a significant impact on a patient's quality of life. The present study was to evaluate the impact of acne vulgaris on their quality of life. Methods: Two hundred and fifty-six patients with acne vulgaris were considered for this study. Pre-tested personal interviews were done on all patients for the collection of data. This information was used for grading of acne vulgaris and its complications. Further evaluation of its impact on quality of life was done using the Dermatology Life Quality Index (DLQI) scale. The percentage and frequency of data were assessed by Chi-square test, and final analysis was done using Statistical Package for the Social Sciences (SPSS) version 20th. Results: Small effect on DLQI was noted in 59 (45.7%) patients with mild severity acne, moderate effect in 42 (41.6%) patients with a moderate severity of acne and 14 (53.8%) patients with severe acne had a small effect on DLQI. There was a significant association between the outcome of the DLQI scale and grading of acne (p < 0.0001). Conclusion: Depending on the severity, acne vulgaris has a considerable impact on the quality of life of patients. The study showed significant impairment of quality of life in acne patients. Proper treatment early in the course of the disease, along with counseling and assurance of the patient plays an important role in efficacious management and in reducing the psychosocial impact.
The Psychological Impacts of Acne
Pakistan Journal of Medical and Health Sciences
Objective: To determine the frequency of different category of Dermatology Life Quality Index (DLQI) in patients with Acne Vulgaris visiting to tertiary care hospital. Study Design: Descriptive Cross-Sectional Study. Place and Duration: This study was conducted at the Department of Dermatology, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan during the period from August 23, 2019 to February 22, 2020. Materials and Methods: All patients who fulfilled the inclusion criteria and visited to SMBBMU, Larkana were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. In our study, patients with acne vulgaris were diagnosed on the basis of relevant clinical history and examination. Patients were asked to fill the DLQI questionnaire themselves to assess the DLQI. All the collected data were entered into the proforma attached at the end and used electronically for research purpose. Results: Mean ± SD of age wa...
Need for Psychological Evaluation in the Patients Suffering from Acne: A Descriptive Study
International Journal of Medical and Biomedical Studies, 2019
Background: Chronic diseases are known to have impact on quality of life of patients as of the acne. The DLQI (dermatology life quality index) is a scale to assess quality of life of the patients with skin disease. Objectives: The present study analyses the quality of life patients with acne attending OPD of skin department, SMS hospital. Methods: A questionnaire-based prospective study was conducted among 150 patients with acne referred from department of dermatology, SMS hospital. Results: The mean DLQL score was 7.28, the question about how embarrassed or self-conscious have you been because of skin had highest whereas the question about how much has your skin caused any sexual difficulties? had lowest scores. Conclusion: Acne has moderate effect of quality of life of the patients. There is need for psychological intervention to improve the quality of life of the patients.