Authors
1
Psychiatric department, Kadhmiah Teaching Hospital, Baghdad, Iraq
2
Psychiatric department, Al-Nahrain College of Medicine, Baghdad, Iraq
,
Document Type : Research Paper
Abstract
BACKGROUND:
Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous unit. Acne can probably be exacerbated by psychological stress. The psychological impacts of acne have documented dissatisfaction with appearance, embarrassment, self-consciousness, and lack of self-confidence in acne patients.
OBJECTIVE:
To estimate the prevalence of psychiatric morbidity and self-esteem in patients suffering from fascial acne attending center of dermatology and venerology in Baghdad medical city.
PATIENTS AND METHODS:
This is cross sectional study included 100 patients' age ranged from 16 to 35 years suffered from fascial acne attend to center of dermatology and venerology at Baghdad medical city. This study was extended for 9 month. Special questionnaire form was filled for each patient that directs the interview; the questionnaire was included three parts: First part composed of questionnaire that asking about sociodemographic variable like age, gender, education, occupation, marital status, children and residency. Second part of questionnaire measure psychiatric morbidity like depression, anxiety, coping and social dysfunction using general health questionnaire (GHQ 30). Third part: Rosenberg self-esteem scales a widely used self-report instrument for evaluating individual self-esteem.
RESULTS:
Number of sample was (100) randomly collected of those who attending to the center of dermatology and venerology in Baghdad medical city.
The patients aged below 20 were 54%, eighteen patients were male and 82% were single and10% were married; only 10% of patient got children. Twenty eight patients were had employment and 89 patients lived in urban area. Psychiatric morbidity was found in around 57% of the patient, 61% of cases had anxiety, 53% of cases had depression and hopelessness, 49% of cases had difficulty in coping and dispirited, 56% of cases had social dysfunction, 36% of patients with low self-esteem.
CONCLUSION:
The psychiatric morbidity was common among patients with acne vulgaris.
Psychiatric morbidity and Low self-esteem were significantly higher among female, lower education, divorced, widowed, unemployed patients.
- El-Maadawy IH, El-Ashmawy AA, Hodeib AA, Shama GI, El-Dosoky GA. Impact of some common chronic dermatoses on quality of life of Egyptian patients in Delta region. Egyptian Dermatology Online Journal. 2014;369:1-23.
- Weiss JS. Current opinions for the topical treatment of acne vulgaris. Paediatr Dermatol 1997;14:480-88.
- Knowchuck RP. Managind acne in adolescents. Pediatr Clin N Am 2000; 47:841-57.
- Lasek RJ, Chren MM. Acne Vulgaris and the quality of life of adult dermatology patients. Arch Dermatol 1998;134:454-58.
- Collier CN, Harper JC, Cafardi JA, et al. The prevalence of acne in adults 20 years and older. J Am Acad Dermatol 2008;58:56-9.
- Loney T, Standage M, Lewis S. Not JustSkin Deep' Psychosocial Effects of Dermatological-related Social Anxiety in a Sample of Acne Patients. Journal of health psychology. 2008;13:47-54.
- Gupta MA, Gupta AK. Psychiatric and psychological co-morbidity in patients with dermatologic disorders: epidemiology and management. Am J Clin Dermatol. 2003;4:833-42.
- Awad SM, Morsy H, Sayed AA, Mohamed NA, Ezzat GM, Noaman MM. Oxidative stress and psychiatric morbidity in patients with facial acne. Journal of cosmetic dermatology. 2018;17:203-8.
- Mallon E, Newton JN, Klassen A, et al. The quality of life in acne: a comparison 12. with general medical conditions using generic questionnaires. Br J Dermatol Acad Dermatol 1989; 20: 53-63 1999;140:672-76
- Gupta MA, Gupta AK. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol 1998;139: 846-50.
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed.. rev. Washington, DC: American Psychiatric Association. 1987:222.
- Goldman HH. ed. Review of general psychiatry. East Norwalk. CT: Lange. 1984:497.
- Sadock B.J, Sadock V.A, Ruzi P. anxiety disorders. In: synopsis of psychiatry. 11th USA: Wolters Kluwer. 2015:387-91.
- Orth U, Robins RW. The development of self-esteem. Current directions in psychological science. 2014;23:381-87.
- Ackerman RA, Witt EA, Donnellan MB, Trzesniewski KH, Robins RW, Kashy DA. What does the narcissistic personality inventory really measure?. Assessment. 2011;18:67-87.
- Do JE, Cho SM, In SI, et al. Psychosocial aspects of acne vulgaris: a community-based study with Korean adolescents. Ann Dermatol. 2009;21:125-29.
- Rosenberg M. Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press; 1965.
- Dunn LK, O’Neill JL, Feldman SR. Acne in adolescents: quality of life, self-esteem, mood, and psychological disorders. Dermatol Online J. 2011;17:1.
- Ogedegbe EE, Henshaw EB. Severity and impact of acne vulgaris on the quality of life of adolescents in Nigeria. Clin Cosmet Investig Dermatol. 2014;7:329-34.
- Gecas V. The self-concept. Annual review of sociology. 1982;8:1-33.
- Rosenberg, M. Conceiving the Self. NY: Basic.1979.
- Wylie, R. C. The Self-Concept. Lincoln, NE: Univ. Nebraska Press.1979.
- Goldberg, D. P.Williams, P. A.. User’s guide to the General Health Questionnaire: GHQ. London, England: GL Assessment, 2006.
- Huppert FA, Walters DE, Day NE, Elliott BJ. The factor structure of the General Health Questionnaire (GHQ-30). Br J Psychiatry. 1989;155:178-85.
- Al-Nimer MS. Measuring mental health following the 6-year American invasion of Iraq. A general health questionnaire analysis of Iraqi medical and dentistry students. Neurosci. 2010;15:27-32.
- Furukawa TA, Andrews G, Goldberg DP. Stratum-specific likelihood ratios of the general health questionnaire in the community: help-seeking and physical co-morbidity affect the test characteristics. Psychol Med 2002; 32:743-48.
- Toyabe S-I, Shioiri T, Kobayashi K, Kuwabara H, Koizumi M, Endo T, et al. Factor structure of the general health questionnaire (GHQ-12) in subjects who had the 2004 Niigata-Chuetsu Earhquake in Japan: a community-based study. BMC Public Health 2007;7:175.
- Bibi S, Saqlain S, Mussawar B. Relationship between emotional intelligence and self esteem among Pakistani university students. Journal of Psychology & Psychotherapy. 2016;6:1-6.
- 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;18:435-39.
- Yarpuz AY, Saadet ED, Sanli HE, Ozguven DH. Social anxiety level in acne vulgaris patients and itsrelationship to clinical variables. Turk Psikiyatri Dergisi, 2008;19:29- 37.
- Do JE, Cho SM, In SI, Lim KY, Lee S, Lee ES. Psychosocial Aspects of Acne Vulgaris: A Communitybased Study with Korean Adolescents. Ann Dermatol, 2009; 21:125–29.
- Srivastava S, Bhatia MS, Srivastava PS, Das P, Das SB, Bhattacharya SN. A cross-sectional study of quality of life and psychiatric morbidity in pediatric morbidity in pediatric morbidity in patients with acne vulgaris. Jpps. 2008;5:86-89.
- Ahmed F, Husain A, Begum M, Alam MN, Ibrahim MA. Psychiatric morbidity among the patients with acne vulgaris in a tertiary care hospital. Bangladesh Journal of Medical Science. 2019;18:773-78.
- Radi AA, Al-Saadawi AI, Mohammed SA. A cross-section study of depression and anxiety incidence in acne vulgaris among high school students in al-sadar city, baghdad. World journal of pharmacy and pharmaceutical sciences.2020;9:497-504.
- Aktan S, md, Özmen E, md, cedil, anli, md. Anxiety, depression, and nature of acne vulgaris in adolescents. International journal of dermatology. 2000;39:354-57.
- Niemeier V, Kupfer J, Demmelbauer-Ebner M, Stangier U, Effendy I, Gieler U. Coping with acne vulgaris. Dermatology. 1998;196:108-15.
- Hosthota A, Bondade S, Basavaraja V. Impact of acne vulgaris on quality of life and self-esteem. Cutis. 2016;98:121-24.
- Hassan J, Grogan S, Clark-Carter D, et al. The individual health burden of acne: appearance-related distress in male and female adolescents and adults with back, chest and facial acne. J Health Psychol 2009;14:1105-18.
- 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 ;145:274-79.
- Magin P, Adams J, Heading G, Pond D, Smith W. Psychological sequelae of acne vulgaris: results of a qualitative study. Canadian Family Physician. 2006;52:978-79.
- Shaikh IH, Qureshi S, Das K, Kumar A, Rehman RU. The Impact of Acne Vulgaris on Self Esteem in Adolescent and Young Adult. Annals of Punjab Medical College. 2020;14:83-86.
- Safizadeh H, Shamsi-Meymandy S, Naeimi A. Quality of life in Iranian patients with acne. Dermatology research and practice. 2012;15:2012.
- Hazarika N, Archana M. The psychosocial impact of acne vulgaris. Indian journal of dermatology. 2016;61:515.