Evaluation of the quality of life in adolescents with acne
Abstract
Background/Aim. Acne is well recognized condition that adversely affects quality of life (QoL) of the patients. The aim of this study was to determine the self-reported prevalence of acne and its main characteristics in high school pupils, and to assess their QoL. Methods. The cross-sectional study conducted in May 2011 comprised 440 pupils from Serbia (281 from Belgrade and 159 from Užice). Participation in the study was voluntary and anonymous. Two questionnaires were administered: a short demographic questionnaire, and Children's Dermatology Life Quality Index (CDLQI). Internal consistency was assessed using the Cronbach’s alpha while item-total score correlations were assessed using Spearman's correlation analysis. Results. The majority of the study population (84.3%) were girls, and 15.7% were boys. The total mean age of the pupils was 16.48 ± 0.55 years. A total of 228 (51.8%) pupils self-reported their acne with significantly higher prevalence in Užice (73.6%) than in Belgrade (39.5%). The mean CDLQI score was 3.55 with the similar quality of life impairment in adolescents from the two cities. The mean Cronbach’s alpha was 0.83. There was a statistically significant positive correlation between the mean overall CDLQI score and CDLQI subscale scores that ranged from 0.401 to 0.841. Conclusion. Our study confirmed that acne is associated with impairment in QoL that is in accordance with previous studies performed on teenagers. The CDLQI is a reliable and valid measure, and can be used as a practical tool for measuring the impact of acne on patients’ QoL.
References
Krowchuck DP. Managing acne in adolescents. Ped Clin N Am 2000; 47(4): 841−57.
Fried RG, Wechsler A. Psychological problems in the acne pa-tient. Dermatol Ther 2006; 19(4): 237−40.
Loney T, Standage M, Lewis S. Not just 'skin deep': psychosocial effects of dermatological-related social anxiety in a sample of acne patients. J Health Psychol 2008; 13(1): 47−54.
Dréno B. Assessing quality of life in patients with acne vulgaris: implications for treatment. Am J Clin Dermatol 2006;7(2):99-106. PubMed PMID: 16605290. doi: 10.2165/00128071-200607020-00003
Barnes LE, Levender MM, Fleischer AB, Feldman SR. Quality of life measures for acne patients. Dermatol Clin 2012; 30(2): 293−300.
Lewis-Jones MS, Finlay AY. The Children's Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol 1995; 132(6): 942−9.
Section of Dermatology. The Children's Dermatology Life Quality Index (CDLQI). Cardiff: School of Medicine, Cardiff University; 1994. Serbian version. [cited 2012 Mar 10]. Availa-ble from: http://www.dermatology.org.uk/quality/cdlqi/quality-cdlqi-languages.html
Lello J, Pearl A, Arroll B, Yallop J, Birchall NM. Prevalence of acne vulgaris in Auckland senior high school students. N Z Med J 1995; 108(1004): 287−9.
Rigopoulos D, Gregoriou S, Ifandi A, Efstathiou G, Georgala S, Chal-kias J, et al. Coping with acne: beliefs and perceptions in a sample of secondary school Greek pupils. J Eur Acad Derma-tol Venereol 2007; 21(6): 806−10.
Walker N, Lewis-Jones MS. 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 2006; 20(1): 45−50.
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.
Freyre EA, Rebaza RM, Sami DA, Lozada CP. The prevalence of facial acne in Peruvian adolescents and its relation to their ethnicity. J Adolesc Health 1998; 22(6): 480−4.
Kilkenny M, Merlin K, Plunkett A, Marks R. The prevalence of common skin conditions in Australian school students: 3. acne vulgaris. Br J Dermatol 1998; 139(5): 840−5.
Jankovic S, Vukicevic J, Djordjevic S, Jankovic J, Marinkovic J. Quality of life among schoolchildren with acne: results of a cross-sectional study. Indian J Dermatol Venereol Leprol 2012; 78(4): 454−8.
Gupta MA, Gupta AK, Schork NJ, Ellis CN, Voorhees JJ. Psy-chiatric aspects of the treatment of mild to moderate facial acne. Some preliminary observations. Int J Dermatol 1990; 29(10): 719−21.
Uslu G, Sendur N, Uslu M, Savk E, Karaman G, Eskin M. Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey. J Eur Acad Dermatol Venereol 2008; 22(4): 462−9.
Picardi A, Mazzotti E, Pasquini P. Prevalence and correlates of suicidal ideation among patients with skin disease. J Am Acad Dermatol 2006; 54(3): 420−6.
Krowchuk DP, Stancin T, Keskinen R, Walker R, Bass J, Anglin TM. The psychosocial effects of acne on adolescents. Pediatr Dermatol 1991; 8(4): 332−8.
Kwon HH, Yoon HS, Suh DH, Yoon JY, Park SK, Lee ES. Na-tionwide Study of Acne Treatment Patterns in Korea: Analysis of Patient Preconceived Notions and Dermatologist Sugges-tion for Treatment. Acta Derm Venereol 2012; 92(3): 236−40.
Hull PR, Carl D. Acne, depression, and suicide. Dermatol Clin 2005; 23(4): 665−74.
