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Sun HY, Sebaratnam DF. Assessment of disutility in cost-effectiveness analyses in acne. Clin Exp Dermatol 2023; 48:242-243. [PMID: 36763726 DOI: 10.1093/ced/llac066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 11/08/2022] [Indexed: 01/22/2023]
Affiliation(s)
- Helen Y Sun
- School of Clinical Medicine, UNSW Medicine & Health, South West Sydney Clinical Campuses, Faculty of Medicine and Health, UNSW Sydney, Australia.,Department of Dermatology, Liverpool Hospital, Liverpool, Sydney, NSW, Australia
| | - Deshan F Sebaratnam
- School of Clinical Medicine, UNSW Medicine & Health, South West Sydney Clinical Campuses, Faculty of Medicine and Health, UNSW Sydney, Australia.,Department of Dermatology, Liverpool Hospital, Liverpool, Sydney, NSW, Australia
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2
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Zhou C, Vempati A, Tam C, Khong J, Vasilev R, Tam K, Hazany S, Hazany S. Beyond the Surface: A Deeper Look at the Psychosocial Impacts of Acne Scarring. Clin Cosmet Investig Dermatol 2023; 16:731-738. [PMID: 37008189 PMCID: PMC10053888 DOI: 10.2147/ccid.s406235] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 03/05/2023] [Indexed: 04/04/2023]
Abstract
Post-acne scarring is a common consequence of acne vulgaris with no universal cure. Although there have been many recent advances to address acne scars physically, there is still a lack of research that investigates their psychosocial impacts. Our comprehensive PubMed search presents an overview of existing information to highlight known sources of mental distress caused by post-acne scarring, both related to and independent of the psychosocial detriments caused early on by active acne. The literature indicates that acne scarring is a distinct condition from acne vulgaris and therefore requires a comprehensive clinical approach unique from those available for active acne.
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Affiliation(s)
- Crystal Zhou
- Scar Healing Institute, Los Angeles, CA, USA
- Correspondence: Crystal Zhou, Scar Healing Institute, Los Angeles, CA, USA, Tel +1 424 225 2435, Fax +1 310 571 8435, Email
| | | | - Curtis Tam
- Scar Healing Institute, Los Angeles, CA, USA
| | - Jeffrey Khong
- Johns Hopkins School of Medicine, Baltimore, MD, USA
| | | | - Kevin Tam
- Scar Healing Institute, Los Angeles, CA, USA
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3
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Rudzińska J, Głąbska D. Influence of Selected Food Product Groups Consumption Frequency on Acne-Related Quality of Life in a National Sample of Polish Female Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11670. [PMID: 36141942 PMCID: PMC9517132 DOI: 10.3390/ijerph191811670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 09/10/2022] [Accepted: 09/14/2022] [Indexed: 06/16/2023]
Abstract
Acne vulgaris affects over 80% of adolescents, mainly female ones, and may reduce their general quality of life, so its prevention and treatment are becoming necessary, while among the options for acne management, the potential influence of diet is indicated. The aim of the study was to assess the influence of selected food product groups consumption frequency on acne-related quality of life in a national sample of Polish female adolescents. The studied population of 1370 Polish female adolescents was gathered using random quota sampling of secondary schools representative of the whole country. The acne-related quality of life was assessed using the Acne Quality of Life (AQoL) Scale with the calculated Social Quality of Life (SOCQOL) Score, as well as the Acne Disability Questionnaire (ADQ) with the calculated Cardiff Acne Disability Index (CADI). The acne-related food product groups' consumption frequency was assessed using the Acne-specific Food Frequency Questionnaire (Acne-FFQ). There were no differences in food product consumption between subgroups stratified by the acne-related quality of life (p > 0.05), and there was no correlation between food product consumption and the results of the SOCQOL Score (p > 0.05). For the CADI, positive correlations were indicated for fast foods (p = 0.0450; R = 0.0688), salty snacks (p = 0.0342; R = 0.0727), and chocolate confectionary (p = 0.0147; R = 0.0837), while a negative correlation was indicated for dairy beverages other than milk (p = 0.0414; R = -0.0701). In the studied group of Polish female adolescents, fast foods, salty snacks, and chocolate confectionary were indicated as potential acne-promoting factors, while dairy beverages other than milk were indicated as a potential acne-protective factor.
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4
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Hopkins ZH, Thiboutot D, Homsi HA, Perez-Chada LM, Barbieri JS. Patient-Reported Outcome Measures for Health-Related Quality of Life in Patients With Acne Vulgaris: A Systematic Review of Measure Development and Measurement Properties. JAMA Dermatol 2022; 158:900-911. [PMID: 35731537 PMCID: PMC9218927 DOI: 10.1001/jamadermatol.2022.2260] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Importance Multiple patient-reported outcome measures (PROMs) for health-related quality of life (HRQoL) exist for patients with acne. However, little is known about the content validity and other measurement properties of these PROMs. Objective To systematically review PROMs for HRQoL in adults or adolescents with acne. Data Sources Eligible studies were extracted from PubMed and Embase (OVID). Study Selection Full-text articles published in English or Spanish on development, pilot, or validation studies for acne-specific, dermatology-specific, or generic HRQoL PROMs were included. Development studies included original development studies, even if not studied in acne patients per Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) recommendations. If a study included several diagnoses, the majority (ie, over 50%) of patients must have acne or acne-specific subgroup analyses must be available. Abstract and full-text screening was performed by 2 independent reviewers. Data Extraction and Synthesis Two independent reviewers assessed study quality applying the COSMIN checklist and extracted and analyzed the data. For each distinctive PROM, quality of evidence was graded by measurement property. Main Outcomes and Measures PROM properties (target population, domains, recall period, development language), PROM development and pilot studies, content validity (relevance, comprehensiveness, comprehensibility), and remaining measurement properties (structural validity, internal consistency, cross-cultural validity, reliability, measurement error, criterion validity, construct validity, and responsiveness). Quality of evidence was assigned for each measurement property of included PROMs. An overall recommendation level was assigned based on content validity and quality of the evidence of measurement properties. Results We identified 54 acne PROM development or validation studies for 10 acne-specific PROMs, 6 dermatology-specific PROMs, and 5 generic PROMs. Few PROMs had studies for responsiveness. The only acne-specific PROMs with sufficient evidence for content validity were the CompAQ and Acne-Q. Based on available evidence, the Acne-Q and CompAQ can be recommended for use in acne clinical studies. Conclusions and Relevance Two PROMs can currently be recommended for use in acne clinical studies: the Acne-Q and CompAQ. Evidence on content validity and other measurement properties were lacking for all PROMs; further research investigating the quality of remaining acne-specific, dermatology-specific, and generic HRQoL PROMs is required to recommend their use.
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Affiliation(s)
| | - Diane Thiboutot
- Department of Dermatology, Pennsylvania State University College of Medicine, Hershey
| | - Haya A Homsi
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | | | - John S Barbieri
- Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts
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5
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Tan J, Beissert S, Cook-Bolden F, Chavda R, Harper J, Hebert A, Lain E, Layton A, Rocha M, Weiss J, Dréno B. Impact of Facial Atrophic Acne Scars on Quality of Life: A Multi-country Population-Based Survey. Am J Clin Dermatol 2022; 23:115-123. [PMID: 34705166 PMCID: PMC8776674 DOI: 10.1007/s40257-021-00628-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2021] [Indexed: 11/27/2022]
Abstract
Background Acne affects more than 80% of adolescents and young adults, who most often develop acne scars. Supporting data on the effect of acne scars on patient’s health-related quality of life (HRQOL) are limited. Objective The aim was to determine how the severity of acne scars impacts the HRQOL of afflicted individuals. Methods In this population-based cross-sectional study, 723 adults with facial acne scars but without active acne lesions self-completed the Self-assessment of Clinical Acne-Related Scars (SCARS) questionnaire formulated to investigate degree of acne scarring. The Facial Acne Scar Quality of Life (FASQoL), Dermatology Life Quality Index (DLQI), and Dysmorphic Concern Questionnaire (DCQ) were completed to assess the attitude of these patients toward their scars and the impact of scarring on their HRQOL. Results The mean (standard error) DLQI score for facial acne scars was 6.26 (0.22). Acne scars were considered a ‘very large’ or ‘extremely large’ concern by 19.3% of participants with mild scars as compared to 20.1% and 34.0% of participants with moderate and severe/very severe scars, respectively (P = 0.003). Higher FASQoL scores were associated with increased severity of scarring (P = 0.001). In total, 16.9% of participants had clinical features of dysmorphia (i.e., DCQ > 13). DCQ scores were significantly higher among participants with more severe scarring (mean DCQ score of 8.04 [0.28], 8.40 [0.18], and 10.13 [0.08] among participants with mild, moderate, and severe/very severe acne scars, respectively; P = 0.001). Most commonly reported signs of emotional distress were self-consciousness (68.0%) and worry about scars not going away (74.8%). Conclusions This study highlights the significant psychosocial impact of atrophic acne scars in the form of embarrassment and self-consciousness. Individuals with mild scars also expressed significant impact on quality of life that increased with aggravation of scar severity. Patient-reported outcomes provide an insight into the physical, functional, and psychological impact of acne scarring from the patient’s perspective. Supplementary Information The online version contains supplementary material available at 10.1007/s40257-021-00628-1.
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Affiliation(s)
- Jerry Tan
- , 2224 Walker Road, Suite 300, Windsor, ON, N8W 5L7, Canada
| | - Stefan Beissert
- Department of Dermatology, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse 74, 01307, Dresden, Germany
| | - Fran Cook-Bolden
- Mount Sinai Department of Dermatology, 5 East 98th Street, New York, NY, 10029, USA
| | - Rajeev Chavda
- GALDERMA, Rue d'Entre-deux-Villes 10, 1814, La Tour-de-Peilz, Switzerland
| | - Julie Harper
- The Dermatology and Skin Care Center of Birmingham, 2470 Rocky Ridge Rd # 100, Vestavia Hills, AL, 35243, USA
| | - Adelaide Hebert
- The University of Texas Medical School-Houston, 6655 Travis, Suite 980, Houston, TX, 77030, USA
| | - Edward Lain
- Austin Institute for Clinical Research, 1601 E Pflugerville Pkwy Suite 1101, Pflugerville, TX, USA
| | - Alison Layton
- Hull York Medical School, University Rd, Heslington, YO10 5DD, York, UK
| | - Marco Rocha
- Federal University of São Paulo, R. Sena Madureira, 1500-Vila Clementino, São Paulo, SP, 04021-001, Brazil
| | - Jonathan Weiss
- Georgia Dermatology Partners, (Formerly, Gwinnett Dermatology, PC), 2383 Pate St., N, Snellville, GA, 30078, USA
| | - Brigitte Dréno
- Unité Thérapie Cellulaire et Génique, Faculté de Médecine de Nantes, CHU Nantes-Place Alexis Ricordeau, 44093, Nantes Cedex 01, France.
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6
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Singh IP, Poonia K, Bajaj K. Quality of life in young adults with acne: Results of a cross-sectional study. J Cosmet Dermatol 2021; 20:4017-4023. [PMID: 34674372 DOI: 10.1111/jocd.14540] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 10/02/2021] [Accepted: 10/07/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND The impact of acne on quality of life (QoL) may vary between patients from different age groups. There are limited data in the literature on QoL of young adults with acne and acne scars. OBJECTIVES To assess the QoL of young adults (age 18 to 25) with acne by using dermatology life quality index (DLQI) and Cardiff acne disability index (CADI), to assess the scores of individual items on DLQI and CADI, and to compare the two scales. METHODS In this cross-sectional questionnaire study of 1392 subjects with acne, each subject completed two questionnaires: DLQI and CADI. Mean values of DLQI and CADI, and those of individual items on DLQI and CADI were calculated; t-test was used for testing mean values and Spearman's rho coefficient for correlation between two questionnaires. RESULTS Mean DLQI (4.50) and CADI (3.60) scores were low. However, scores were significantly higher in females and in those with acne scars. "Feelings of embarrassment" and "interference with social activities" scored significantly higher for females across both questionnaires. There was no correlation between severity (as well as duration) of acne and HRQoL scores. Spearman's rho coefficient of correlation between DLQI and CADI was 0.71. CONCLUSIONS Acne impaired the QoL of young adults, acne scars more so. Females felt worse about their appearance with greater embarrassment and impaired social activities. QoL scores seem to depend on patients' perceptions, which may depend on factors other than objective severity of acne. We found good correlation between the two scales.
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Affiliation(s)
- Inder Pal Singh
- Department of Dermatology, Adesh Medical College Hospital, Kurukshetra, India
| | - Kavita Poonia
- Department of Dermatology, Adesh Medical College Hospital, Kurukshetra, India
| | - Kanika Bajaj
- Department of Dermatology, Adesh Medical College Hospital, Kurukshetra, India
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7
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Secrest AM, Hopkins ZH, Frost ZE, Taliercio VL, Edwards LD, Biber JE, Chen SC, Chren MM, Ferris LK, Kean J, Hess R. Quality of Life Assessed Using Skindex-16 Scores Among Patients With Acne Receiving Isotretinoin Treatment. JAMA Dermatol 2021; 156:1098-1106. [PMID: 32639529 DOI: 10.1001/jamadermatol.2020.2330] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Importance Acne is a common dermatologic condition and significantly affects psychosocial health and quality of life. An international task force recommended routine use of quality-of-life measures for clinic visits associated with acne management, but this has yet to translate into clinical practice. Objective To assess mean Skindex-16 scores over time among patients with moderate to severe acne receiving isotretinoin treatment. Design, Setting, and Participants A longitudinal, retrospective case series study of Skindex-16 data collected at monthly visits from 57 consecutive patients with acne receiving isotretinoin; data were collected and evaluated between November 23, 2016, and January 22, 2019. Continuous variables were compared using quantile regression. Multivariable linear mixed models evaluated mean (95% CI) score trajectory over time. Main Outcomes and Measure Skindex-16 scores, including normalized scores for the emotional, symptomatic, and functional aspects of having skin disease as well as an overall score. Results Fifty-seven patients (31 [54.4 %] males, with median [interquartile range] age of 17.2 [15.9-18.1] years) in this case series study completed the Skindex-16 at baseline and at least once during follow-up. Baseline Skindex-16 scores were similar by sex but worse with increasing age. Emotional impact was more bothersome to patients with acne requiring isotretinoin treatment than either symptoms or functioning. Improvements of greater than 50% in overall and Emotional domain scores were seen by month 2 of receiving isotretinoin treatment (eg, overall scores decreased from 39.4 to 17.5 by month 2; a decrease of 22.0; P < .001). Qualitatively, Skindex-16 scores reached their nadir between months 3 and 5; at month 4, overall Skindex-16 scores showed a 4.4-fold improvement (from 39.4 at baseline to 8.9; P < .001) and Emotional domain scores showed a 4.8-fold improvement (from 57.7 at baseline to 11.9; P < .001). Conclusions and Relevance The findings of this case series suggest that patients receiving isotretinoin treatment achieve greater than a 50% improvement in quality of life by month 2 and can expect approximately 4-fold to 5-fold improvements from baseline with a full course of isotretinoin. This study shows the potential of routine administration of quality of life measures to assess patient care in dermatology.
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Affiliation(s)
- Aaron M Secrest
- Department of Dermatology, University of Utah, Salt Lake City.,Department of Population Health Sciences, University of Utah, Salt Lake City
| | | | - Zachary E Frost
- Department of Dermatology, University of Utah, Salt Lake City
| | | | - LaVar D Edwards
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Joshua E Biber
- Department of Population Health Sciences, University of Utah, Salt Lake City
| | - Suephy C Chen
- Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia.,Regional TeleHealth Services, Atlanta Veterans Affairs Health Care System, Atlanta, Georgia
| | - Mary-Margaret Chren
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Laura K Ferris
- Department of Dermatology, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Jacob Kean
- Department of Population Health Sciences, University of Utah, Salt Lake City
| | - Rachel Hess
- Department of Population Health Sciences, University of Utah, Salt Lake City.,Department of Internal Medicine, University of Utah, Salt Lake City
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8
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Podder I, Agarwal K, Anurag A. Metabolic Status, Obesity, and Quality of Life in Patients with Acne Vulgaris: A Cross-Sectional Case-Control Study. Indian J Dermatol 2021; 66:223. [PMID: 34188293 PMCID: PMC8208264 DOI: 10.4103/ijd.ijd_321_20] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Background: Acne vulgaris is a chronic inflammatory disease primarily affecting the adolescents, with a profound impact on their quality of life. There is conflicting data regarding its association with metabolic syndrome. Objective: To assess the prevalence of metabolic syndrome (MetS) and obesity in patients with acne vulgaris, and determine its impact on the patient's quality of life. Methods: We conducted a cross-sectional, case-control study involving 50 patients with acne vulgaris (cases) and 50 age and sex-matched controls without acne. Acne vulgaris was graded according to clinical severity using the GAGS scale. NCEP-ATP III criteria and modified classification of body mass index (BMI) for Asian Indians were used to diagnose MetS and obesity, respectively, in both cases and controls. We used the DLQI questionnaire to evaluate its impact on the quality of life. Results: Cases and controls were comparable with respect to parameters like age, BMI, systolic blood pressure (SBP), diastolic blood pressure (DSBP), and serum triglyceride while fasting blood sugar (FBS, case > control) and serum high-density lipoprotein (HDL, control > case) were significantly different (P < 0.05, independent t-test). Prevalence of MetS was higher in cases (32%) than controls (14%), though comparable (P = 0.06, Chi-square). Only SBP, FBS, and serum HDL showed a significant correlation with the severity of acne. Obesity was comparable between cases (18%) and controls (10%), without any relation to acne severity. Acne exerted a moderate impact on the quality of life (mean DLQI 9.3). Severe acne showed higher DLQI, although their correlation was not statistically significant (P = 0.8, ANOVA). Conclusion: Although acne patients may develop MetS and obesity, there is a lack of significant association. Thus, we should examine all obese patients, irrespective of dermatological disorder, to rule out metabolic syndrome. Acne also affects the patient's quality of life, thus emphasizing the need for additional psychosocial counselling.
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Affiliation(s)
- Indrashis Podder
- Department of Dermatology, Venereology and Leprosy, College of Medicine and Sagore Dutta Hospital, West Bengal, India
| | - Komal Agarwal
- Department of Dermatology, Calcutta National Medical College, West Bengal, India
| | - Anubhav Anurag
- Intern, College of Medicine and Sagore Dutta Hospital, West Bengal, India
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Ozlu E, Karadag AS, Aksoy B, Gunes Bilgili S, Gonul M, Yavuz İH, Senel E, Polat M, Akbulut TO, Aksu D, Topaloglu F, Tekin B, Chen WC. Correlation study between clinical classification and disability index in a holistic evaluation of acne severity and impact in Turkey. Ital J Dermatol Venerol 2020; 156:669-674. [PMID: 33179879 DOI: 10.23736/s2784-8671.20.06738-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND This study provides a comparison between disease severity observed by inspectors and the disease burden assessed by patients is scanty in acne study. METHODS In a multicenter prospective hospital-based study, modified Comprehensive Acne Severity Scale (mCASS) and Cardiff Acne Disability Index (CADI) were employed to grade disease severity and to determine the quality of life, respectively. The average of the mCASS and CADI scores, with range at 0-25, was termed as Acne Severity and Impact Grading System (ASIG). RESULTS In 1331 evaluated patients (mean: 21,51±4,93 years), including 306 men and 1025 women, an overall significant, positive correlation was found between ASIG and mCASS (r=0.862), or CADI (r=0.686), respectively (P=0.001 each). Adult women with back acne and adolescent with décolleté expressed greater concern (higher CADI) than the clinical severity (lower mCASS). The overall prevalence of acne in décolleté area, including neck, was 32.3%. CONCLUSIONS Discrepancies in the acne severity between self-perception and objective evaluation exist in certain subgroups of patients. Décolleté acne deserves special attention in clinical assessment.
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Affiliation(s)
- Emin Ozlu
- Department of Dermatology, Duzce University School of Medicine, Duzce, Turkey
| | - Ayse S Karadag
- Department of Dermatology, Medeniyet University School of Medicine, Istanbul, Turkey
| | - Berna Aksoy
- Department of Dermatology, Medicalpark Hospital, Kocaeli, Turkey
| | - Serap Gunes Bilgili
- Department of Dermatology, Yuzuncuyıl University School of Medicine, Van, Turkey
| | - Muzeyyen Gonul
- Department of Dermatology, Dıskapı Training and Research Hospital, Ankara, Turkey
| | - İbrahim H Yavuz
- Department of Dermatology, Yuzuncuyıl University School of Medicine, Van, Turkey
| | - Engin Senel
- Department of Dermatology, Hitit University School of Medicine, Corum, Turkey
| | - Mualla Polat
- Department of Dermatology, Abant Izzet Baysal University School of Medicine, Bolu, Turkey
| | - Tugba O Akbulut
- Department of Dermatology, Haseki Training and Research Hospital, Istanbul, Turkey
| | - Deniz Aksu
- Department of Dermatology, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
| | - Filiz Topaloglu
- Department of Dermatology, Haseki Training and Research Hospital, Istanbul, Turkey
| | - Burak Tekin
- Department of Dermatology, Medeniyet University School of Medicine, Istanbul, Turkey
| | - Wen C Chen
- Department of Dermatology, Pingtung Hospital, Ministry of Health and Welfare, Pingtung, Taiwan - .,Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
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10
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Tan J, Frey MP, Thiboutot D, Layton A, Eady A. Identifying the Impacts of Acne: A Delphi Survey of Patients and Clinicians. J Cutan Med Surg 2020; 24:259-266. [PMID: 32096429 DOI: 10.1177/1203475420907088] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
BACKGROUND Acne can adversely impact those affected in multiple dimensions. The purpose of this study was to determine the most prominent impacts identified by acne patients and by clinicians. METHODS Independent Delphi surveys for acne patients and clinicians were conducted to achieve consensus regarding acne impacts within each group. Acne patients were recruited from outpatient clinics of authors (AL, JT, and DT). The first phase involved qualitative responses, where emergent themes were identified and used to generate items for 2 subsequent phases. RESULTS The qualitative phase generated 64 items in 3 themes: psychological, sociological, and treatment related. These items were independently ranked in importance by patients and by clinicians. Consensus for importance was achieved for 34 items by patients and 43 by clinicians. Patient-identified highest ranked items were being self-conscious, feeling unattractive, feeling uncomfortable in own skin, unattractive to others, would not want pictures taken, envious of people with clear skin, and time/effort spent concealing scarring; while clinicians identified feeling unattractive. CONCLUSIONS We identify acne impacts within psychological, sociological, and treatment-related domains by acne patients and clinicians. Further, we establish discrepancies between patients and clinicians regarding the impact of acne. This provides evidence for the importance of establishing patient-reported outcomes.
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Affiliation(s)
- Jerry Tan
- Department of Psychology, University of Windsor, ON, Canada.,70384 Windsor Clinical Research Inc., ON, Canada.,8637 Department of Medicine, University of Western Ontario, London, Canada
| | - Marc P Frey
- Department of Psychology, University of Windsor, ON, Canada
| | | | | | - Anne Eady
- 3746 Harrogate & District NHS Foundation Trust, UK
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11
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Chernyshov PV, Zouboulis CC, Tomas-Aragones L, Jemec GB, Manolache L, Tzellos T, Sampogna F, Evers AWM, Dessinioti C, Marron SE, Bettoli V, van Cranenburgh OD, Svensson A, Liakou AI, Poot F, Szepietowski JC, Salek MS, Finlay AY. Quality of life measurement in acne. Position Paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Acne, Rosacea and Hidradenitis Suppurativa. J Eur Acad Dermatol Venereol 2017; 32:194-208. [PMID: 28898474 DOI: 10.1111/jdv.14585] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Accepted: 09/05/2017] [Indexed: 12/13/2022]
Abstract
Acne causes profound negative psychological and social effects on the quality of life (QoL) of patients. The European Dermatology Forum S3-Guideline for the Treatment of Acne recommended adopting a QoL measure as an integral part of acne management. Because of constantly growing interest in health-related QoL assessment in acne and because of the high impact of acne on patients' lives, the European Academy of Dermatology and Venereology Task Force on QoL and Patient Oriented Outcomes and the Task Force on Acne, Rosacea and Hidradenitis Suppurativa have documented the QoL instruments that have been used in acne patients, with information on validation, purposes of their usage, description of common limitations and mistakes in their usage and overall recommendations.
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Affiliation(s)
- P V Chernyshov
- Department of Dermatology and Venereology, National Medical University, Kiev, Ukraine
| | - C C Zouboulis
- Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Brandenburg Medical School Theodore Fontane, Dessau, Germany
| | - L Tomas-Aragones
- Department of Psychology, University of Zaragoza, Aragon Health Sciences Institute (IACS), Zaragoza, Spain
| | - G B Jemec
- Department of Dermatology, Zealand University Hospital, Roskilde, Denmark
| | - L Manolache
- Dermatology, Dali Medical, Bucharest, Romania
| | - T Tzellos
- Department of Dermatology, Faculty of Health Sciences, University Hospital of North Norway, Troms, Norway
| | - F Sampogna
- Clinical Epidemiology Unit, Istituto Dermopatico dell'Immacolata (IDI)-IRCCS FLMM, Rome, Italy
| | - A W M Evers
- Health, Medical, and Neuropsychology Unit, Leiden University, Leiden, The Netherlands
| | - C Dessinioti
- Department of Dermatology, Andreas Syggros Hospital, Athens, Greece
| | - S E Marron
- Department of Dermatology, Royo Villanova Hospital, Aragon Health Sciences Institute (IACS), Zaragoza, Spain
| | - V Bettoli
- Department of Medical Sciences, Section of Dermatology, University of Ferrara, Ferrara, Italy
| | - O D van Cranenburgh
- Department of Medical Psychology, Academic Medical Center, Amsterdam, The Netherlands.,Dutch Skin Foundation, Nieuwegein, The Netherlands
| | - A Svensson
- Department of Dermatology and Venereology, Skane University Hospital, Malmö, Sweden
| | - A I Liakou
- 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens Medical School, "Attikon" General University Hospital, Athens, Greece
| | - F Poot
- Department of Dermatology, ULB-Erasme Hospital, Brussels, Belgium
| | - J C Szepietowski
- Department of Dermatology, Wroclaw Medical University, Wroclaw, Poland
| | - M S Salek
- Department of Pharmacy, Pharmacology and Postgraduate Medicine, School of Life & Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - A Y Finlay
- Department of Dermatology and Wound Healing, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK
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Gokalp H, Bulur I, Kaya Erdoğan H, Karapınar T, Bilgin M. Evaluation of the effects of acne vulgaris on quality of life in Turkey by using TAQLI. J Cosmet Dermatol 2016; 16:485-490. [DOI: 10.1111/jocd.12294] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Hilal Gokalp
- Department of Dermatology; Koç University School of Medicine; Istanbul Turkey
| | - Isil Bulur
- Department of Dermatology and Venereology; Faculty of Medicine; Eskisehir Osmangazi University; Eskisehir Turkey
| | - Hilal Kaya Erdoğan
- Department of Dermatology and Venereology; Faculty of Medicine; Eskisehir Osmangazi University; Eskisehir Turkey
| | - Tekden Karapınar
- Department of Dermatology and Venereology; Faculty of Medicine; Eskisehir Osmangazi University; Eskisehir Turkey
| | - Muzaffer Bilgin
- Department of Statistics; Faculty of Medicine; Eskisehir Osmangazi University; Eskisehir Turkey
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Duman H, Topal IO, Kocaturk E, Duman MA. Evaluation of anxiety, depression, and quality of life in patients with acne vulgaris, and quality of life in their families. DERMATOL SIN 2016. [DOI: 10.1016/j.dsi.2015.07.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Abstract
Introduction Scarring on visible areas such as the face is associated with negative psychological impact. Many patients with acne have clinically relevant scarring for which they seek treatment, implying that there is an impact on their lives. Currently there are no validated tools to assess the burden of atrophic acne scarring from the patient’s perspective or to assess treatment benefit. Methods Two patient-reported outcome measures, the self-assessment of clinical acne-related scars (SCARS) and the facial acne scar quality of life (FASQoL) tools, both specific to facial atrophic acne scarring, were developed according to Food and Drug Administration guidance methodology. Patient interviews were conducted first to elicit patient-important concepts about scarring, then to validate patients’ understanding of wording in the tools. These tools focus on symptoms (SCARS) and psychological and social well-being (FASQoL) and were designed to be suitable for self-completion and to be rapidly completed (2–5 min) within a clinical research setting. Results Concept elicitation interviews were conducted with 30 subjects and cognitive interviews with 20 subjects. With acne scarring, important concepts for patients included size, surface area affected, counts, and depth. The SCARS and FASQoL tools were shown to address relevant concepts that were easily understood by patients. Conclusion Two patient-reported measures, SCARS and FASQoL, have been developed to help clinicians assess the severity and impact of acne scars. Responsivity of these instruments to treatment will require further evaluation. Funding Galderma R&D, Sophia Antipolis, France. Electronic supplementary material The online version of this article (doi:10.1007/s13555-016-0098-5) contains supplementary material, which is available to authorized users.
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Al-Shidhani A, Al-Rashdi S, Al-Habsi H, Rizvi S. Impact of acne on quality of life of students at sultan qaboos university. Oman Med J 2015; 30:42-7. [PMID: 25830000 DOI: 10.5001/omj.2015.08] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 12/19/2014] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE The purpose of this study was to assess the impact of acne on the quality of life. Its secondary objective was to assess the influence of gender of students and severity of symptoms on the quality of life. . METHODS A cross sectional study was conducted on 100 students at Sultan Qaboos University (SQU) (40 males and 60 females) diagnosed with acne who attended the Student Clinic during a period of three months from September to December 2009. The Acne Quality Of Life index (Acne-QoL) questionnaire was used to assess the patient's quality of life in four different domains: self-perception, social, emotional, and acne symptoms. . RESULTS Acne affected all areas of the patients, quality of life with the emotional domain found to be the most affected. Overall, female patients reported more adverse QoL effects. The mean score for self-perception for female students was 2.5 and 2.8 for males (p=0.300). The role-social domain approached a significant difference between genders (p=0.078). There was a statistically significant correlation between severity of acne symptoms and the other three domains. The correlation was highest between acne symptoms score and self-perception score. . CONCLUSION This study showed that acne affects the quality of life of affected SQU students treated by primary care physicians at the Student Clinic. Therefore, physicians should take into account the effect of acne on the persons' quality of life when individualizing treatment.
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Affiliation(s)
| | | | - Hamdan Al-Habsi
- Family Medicine, Sultan Qaboos University Hospital, Al-Khoud, Oman
| | - Syed Rizvi
- Statistics, Sultan Qaboos University, Al-Khoud, Oman
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Tasoula E, Gregoriou S, Chalikias J, Lazarou D, Danopoulou I, Katsambas A, Rigopoulos D. The impact of acne vulgaris on quality of life and psychic health in young adolescents in Greece. Results of a population survey. An Bras Dermatol 2013. [PMID: 23197205 PMCID: PMC3699905 DOI: 10.1590/s0365-05962012000600007] [Citation(s) in RCA: 108] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Acne vulgaris can severely affect social and psychological functioning. OBJECTIVE The aim of this study was to investigate the impact of acne vulgaris and its severity on Quality of Life of young adolescents in Greece. METHODS We conducted a questionnaire based survey among 1560 adolescent between the ages
of 11 and 19 years old and 1531 of these were completed. Adolescents with acne
filled all the questions including the Children Dermatology Life Quality Index.
Adolescents without acne filled the questions about age, family history of acne,
stress and smoking. Data were analyzed with Pearson Chi Square test. RESULTS Acne prevalence was 51.2% affecting both sexes equally. Self reported mild acne
was present in 71.2% and moderate-severe acne in 28.8% of the study population.
The mean age of the study population was 15.77y. The median score of Children
Dermatology Life Quality Index was 4.02. The impact of acne on quality of life is
associated with the severity of the acne (p<0.0001). Patients with
moderate/severe acne experience greater psychosocial and emotional impairment
(p<0.0001). Body image is modified proportionally to the severity of acne
(p<0.0001). Symptoms and treatment of acne are factors that also influence
their quality of life. Girls and boys are equally affected. Stress and heredity
are correlated with acne and its severity (p<0.0001). We didn't find any
correlation between smoking and acne. CONCLUSION Acne affects Quality of Life of young adolescents in Greece. The impact is
proportional to the severity of acne. More severe acne is associated with greater
effect on quality of life with implications for self esteem, body image and
relationships with others.
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Affiliation(s)
- Eleni Tasoula
- University of Athens Medical school, Dermatology Department, Attikon Hospital - Xaidari, Greece
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Zauli S, Caracciolo S, Borghi A, Ricci M, Giari S, Virgili A, Bettoli V. Which factors influence quality of life in acne patients? J Eur Acad Dermatol Venereol 2012; 28:46-50. [PMID: 23240552 DOI: 10.1111/jdv.12053] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
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 females than in males. CONCLUSION The quality life of acne patients could be influenced by social and emotional factors. The discrepancy of the results reported in literature regarding the correlation of the quality of life with acne severity and duration probably depends on the sensitivity and specificity of the questionnaire used to assess the quality of life. Among the different available scores to measure quality of life in acne patients, in the authors' experience, APSEA score is a valuable one.
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Affiliation(s)
- S Zauli
- Department of Clinical and Experimental Medicine, Section of DermatologyDepartment of Clinical and Experimental Medicine, Section of Psychology, University of Ferrara, Arcispedale S.Anna, Ferrara, Italy
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Quality of life in Iranian patients with acne. Dermatol Res Pract 2012; 2012:571516. [PMID: 22454633 PMCID: PMC3290804 DOI: 10.1155/2012/571516] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2011] [Accepted: 11/30/2011] [Indexed: 11/17/2022] Open
Abstract
Acne is a chronic inflammatory disease of pilosebaceous units. Although the acne isnot a life threatening disease, studies have revealed that it has significant effect on self-image and quality of life. The purpose of this paper was to investigate the health-related quality of life in patients with acne in an Iranian context. Dermatology Life Quality Index (DLQI) and Cardiff Acne Disability Index (CADI) were used for measuring quality of life, and severity of acne was measured by Global Acne Grading System (GAGS). The mean (±SD) of DLQI and CADI scores was 6.42 (±4.77) and 5.97 (±2.97), respectively. Acne influenced the quality of life in 51.8% of patients from moderate to very much, and the quality of life was affected by the severity of acne (P < 0.01). Since acne has significant effects on patient's quality of life, the management of patients with acne requires more attention to different aspects of quality of life.
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19
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Gonçalves G, Amado JM, Matos ME, Massa A. The prevalence of acne among a group of Portuguese medical students. J Eur Acad Dermatol Venereol 2011; 26:514-7. [PMID: 21518023 DOI: 10.1111/j.1468-3083.2011.04080.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- G Gonçalves
- Universidade do Porto, Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal.
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20
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Berg M, Lindberg M. Possible gender differences in the quality of life and choice of therapy in acne. J Eur Acad Dermatol Venereol 2010; 25:969-72. [PMID: 21108662 DOI: 10.1111/j.1468-3083.2010.03907.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Acne is a very common skin disease that has major impact on the patients' quality of life. Although the disease has been extensively studied we still need more knowledge of factors influencing the decisions for choice of therapy. OBJECTIVE To evaluate the relationships between clinical severity, patients' self-reported quality of life, treatment choice and the outcome of therapy in a structured out-patient acne clinic. METHODS In total 211 consecutive patients (143 females, 68 males) at a structured acne clinic were included. At the first visit a clinical assessment was conducted, therapy was initiated and the patients answered a quality-of-life questionnaire (Dermatology Life Quality Index, DLQI). A follow up was performed after six months, when patients once again answered the DLQI questionnaire and the clinical outcome was assessed by the physician. RESULTS The quality of life was improved after treatment at a group level. At the first visit, the quality of life showed a gender difference (females scoring worse) but did not correlate to the clinical grading nor to the choice of therapy. At six months the DLQI correlated with clinical outcome. Patients with isotretinoin therapy showed a significantly greater improvement in quality of life. There was a tendency to gender difference in the choice of therapy, as in females 32% of the patients were treated with isotretinoin although they were clinically graded as moderate. The corresponding figure for males was 23%. A correlation was found between the initial clinical grading and gender, age and the choice of therapy. CONCLUSION DLQI can be used to evaluate treatment effects in acne. However, the self-reported quality of life will depend on several factors including age, gender, psychosocial factors and clinical severity.
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Affiliation(s)
- M Berg
- Section of Dermatology, Department of Medical Sciences, Uppsala University and FoU Centre of Sörmland, Sörmland, Sweden.
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21
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Evaluation of acne quality of life and clinical severity in acne female adults. Dermatol Res Pract 2010; 2010. [PMID: 20706683 PMCID: PMC2913789 DOI: 10.1155/2010/410809] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2010] [Accepted: 06/09/2010] [Indexed: 11/24/2022] Open
Abstract
Acne is a common disease especially among teenagers. It has a considerable psychological impact on affected individuals. The aim of this paper was to assess if the effect of acne on acne-related quality of life is correlated to acne clinical severity. 112 university female students attending the university medical clinics with acne complaints were examined. Cardiff Acne Disability Index (CADI) was used to assess acne-related quality of life, and global acne grading system (GAGS) was used to assess clinical severity of acne. There was no correlation between acne severity (GAGS scoring system) and quality of life impairment as assessed by CADI score (r = 0.145, P = .127). Additionally, CADI score did not correlate with disease duration or age of patients. We therefore conclude that acne clinical severity alone does not affect acne-related quality of life changes. Many other factors might play a role.
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Abdel-Hafez K, Mahran AM, Hofny ERM, Mohammed KA, Darweesh AM, Aal AA. The impact of acne vulgaris on the quality of life and psychologic status in patients from upper Egypt. Int J Dermatol 2009; 48:280-5. [DOI: 10.1111/j.1365-4632.2009.03838.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Basra MKA, Fenech R, Gatt RM, Salek MS, Finlay AY. The Dermatology Life Quality Index 1994-2007: a comprehensive review of validation data and clinical results. Br J Dermatol 2008; 159:997-1035. [PMID: 18795920 DOI: 10.1111/j.1365-2133.2008.08832.x] [Citation(s) in RCA: 254] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND The Dermatology Life Quality Index (DLQI) is one of the most widely used dermatology-specific quality of life instruments. Over the last 5 years there has been great interest in its use. OBJECTIVES To collect and present all information regarding the technical properties and the clinical use of the DLQI from the date it was published to the end of 2007 for use as a single source of reference. METHODS A detailed literature search was conducted using electronic reference databases and the DLQI library in the Department of Dermatology, Cardiff University. All publications mentioning any aspect of the DLQI, from the time of its development to the end of 2007, were identified and the data concerning the DLQI in terms of its psychometric analysis, and use in clinical trials, epidemiological studies and health services research, were extracted and tabulated with all the relevant references. RESULTS In total, 272 full articles which have included the DLQI were reviewed. Studies described in these articles were divided into five main categories: psychometric studies, descriptive/epidemiological studies, drug (topical and systemic) trials, clinical practice research, and therapeutic interventions. The DLQI has been used in 33 different skin conditions in 32 countries and is available in 55 languages. Psychometric aspects of the DLQI such as validity, reliability, responsiveness to change, factor structure, and minimal important difference were described in 115 studies. The DLQI has been used in 33 studies assessing the effectiveness of 14 different types of therapeutic interventions and in 37 studies evaluating nine types of clinical practice research. Sixty studies have used it alone or in parallel with other instruments as an outcome measure in clinical trials of 18 systemic drugs while 22 studies have used it in 14 different topical drug trials. The DLQI has also been used in 27 multinational studies. CONCLUSIONS During the last 14 years there has been a gradual increase in the international use of the DLQI. The brevity and simplicity of use of the DLQI has resulted in its popularity both in clinical practice and in research. However, there are various issues in particular regarding its unidimensionality, differential item functioning, and minimal clinically important difference, which require further research. This article should facilitate the work of potential users of the DLQI by providing a readily available source of references for different aspects of the DLQI.
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Affiliation(s)
- M K A Basra
- Department of Dermatology, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, U.K.
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Tan JK, Li Y, Fung K, Gupta AK, Thomas DR, Sapra S, Lynde C, Poulin Y, Gulliver W, Sebaldt RJ. Divergence of Demographic Factors Associated with Clinical Severity Compared with Quality of Life Impact in Acne. J Cutan Med Surg 2008; 12:235-42. [DOI: 10.2310/7750.2008.07053] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Previous smaller studies suggest that age, gender, and duration of acne may individually be associated with clinical acne severity and quality of life (QoL) impact. Objective: Our purpose was to concurrently evaluate the association of demographic factors with clinical acne severity and with QoL impact. Methods: Clinical acne severity was assessed using the Investigators Global Assessment, whereas QoL impact was evaluated by the patient-completed Acne-QoL. These outcomes were correlated with sociodemographic variables, including age, gender, and duration of acne. Results: In 862 acne patients, clinical severity was associated with younger age, male gender, and shorter acne duration (1–5 years). In contrast, greater impact on QoL was associated with older age, female gender, and longer acne duration (> 5 years). Conclusions: Clinical and QoL measures each differentiate between groups of patients most severely affected by acne. Our findings reinforce the imperative for clinicians to use both measures for comprehensive patient management. Limitations: Study limitations include referral population of acne patients and the restriction of outcome measures to facial acne.
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Affiliation(s)
- Jerry K.L. Tan
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Yudi Li
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Karen Fung
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Aditya K. Gupta
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - D. Richard Thomas
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Sheetal Sapra
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Charles Lynde
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Yves Poulin
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Wayne Gulliver
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
| | - Rolf J. Sebaldt
- From the Department of Medicine, University of Western Ontario, London, ON; Windsor Clinical Research Inc., Windsor, ON; Department of Mathematics & Statistics, University of Windsor, Windsor, ON; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre and the University of Toronto, Toronto, ON, and Mediprobe Research Inc., London, ON; Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Institute of Cosmetic and Laser Surgery, Oakville, ON
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Uslu G, Şendur N, Uslu M, Şavk E, Karaman G, Eskin M. Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey. J Eur Acad Dermatol Venereol 2008; 22:462-9. [DOI: 10.1111/j.1468-3083.2007.02497.x] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Patrick DL, Topolski TD, Edwards TC, Aspinall CL, Kapp-Simon KA, Rumsey NJ, Strauss RP, Thomas CR. Measuring the quality of life of youth with facial differences. Cleft Palate Craniofac J 2007; 44:538-47. [PMID: 17760483 DOI: 10.1597/06-072.1] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To describe the Facial Differences Module of the Youth Quality of Life Instruments (YQOL-FD) and present results evaluating domain structure, internal consistency, reproducibility, validity, and respondent burden. DESIGN A multisite observational study of youth aged 11 to 18 years with acquired or congenital facial differences. PARTICIPANTS Three hundred seven youth recruited through clinics at four U.S. sites and one U.K. site. Eligible youth were aged 11 to 18 years, had a noticeable facial difference, could read at the fifth-grade level, and, for youth with facial burns, were at least 2 years posttrauma. MEASURES Included were the newly developed YQOL-FD, the generic Youth Quality of Life Instrument, the Children's Depression Inventory, and demographics. RESULTS Principal components analysis showed five significant factors that closely matched the domain structure hypothesized a priori. Domain scores of the YQOL-FD showed acceptable internal consistency and reproducibility. Scores were more strongly correlated with the Children's Depression Inventory score than with self-rating of health as predicted. All domain scores showed adequate discrimination among levels of general quality of life (Wilks lambda = 0.84, p = .001). The median time to complete the module was 10 minutes. DISCUSSION The YQOL Facial Differences Module augmented information obtained from the generic YQOL measure by addressing specific concerns. The module was well received by youth and showed acceptable measurement properties for evaluating the perceived quality-of-life status of youth facial differences. Future use in longitudinal studies and clinical trials is anticipated to evaluate the ability to detect change.
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Affiliation(s)
- Donald L Patrick
- Department of Health and Epidemiology, University of Washington, Seattle, Washington 98195-7660, USA.
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Rigopoulos D, Gregoriou S, Ifandi A, Efstathiou G, Georgala S, Chalkias J, Katsambas A. Coping with acne: beliefs and perceptions in a sample of secondary school Greek pupils. J Eur Acad Dermatol Venereol 2007; 21:806-10. [PMID: 17567312 DOI: 10.1111/j.1468-3083.2006.02091.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
BACKGROUND Information on the understanding of acne in adolescents has only occasionally been reported in the medical literature. OBJECTIVE To evaluate the perceptions of Greek high school students regarding acne causation, exacerbating factors, sources of information, and effect on their daily life and school performance. PATIENTS AND METHODS Three-hundred and forty-seven students (aged 13-18) of four Athenian high schools completed a self-reported questionnaire. RESULTS Self-reported acne was present in 59.2% (187/316). Popular sources of information were parents (31.6%), dermatologists (26.7%), magazines and television (17.5%), pharmacists (16.2%), friends (5.3%), beauticians (1.6%) and other doctors (1.1%). Fifty-two per cent considered the information received as inadequate. Reported causal or exacerbating acne factors included: diet (62.3%), hormones (55.1%), poor hygiene (42.4%), stress (31.9%), infection (14.9%) and genetics (5.7%). Reported ameliorating factors included frequent washing (80.7%), sunbathing (38.6%) and adequate hours of sleep (32%). These notions did not differ among pupils with and without acne or among pupils receiving information from different sources (P < 0.05 in all comparisons). Smoking habits, school performance, hours of sleep, sleep disturbances and self-assessment of stress status were not statistically significantly different between pupils with and without acne. Among pupils with acne 48.6% believed that acne was compromising interpersonal relations while 64.4% believed that acne was compromising their self-image. Fifteen per cent of adolescents reported pruritus associated with their acne lesions. CONCLUSION Beliefs of Greek adolescents about acne were shown to be similar to those of pupils in other developed countries.
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Affiliation(s)
- D Rigopoulos
- University of Athens, Department of Dermatology, A Sygros Hospital, Athens, Greece.
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