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Öğüt Ç, Öğüt ND. No association between isotretinoin and impulsivity in patients with moderate-to-severe acne vulgaris. Int J Dermatol 2024; 63:484-490. [PMID: 38140757 DOI: 10.1111/ijd.16997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 12/06/2023] [Accepted: 12/11/2023] [Indexed: 12/24/2023]
Abstract
BACKGROUND Acne vulgaris (AV) is one of the common dermatologic diseases that usually affects people during adolescence. Reports have shown that isotretinoin, the first-line therapy option for moderate-to-severe AV, could lead to mood disturbances and suicidality. Impulsivity is the tendency to act prematurely without foresight and is a significant risk factor for suicidality. This study aimed to test the hypothesis that isotretinoin would lead to an increase in impulsivity. METHODS Seventeen patients with AV were enrolled. The study was planned as a naturalistic 3-month follow-up study. Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Barratt Impulsiveness Scale (BIS), Go/No-go Task (GNG), and Balloon Analog Risk Task (BART) were administered before and after the isotretinoin treatment. RESULTS We found a significant improvement in the severity of anxiety (P = 0.015; t = 2.72) and depression symptoms (P = 0.08; t = 3.04) in AV patients at the end of 3 months. Self-report impulsivity characteristics with BIS stayed unchanged (P = 0.434; t = 0.80). Besides, no statistically significant difference was found in behavioral task results associated with response inhibition with GNG (P = 0.52; t = 0.65) and impulsive decision-making with BART (P = 0.842; t = -0.20). However, there was a significant decrease in omission errors, with GNG suggesting improvement in attention domain (P = 0.020; W = 90.0) after the follow-up. CONCLUSIONS It has been demonstrated that isotretinoin treatment improves the severity of depression, anxiety symptoms, and attention performance in AV patients. However, there was no significant change in patients' impulsivity severity based on self-reports and behavioral performances based on GNG and BART.
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Affiliation(s)
- Çağrı Öğüt
- Department of Psychiatry, Uşak University Faculty of Medicine, Uşak, Turkey
| | - Neslihan D Öğüt
- Department of Dermatology and Venereology, Uşak University Faculty of Medicine, Uşak, Turkey
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Hefez L, Micallef J, Revah-Levy A, Falissard B, Jouve E, Dreno B, Chosidow O. First use of the Adolescent Depression Rating Scale (ADRS) in the management of young people with severe acne treated with isotretinoin: a pilot study of an active monitoring of depressive disorders by dermatologists. Clin Exp Dermatol 2021; 47:709-716. [PMID: 34859487 DOI: 10.1111/ced.15039] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 10/26/2021] [Accepted: 11/29/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND During isotretinoin treatment, special attention is required to detect any symptom or change in the mental health of patients. The monitoring is complex for adolescents because of confounding factors such as mood changes associated with adolescence and puberty and the higher psychosocial impairment due to the acne itself. AIM To determine the utility of the Adolescent Depression Rating Scale (ADRS) for monitoring symptoms in adolescents before and during isotretinoin treatment in dermatology real-life practice. METHODS This was a national, multicentre prospective study that enrolled a random sample of dermatologists treating adolescents. An algorithm including ADRS score and its changes between consecutive visits was used. At each visit, dermatologists rated their satisfaction with ADRS and its ease of use, while patients rated the acceptability of the ADRS. RESULTS In total, 70 dermatologists used the algorithm for 1227 visits of 283 adolescents receiving isotretinoin. Of these 70 dermatologists, 80.8% were satisfied/very satisfied with the ADRS, 82.7% considered the use of the ADRS in clinical practice to be easy/very easy and 75% considered that the ADRS enabled them to discuss more easily the risk of depression with their patients. For the patients, acceptability of the ADRS was considered good by 93.8%. CONCLUSIONS The implementation of the ADRS could be valuable in dermatology practice, optimizing the monitoring of patients and the good use of isotretinoin.
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Affiliation(s)
- L Hefez
- Department of Dermatology, Grand Hôpital Est Francilien, Jossigny, France
| | - J Micallef
- Service de Pharmacologie Clinique et Pharmacovigilance, Pharmacometry and Pharmacoepidemiology, Institut de Neurosciences des Systèmes, APHM/INSERM/Aix Marseille University, Marseille, France
| | - A Revah-Levy
- Department of Adolescent Psychiatry, Centre Hospitalier Victor Dupouy, Argenteuil, France.,ECSTRRA team, Statistic And Epidemiological Research Centre Sorbonne Paris Cité (CRESS), INSERM U1153, Université de Paris, Paris, France
| | - B Falissard
- INSERM U669, Paris-Sud 11 University, APHP, Villejuif, France, Paris, France
| | - E Jouve
- Service de Pharmacologie Clinique et Pharmacovigilance, Pharmacometry and Pharmacoepidemiology, Institut de Neurosciences des Systèmes, APHM/INSERM/Aix Marseille University, Marseille, France
| | - B Dreno
- Onco-Dermatology Department, CHU Nantes, CRCINA, Nantes University, Nantes, France
| | - O Chosidow
- Department of Dermatology, APHP, Hôpital Henri-Mondor, Faculté de Santé, Paris-Est, Créteil, France.,Research Group Dynamic, EA7380, Faculté de Santé de Créteil, École Nationale Vétérinaire d'Alfort, USC ANSES, Université Paris-Est Créteil, Créteil, France.,Centre de Preuves de la Société Française de Dermatologie, Paris, France
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Further Studies of Effects of Finasteride on Mood and Suicidal Risk. J Clin Psychopharmacol 2021; 41:687-688. [PMID: 34735101 DOI: 10.1097/jcp.0000000000001485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Aslan Kayiran M, Karadag AS, Jafferany M. Psychodermatology of acne: Dermatologist's guide to inner side of acne and management approach. Dermatol Ther 2020; 33:e14150. [DOI: 10.1111/dth.14150] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 07/27/2020] [Accepted: 07/31/2020] [Indexed: 12/12/2022]
Affiliation(s)
- Melek Aslan Kayiran
- Department of Dermatology and Venereology Istanbul Medeniyet University, School of Medicine, Goztepe Training and Research Hospital Istanbul Turkey
| | - Ayse Serap Karadag
- Department of Dermatology and Venereology Istanbul Medeniyet University, School of Medicine, Goztepe Training and Research Hospital Istanbul Turkey
| | - Mohammad Jafferany
- Department of Psychodermatology Central Michigan University Saginaw Michigan USA
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