The Incidence of Depression and the Decrease of Quality of Life in Patients with Moderate-Severe Inflammatory Acne

Abstract

Objective: to know the prevalence of depression in patients with moderate-severe acne vulgaris.

Hypothesis: the incidence of depression increases in patients with moderate-severe acne vulgaris and will therefore decrease the quality of life.

Background: acne is a very frequent dermatosis in the outpatient clinic, it is not considered a life-threatening disease. It has been associated with negative emotional status. Also, suffering from it for a long time has been associated with depression, anxiety and frustration. The complications of acne in the psychosocial aspect are related to academic or vocational performance, self-esteem and adolescents’ quality of life.

Materials and Methods: the type of study was retrospective cross-sectional descriptive observational study. The sampling was carried out at the facilities of the Popular Autonomous University of the State of Puebla, taking into account any person within the institutional organisation within the range of 12-20 years of age, with a total of 50 participants. The Hamilton assessment scale of depression and the Cardiff Acne disability index were applied to all patients with dermatological diagnosis of moderate-severe vulgar acne in a period between February-October 2019. Results: a total of 50patients were analysed, of which 28 were women aged 12 to 20 years and 22 men (28 women and 13 men) and severe acne in 9 patients, all over 17 years of age and male. According to the degree of depression, 28% (n = 14) of the patients were obtained without some degree of depression; 60% (n = 30) with minor depression; 12% (n = 6) with moderate depression. Regarding the quality of life: 40% (n = 20) of the patients showed good quality of life, 46% (n = 23) regular quality of life and 14% (n = 7) showed poor quality of life.

Conclusion: orderly study of the psychic impact of acne and other skin diseases on people suffering them is recent and is carried out through questionnaires that try to measure the impact the diseases have on the patients’ quality of life.

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  • 1. Shoshana B, María AL, Rebeca R. Depresión: Knowledge status and the necessity of public politics and action plans in mexico. Salud Pública Mex 2013;55:74-80.

  • 2. Birmaher B, Ryan ND, BRent D, Kaufman J et al. Childhood and adolescent depression: A review of the past ten years. Part 1. J Am Child Adolesce Psychiatry. 1996;35:1427-1439.

  • 3. García-HErrera P, Nogueras, Muñoz C. Clinical practice guide for the treatment of depresion in first contact attention. Distriti Sanitario Málaga UCG Salud Mental Hospital Regional Universitario Carlos Haya Málaga 2011;47-49.

  • 4. Romero-Márquez R, Romero-Zepeda H. Healthcare related quality of life reflections. Rev Med Inst Mex Seguro Soc 2010;48(1):91-102.

  • 5. Schwartzmann L. Healthcare related life quality: conceptual aspects, Science and nursery (Mexico) 2003;2:9-21

  • 6. Quintero C, Lugo L, García H, Sánchez A.Kidscreen question-ary validation of quality of life in children and teenager health from Medellin, Colombia. Revista Colombiana de Psiquiatria 2011;40(3):470-487.

  • 7. Halioua B, Beaumont MG. Quality of life in dermatology. Int J Dermatol 200;39:801-806

  • 8. Casas L. Teenager’s life quality. Revista cubana de pediatría 2010;82(4): 112-6.

  • 9. Argote A, Mora O, Gonzalez L, Zapata J. Phisiophatological aspects of acne. Rev Asoc Colomb Dermatol 2014;22:200-208.

  • 10. Tompson A. Acne. JAMA 2012;313(6):640-641.

  • 11. Bhambri S, Del Rosso JQ. Pathogenesis of acne vulgaris: recent advances. J drugs dermatol 2009;8:615-618

  • 12. Kaminsky A, Florez-White M, Arias MI. Acne clasification: Ibero-american consensus, 2014. Med cutan iber lat am 2015;43(1):18-23.

  • 13. Orozco B, Campo ME, Anaya LA et al. Colombian guides for the treatment of acne: a revision based in evidence by the Colombian group of Acne studies. Rev Asoc Colomb Dermaol 2011;19:129-158.

  • 14. Ortiz SD, Toledo BM. Clinical practice guide: summary of evidences and recomendations: diagnosis and treatment of acne. Ciudad de Mexico SSA-224-09:2009;35-35

  • 15. Del Rosso JQ, Leyden JJ. Status report on antibiotic resistance: implications for dermatologist. Dermatol Clin. 2007;25:127-32.

  • 16. Kameran H, Bilal M. Quality of life in patients with acne in erbil city. Health and Quality of life Outcomes 2012;10:1-4.

  • 17. Kallet SC, Gawkrodger DJ. The psychological and emotional impact of acne and the effect of treatment with isotretinoin. Br J dermatol 1999;140:273-282.

  • 18. Purriños M; Hamilton Depression Rating Scale. Servizo de Epidemioloxia. Dirección Xeral de Saudé Pública. Disponible en: http://www.meiga.info/escalas/depresion-Escala-Hamilton.pdf

  • 19. Bobes J, et al. Comparative psicometric evaluation from spanish versions of 6, 7, 21 items from Gamilton valoration scale for the evaluation of depresion med clin 2003;120(18):693-700.

  • 20. Ramos-Brieva J, Cordero A. Validation of the spanish version of Hamilton’s scale for depresion Actas Luso-esp neurol psiquiatr 1986;14:324-334.

  • 21. Santamaría-Gonzalez V, Valdés-Webster RL. Juvenile inflamatory acne. Evaluació de la calidad de vida con la encuesta. Rev Cent Dermatol Pascua 2007;16:7-13.

  • 22. Arshad H, Khairani O, Samsul A. Prevalence of acne and its impact on the quality of tlide in shcool-aged adolescents in Malaysia. J Prim Health Care 2009;1:20-25.

  • 23. Rubio-García L, Pulido-Díaz N, Jimenez-Lopez JL. Isotretinoine and the depression symptoms in patients with severe and recurrent acne. Rev Med Inst Mex Seguro Soc 2015;53:54-59.

  • 24. Jelena P, Natasa M, Janki j, et al. Prevalence and quality of life in high school pupils with acne in Serbia. 2013;70(10):935-939

  • 25. Oladayo AA, Ifeanyi EO, Olatunde OF, Muphy OM, et al. The impact of acne an facialpost-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian Undergraduates. Clin Cosmetic Investigat Dermatol 2018;11:245-252.

  • 26. Eyuboglu M, Kalay I. Evaluation of adolescents diagnosed with acne vulgaris for quality of life and psychosocial challenges. Indian J Dermatol 2018;63:131-135.

  • 27. Fabbroncini G, Cacciapouti S, Monfrecola. Qualitative Investigation of the impact of acne on health-related quality of life (HRQL): Development of Conceptual Model.Dermatol Ther2018;8:85-99.

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