Особенности психоэмоциональных нарушений и качества жизни в зависимости от тяжести и формы акне у женщин с бесплодием

Abstract

The objective: the study of the psychoemotional status of women with infertility and acne, depending on its severity and clinical-morphological form. Patients and methods. The study included 184 women: 111 were the main group (infertile women with acne), 40 – the comparison group of A (women with acne and normal reproductive function), 33 – the comparison group B (infertile women without dermatological problems). Were analyzed such factors as anamnesis, dermatological and gynecological status, hormonal background analysis, assessment of the psychoemotional state (HADS – Hospital Anxiety and Depression scale), quality of life (DLQI – Dermatological Life Quality Index), psychological and social effect of acne (APSEA – Assessment of Phsychological and Social Effects of Acne). Results. In the course of the study, a reliable direct dependence of the severity of psychoemotional disorders and the degree of disruption of the quality of life on the severity of acne, as well as its clinical and morphological form, was traced. Even with a minimum degree of severity of acne and with a mild comedonal form of the disease, psychoemotional disorders reached a degree of clinical severity, and dermatosis strongly influenced the quality of life of patients (in accordance with DLQI values), had a strong psychological and social effect on daily activity and self-esteem (APSEA) of patients. Conclusion. Thus, the study confirmed the comorbidity of psychoemotional disorders and acne, as well as the dependence of the severity of psychoemotional disorders and a decrease in the quality of life of infertile women with acne due to the severity of the acne and its clinical and morphological form. Key words: women with acne and infertility, quality of life, psychoemotional disorders, psychological and social effect of acne, severity of acne, acne form.