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.
Highlights
Cardiff Acne Disability Index (CADI) is a short, 5-item questionnaire derived from the longer Acne Disability Index [15]
Disease duration ranged from 1 month to 20 years
Considering quality of life scales, CADI is the easiest scale to use in routine dermatology practice [20]
Summary
Acne vulgaris is a common disease with prevalence reaching up to 80% during adolescence [1]. The psychological effect of acne on patients can be considerable. The interaction of acne and psychosocial issues is complex and, in adolescence, can be associated with developmental issues of body image, socialization and sexuality. Previous studies on the psychosocial impact of acne have documented dissatisfaction with appearance, embarrassment, self-consciousness, and lack of self-confidence in acne patients. Acne is associated with anxiety, depression [5], feel of anger [6], and lower body satisfaction [7]. It can be negatively associated with intention to participate in sports and exercise [8]
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