Abstract
30-60% patients with skin disorder estimated to have psychiatry comorbidity. Acne vulgaris (AV) is a chronic inflammatory disease of the pilosebaceous follicles with global prevalence around 70-80%. To assess stress, anxiety and depression in patients of acne and their correlation with acne severity. Patients who received diagnoses of acne vulgaris from Dermatology OPD and willing to participate in study where included. Acne severity was assessed using Global Acne Grading System. (GAGS). Patients were assessed for psychiatry morbidity using Hindi version of Depression Anxiety Stress Scale- 21 item (DASS 21). Statistical analysis was done by SPSS version 20.0. Out of 46 patients included in study, 23 (50%) patients reported having mild stress, 7 (15.2%) had moderate and 2 (4.3%) had severe stress. 14 (26.1%) patients reported having mild anxiety and 8 (21.7%) had moderate anxiety. Depression was found in 9 (19.5%) patients as 7 (15.2%) had mild and 2 (4.3%) had moderate depression. As per GAGS, 19 patients had mild acne, 16 had moderate, 8 had severe and 3 had very severe acne. Significantly high proportion of patients with acne had stress, anxiety and depression and psychiatry morbidity significantly associated with acne severity. Anxiety and depression were also corelated significantly with acne duration. The relationship between stress, psychiatry morbidity and acne are worth exploring as possible behaviour intervention can be useful in patients.
Highlights
Skin, apart from being the largest organ of body, play a pivotal role in social communication throughout life
Severity was acne was assessed by dermatologist using The Global Acne Grading system (GAGS) and patients were assessed for stress, anxiety and Depression using Depression, Anxiety and stress scale- 21 item scale. (DASS 21)
Acne severity was found to be significantly associated with stress, anxiety and depression
Summary
Apart from being the largest organ of body, play a pivotal role in social communication throughout life. In a current era of social media, external appearance of an individual has become a major factor in one’s life. Skin Disorders which are visible have profound impact on the psyche of persons who are affected with it. Skin condition can lead to emotional problems like poor self-image, shame and low self-esteem. 1 Relationship between skin and psyche can be explained by Biopsychosocial model of dermatology and Psycho-neuroimmuno-endocrinecutaneous model by O’sullivan et al 2 Biopsychosocial model explains multifactorial nature of skin disease in which biological, environmental, psychological and interpersonal factors affects both severity of skin disease and impact of disease in one’s life. First category in which skin condition is primary of psychiatric origin like dermatitis artefacta, trichotillomania and delusional parasitosis.
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