Clinical and Laboratory Investigations
Psychosocial Impact of Acne vulgaris
Mulder M.M.S.a · Sigurdsson V.a · van Zuuren E.J.b · Klaassen E.J.c · Faber J.A.J.d · de Wit J.B.F.e · van Vloten W.A.a
Evaluation of the Relation between a Change in Clinical Acne Severity and Psychosocial State
Departments of Dermatology and Venereology,aUniversity Medical Center Utrecht and bLeiden University Medical Center, Leiden, cAmstelveen, and Departments of dBiostatistics, and ePsychology, University of Utrecht, The Netherlands
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Background: Although knowledge concerning the impact of acne vulgaris on quality of life has increased in recent years, relatively few studies have assessed the effect of a change in clinical severity on psychosocial state. Objective: Assessment of the effect of a change in clinical acne severity on psychosocial state. Methods: This was investigated by means of questionnaires and clinical assessements by acne patients and dermatologists. Fifty females with mild to moderate facial acne were seen before and after a 9-month treatment with oral contraceptives. Results: The results showed a great variability in psychosocial impairment between individuals. After 9 months, a significant reduction in clinical severity was seen overall which did not relate to the significant improvements in self-esteem, stability of self-esteem and acceptance of appearance. Conclusion: Perceived psychosocial impairment is individually based, is greater in women who subjectively overrate their acne and does not relate to clinical improvement.
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