Quality of life in patients with acne vulgaris in a tertiary care centre: a cross sectional study
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20191770Keywords:
Acne vulgaris, CADI, Acne-QoLAbstract
Background: Acne vulgaris is a chronic inflammatory disease of pilosebaceous units which has great psychological impact and causes depression, anxiety, and low self-esteem.
Methods: It was a hospital-based, cross-sectional, prestructured, questionnaire-based study done in 120 individuals in the age group 12-30 years using two specific HRQoL indices-Cardiff Acne Disability Index (CADI) and Acne-specific Quality of Life (Acne-QOL) to understand the impact of acne on the quality of life.
Results: Male to female ratio was 2:3. The mean age was 19.23±1.7. The mean CADI score was 5.3. Majority of the patients had grade 2 acne. Based on the CADI questionnaire, the number of males (61.7%) and females (60.2%) was maximum in the medium score. Grade 1 acne had maximum number of patients showing low score followed by grade 2 acne. Based on the acne-QoL questionnaire, maximum patients were in the 11-20 score range, followed by the 21-30 score range.
Conclusions: Acne is not only a cosmetic problem, but also has significant psychological impact. Hence, impact of acne on QoL must be considered in the management of facial acne.
References
Layton AM. Disorders of sebaceous glands. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 8th ed., Vol. 42. Oxford: Wiley-Blackwell publication; 2010: 1-89.
Durai PT, Nair DG. Acne vulgaris and quality of life among young adults in South India. Indian J Dermatol. 2015;60:33-40.
The World Health Organization Quality Of Life assessment (WHOQOL): Position paper from the World Health Organization. Soc Sci Med. 1995;41:1403-9.
Hanisah A, Omar K, Shah SA. Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia. J Prim Health Care. 2009;1:20-5.
Girman CJ, Hartmaier S, Thiboutout D, Johnson J, Barber B, DeMuro-Mercon C, et al. Evaluating health-related quality of life in patients with facial acne: Development of a self-administered questionnaire for clinical trials. Qual Life Res. 1996;5:481–90.
Adityan B, Kumari R, Thappa DM. Scoring systems in acne vulgaris. Indian J Dermatol Venerol Leprol. 2009;75:323-6.
Martin AR, Lookingbill DP, Botek A, Light J, Thiboutout D, Girman CJ. Health related quality of life among patients with facial acne: Assessment of a new acne-specific questionnaire. Clin Exp Dermatol. 2001;26:380–5.
Fehnel SE, McLeod LD, Brandman J, Arbit DI, McLaughlin-Miley CJ, Coombs JH, et al. Responsiveness of the acne specific quality of life questionnaire (Acne QoL) to treatment for acne vulgaris in placebo-controlled trials. Qual Life Res. 2002;11:809-16.
Kurokawa I, Danby FW, Ju Q, Wang X, Xiang LF, Xia L, et al. New developments in our understanding of acne pathogenesis and treatment. Exp Dermatol. 2009;18:821-32.
Walker N, Lewis‑Jones MS. Quality of life and acne in Scottish adolescent schoolchildren: Use of the Children’s Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI). J Eur Acad Dermatol Venereol. 2006;20:45-50.
Jankovic S, Vukicevic J, Djordjevic S, Jankovic J, Marinkovic J. Quality of life among schoolchildren with acne: Results of a cross‑sectional study. Indian J Dermatol Venereol Leprol. 2012;78:454‑8.
Pawin H, Chivot M, Beylot C, Faure M, Poli F, Revuz J, et al. Living with acne. A study of adolescents’ personal experiences. Dermatology. 2007;215:308‑14.
Uslu G, Sendur N, Uslu M, Savk E, Karaman G, Eskin M. Acne: Prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey. J Eur Acad Dermatol Venereol. 2008;22:462‑9.
Rapp SR, Feldman SR, Graham G, Fleischer AB, Brenes G, Dailey M. The Acne Quality of Life Index (Acne-QOLI): Development and validation of a brief instrument. Am J Clin Dermatol. 2006;7:185-92
Lasek RJ, Chre MM. Acne vulgaris and the quality of life of adult dermatology patients. Arch Dermatol. 1998;134:454-8.
Tasoula E, Gregoriou S, Chalikias J, Lazarou D, Danopoulou I, Katsambas A, et al. The impact of acne vulgaris on quality of life and psychic health in young adolescents in Greece. Results of a population survey. An Bras Dermatol. 2012;87:862-9.
Aghaei S, Mazharinia N, Jafari P, Abbasfard Z. The Persian version of the Cardiff Acne Disability Index. Reliability and validity study. Saudi Med J. 2006;27:80-2.
