Psychological Burden in Patients with Acne Vulgaris
Psychological burden and Acne Vulgaris
DOI:
https://doi.org/10.54393/pjhs.v7i8.3742Keywords:
Acne Vulgaris, Psychological Burden, Anxiety, Social Stigma, Coping Mechanisms, Multidisciplinary CareAbstract
Acne vulgaris is a common and recurrent skin disorder that affects more than 70% of human beings across the world. Acne is associated with several psychological problems in addition to the physical ones. Objective: To evaluate the psychological burden of acne vulgaris, defined by anxiety levels (GAD-7) and acne-related quality of life (CADI), and to identify coping strategies among patients. Methods: This cross-sectional study was conducted at the Department of Dermatology, Combined Military Hospital, Kharian, between March and October 2024, and 135 patients aged 16 years and above, diagnosed with acne vulgaris, were enrolled through a non-probability convenience method. A pre-designed proforma was used to measure the demographic characteristics, clinical history, psychological burden (GAD-7 scale and Cardiff Acnes Disability Index), and coping mechanisms. SPSS version 25.0 was used to conduct descriptive and inferential analysis. Results: 61.48% female and 38.52% male, 45.93% had moderate anxiety, and 20.00% severe anxiety. The perceived stigma was quite high, and 51.11% respondents reported differential treatment, as well as 43.70% respondents avoided social situations. The impact of acne on the day-to-day life was also negative, with 60.74% of the respondents expressing concerns and 48.89% showing reduced performance in work or school. The coping strategies were makeup or cosmetic (42.22%), avoidance (25.19%), and talking to friends and family (20.74%). Conclusions: Acne vulgaris has a very strong impact on psychological well-being, as it increases significantly the rate of anxiety, stigma, and poor quality of life.
References
Shulamite S. The Psychological Implications of Living in Social Exclusion: A. Samriddhi. 2025 Jan: 88.
Reynolds RV, Yeung H, Cheng CE, Cook-Bolden F, Desai SR, Druby KM et al. Guidelines of Care for the Management of Acne Vulgaris. Journal of the American Academy of Dermatology. 2024 May; 90(5): 1006-E1. doi: 10.1016/j.jaad.2023.12.017.
Islam RK, Tong VT, Lipner SR. A Clinical Review of Suicide Risks in Dermatology. Journal of the American Academy of Dermatology Reviews. 2025 Jun; 4: 195-202. doi: 10.1016/j.jdrv.2025.02.007.
Faruga-Lewicka W, Dudek M, Staśkiewicz-Bartecka W, Kardas M. Self-Esteem, Self-Perception, and Self-Image of Women with Acne Vulgaris at Different Age Ranges. Dermatology Reports. 2025 Apr; 17(4): 10191.doi: 10.4081/dr.2025.10191.
Dziuba N, Mioduszewska J, Sim A, Rot P, Poniewozik P, Pernal M et al. Physical Activity–Friend or Foe of Acne? A Literature Review. Quality in Sport. 2026 Apr; 53: 70262-. doi: 10.12775/QS.2026.53.70262.
Powell JL. Towards a Framework of Coping Following Severe Traumatic Brain Injury: A Grounded Theory Study. Psychology, Health and Medicine. 2026 Mar: 1-24. doi: 10.1080/13548506.2026.2637194.
Pratheepa AR and Gupta S. Association Between Acne Severity, Body Image Disturbance, and Depressive Symptoms Among Late Adolescents: An Observational Study. European Journal of Cardiovascular Medicine. 2025 Nov; 15: 304-8.
Singh IP, Poonia K, Bajaj K. Quality of Life in Young Adults with Acne: Results of a Cross‐Sectional Study. Journal of Cosmetic Dermatology. 2021 Dec; 20(12): 4017-23.
Khalaf AM, Alubied AA, Khalaf AM, Rifaey AA, Alubied A, Rifaey A. The Impact of Social Media on the Mental Health of Adolescents and Young Adults: A Systematic Review. Cureus. 2023 Aug; 15(8). doi: 10.7759/cureus.42990.
Ertekin SS, Salici NS, Bas VM, Karali MG, Ergün EZ, Avcı EB et al. Influence of social media and Internet on Treatment Decisions in Adult Female Acne Patients: A Cross-Sectional Survey Study. Dermatology Practical and Conceptual. 2024 Jul; 14(3): E2024156. doi: 10.5826/dpc.1403a156.
El Kazzi T, Shahine M, Salameh P. Effect of Severity of Acne on the Mental Health of Lebanese Patients with Acne: Findings from an Online Survey. BioMed Central Psychology. 2025 May; 13(1): 502. doi: 10.1186/s40359-025-02808-8.
Srivastava S, Bhatia MS, Das P, Bhattacharya SN. A Cross-Sectional Study of Quality of Life and Psychiatric Morbidity in Patients with Acne Vulgaris. Journal of Pakistan Psychiatric Society. 2008 Dec; 5(2): 86-9.
Timkova V, Mikula P, Nagyova I. Psychosocial Distress in People with Overweight and Obesity: The Role of Weight Stigma and Social Support. Frontiers in Psychology. 2025 Jan; 15: 1474844. doi: 10.3389/fpsyg.2024.1474844.
Stamu‐O'Brien C, Jafferany M, Carniciu S, Abdelmaksoud A. Psychodermatology of acne: psychological aspects and effects of acne vulgaris. Journal of Cosmetic Dermatology. 2021 Apr; 20(4): 1080-3. doi: 10.1111/jocd.13765.
Khalaf AM, Alubied AA, Khalaf AM, Rifaey AA, Alubied A, Rifaey A. The Impact of Social Media on the Mental Health of Adolescents and Young Adults: A Systematic Review. Cureus. 2023 Aug; 15(8). doi: 10.7759/cureus.42990.
Loney T, Standage M, Lewis S. Not Just Skin Deep: Psychosocial Effects of Dermatological-Related Social Anxiety in a Sample of Acne Patients. Journal of Health Psychology. 2008 Jan; 13(1): 47-54. doi: 10.1177/1359105307084311.
Li M, Li M, Wei J, Zhou L, Zhu Y, Yang K et al. The Psychological Journey of Patients with Atrophic Acne Scarring: A Qualitative Study Based on Uncertainty in Illness Theory. Clinical, Cosmetic and Investigational Dermatology. 2025 Dec: 3223-38. doi: 10.2147/CCID.S545766.
Zaenglein AL, Pathy AL, Schlosser BJ, Alikhan A, Baldwin HE, Berson DS et al. Guidelines of Care for the Management of Acne Vulgaris. Journal of the American Academy of Dermatology. 2016 May; 74(5): 945-73. doi: 10.1016/j.jaad.2015.12.037.
El‐Hamd MA, Nada EE, Moustafa MA, Mahboob‐Allah RA. Prevalence of Acne Vulgaris and Its Impact on the Quality of Life Among Secondary School‐Aged Adolescents in Sohag Province, Upper Egypt. Journal of Cosmetic Dermatology. 2017 Sep; 16(3): 370-3.doi: 10.1111/jocd.12328.
Rashid S, Jamil Z, Azeem S, Afzal N. Living with Acne: A Patient-Centered Study on Myths, Beliefs, and Perceptions. Journal of Pakistan Association of Dermatologists. 2023 Oct; 33(4): 1314-24.
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