Evaluation Of Depression, Self-Esteem, Anxiety And Dermatological Quality Of Life Index In Adolescent Acne Patients: A case-control study

Abstract

Abstract Background/ objective: Acne vulgaris is commonly seen in adolescents. It could affect the psychology of the patients. In this study, we aimed to evaluate the depression, self-esteem, anxiety, and dermatological quality of life indexes of adolescent patients with AV. Method: One hundred and sixty patients, aged between 10 and 19 years, with AV; and 100 healthy controls were included in the study. Acne severities of the patients were evaluated via the Global acne grading system by dermatologists. Reynolds adolescents depression scale, Beck adolescents anxiety scale, Coopersmith self-esteem investigatory Scale, and children life quality index were completed by participants. Results: The RADS and BAAS scores of the study group were significantly higher than controls (respectively; 27.5% & %12.5%, p=0.003, 80% & 64% p=0.001). The percentage of patients with CSES scores below 20 in the study group was significantly higher than in the control group (p=0.001) The higher RADS and BAAS scores were associated with the higher CDLQI score ( p=0.001, p=0.001; respectively). The higher CSES scores were associated with lower CDLQI scores (p=0.001). Conclusion: Acne vulgaris affects the prevalence of depression, anxiety, and lower self-esteem in adolescent patients. Dermatologists should assess the psychology of the patients and if necessary, psychiatric evaluation should be provided.