Scars on Body are the Scars on Mind - Anxiety, Depression and Low Self-Esteem in Acne Vulgaris Patients

Abstract

Background: Acne, or acne vulgaris, a chronic inflammatory disorder of the pilosebaceous unit of the skin, can severely affect an individual’s social and psychological functioning, progressing into psychiatric morbidity including anxiety, depression, and decreased self-esteem. The objective of this study was to determine the frequency of Anxiety, Depression and Low Self-esteem in patients with Acne Vulgaris visiting dermatology clinics at tertiary care hospitals in Karachi.

Methods: This cross-sectional study was conducted on 215 patients with acne vulgaris of both genders, > 13 years recruited from Dermatology clinics at two tertiary care hospitals in Karachi, from July 2011-February 2012. Anxiety, depression and self-esteem were evaluated using, Anxiety and Depression Scale (HADS) and Rosenberg self-esteem scale (RSES). The severity of acne was assessed by three grades (Mild, Moderate and Severe) according to American academy of dermatology. Data was analyzed using SPSS and a p-value of < 0.05 was considered statistically significant.

Results: Out of 215 patients (113 males, 102 females), 107 participants were from private hospital and 108 from public hospital. Patients with mild, moderate and severe acne were 41.4%, 42.8% and 15.8% respectively. Similarly, anxious, depressed and low self-esteem was found 67%, 40% and 69.3% respectively. Most acne patients were young adults (61.4%) between 19-24 years, followed by adolescents (20.9%). between 13-18 years of age.

Conclusion: Overall the patients with moderate acne were found with highest anxiety, depression and low self-esteem, but the results were not significant. The physicians should treat acne with early intervention and holistic management.

Keywords: Acne Vulgaris; Depression; Anxiety.