Murray Craig D, Rhodes Katharine
School of Psychological Sciences, Manchester University, UK.
Br J Health Psychol. 2005 May;10(Pt 2):183-202. doi: 10.1348/135910705X26128.
While mild to severe acne is a common problem in the teenage years, many adults also suffer from the condition. Although there is an appreciable body of dermatological literature on this issue, the psychosocial concomitants of severe, visible adult acne are little elaborated. The aim of this research is to detail the salient experiences of adults with severe visible acne, and to set out the implications of these experiences.
A phenomenological qualitative approach was adopted to elicit detailed accounts of the impact of visible acne upon the lives of a small sample of sufferers.
11 adults suffering from severe visible acne took part in semi-structured interviews via e-mail, over an extended period of time. Transcripts of these interviews served as the data for an interpretative phenomenological analysis.
Five themes emerged, detailing different aspects of respondents' personal and social lives in the context of their acne. These were: powerlessness and the variable nature of acne; comparisons, self-image and identity; the experience of general social interaction; relationships with family and friends; and gender, sexuality, and romantic relationships.
These themes allowed a deeper understanding of issues reported in previous quantitative research in the area, as well as revealing findings that had not been previously reported in relation to the experience of adult acne and its impact upon personal and social relationships. With an acknowledgement of these experiences, personal and professional acquaintances have the potential to improve their interpersonal relationship with the person concerned, and encourage positive changes in their psychological health and social interaction.
虽然轻至重度痤疮在青少年时期是一个常见问题，但许多成年人也患有这种疾病。尽管在皮肤病学领域有大量关于这个问题的文献，但严重的、明显的成人痤疮的心理社会伴随情况却很少被详细阐述。本研究的目的是详细描述患有严重明显痤疮的成年人的突出经历，并阐述这些经历的影响。
采用现象学定性方法，以获取一小部分患者样本中明显痤疮对其生活影响的详细描述。
11名患有严重明显痤疮的成年人在较长一段时间内通过电子邮件参与了半结构化访谈。这些访谈的文字记录作为解释性现象学分析的数据。
出现了五个主题，详细描述了受访者在痤疮背景下个人和社会生活的不同方面。这些主题是：无力感与痤疮的多变性；比较、自我形象和身份认同；一般社交互动的体验；与家人和朋友的关系；以及性别、性取向和恋爱关系。
这些主题有助于更深入地理解该领域先前定量研究中报告的问题，同时揭示了以前未报告的关于成人痤疮经历及其对个人和社会关系影响的发现。认识到这些经历后，个人和专业人士有可能改善与相关人员的人际关系，并鼓励其心理健康和社交互动方面的积极变化。
