Department of Psychiatry, The Oxford Medical College, Hospital and Research Center, Bangalore, India.
Department of Dermatology, The Oxford Medical College, Hospital and Research Center, Bangalore, India.
Asia Pac Psychiatry. 2019 Mar;11(1):e12340. doi: 10.1111/appy.12340. Epub 2018 Nov 8.
Possibility of a causal influence of emotional stress, on the course of various skin diseases, has been postulated. However, it is still inconclusive about the role of stressful life events in acne. In this background, the present study was carried out to know its role in acne.
Consecutive one hundred patients who were diagnosed with acne vulgaris in the age group of 12 to 45 years were included. Age and sex matched controls were taken. A semistructured proforma was used to collect sociodemographic details. Stressful life events were assessed using presumptive stressful life event scale. Anxiety was evaluated using Hamilton Anxiety Rating scale and Depression by Hamilton Depression Rating Scale.
There was no difference in total stressful life events in past one year between patients and controls. The undesirable life event was present in 65 patients and 50 controls, this difference was statistically significant. Getting married or appearing for exams were the most common stressful life event in patients. Forty patients had comorbid psychiatric illness whereas in controls comorbidity was in 24 and this difference was statistically significant.
The undesirable stressful life events and psychiatric comorbidity were more in acne patients than in controls.
情绪压力对各种皮肤疾病的影响的可能性已经被假设。然而，关于生活应激事件在痤疮中的作用仍然没有定论。在此背景下，本研究旨在探讨其在痤疮中的作用。
纳入了 12 至 45 岁年龄组被诊断为寻常痤疮的连续 100 例患者，并选择年龄和性别相匹配的对照组。使用半结构式问卷收集社会人口统计学资料。使用假设性生活应激量表评估生活应激事件。使用汉密尔顿焦虑量表评估焦虑，使用汉密尔顿抑郁量表评估抑郁。
患者和对照组在过去一年中的总生活应激事件无差异。在 65 例患者和 50 例对照组中存在不良生活事件，差异具有统计学意义。结婚或参加考试是患者中最常见的生活应激事件。40 例患者合并有精神疾病，而对照组中合并有 24 例，差异具有统计学意义。
不良的生活应激事件和精神疾病合并症在痤疮患者中比在对照组中更为常见。
