Department of Psychology, University of Windsor, ON, Canada.
70384 Windsor Clinical Research Inc., ON, Canada.
J Cutan Med Surg. 2020 May/Jun;24(3):259-266. doi: 10.1177/1203475420907088. Epub 2020 Feb 25.
Acne can adversely impact those affected in multiple dimensions. The purpose of this study was to determine the most prominent impacts identified by acne patients and by clinicians.
Independent Delphi surveys for acne patients and clinicians were conducted to achieve consensus regarding acne impacts within each group. Acne patients were recruited from outpatient clinics of authors (AL, JT, and DT). The first phase involved qualitative responses, where emergent themes were identified and used to generate items for 2 subsequent phases.
The qualitative phase generated 64 items in 3 themes: psychological, sociological, and treatment related. These items were independently ranked in importance by patients and by clinicians. Consensus for importance was achieved for 34 items by patients and 43 by clinicians. Patient-identified highest ranked items were being self-conscious, feeling unattractive, feeling uncomfortable in own skin, unattractive to others, would not want pictures taken, envious of people with clear skin, and time/effort spent concealing scarring; while clinicians identified feeling unattractive.
We identify acne impacts within psychological, sociological, and treatment-related domains by acne patients and clinicians. Further,
痤疮会对患者造成多方面的负面影响。本研究旨在确定痤疮患者和临床医生认为最突出的影响。
对痤疮患者和临床医生进行独立的德尔菲调查，以就每个群体中的痤疮影响达成共识。痤疮患者是从作者（AL、JT 和 DT）的门诊诊所招募的。第一阶段采用定性反应，确定出现的主题，并为后续两个阶段生成项目。
定性阶段产生了 64 个项目，分为 3 个主题：心理、社会学和治疗相关。这些项目由患者和临床医生独立进行重要性排名。患者对 34 个项目和临床医生对 43 个项目达成了重要性共识。患者确定的排名最高的项目是自我意识、不吸引人、对自己的皮肤感到不舒服、对他人没有吸引力、不想拍照、嫉妒皮肤光滑的人、花费时间和精力来掩盖疤痕；而临床医生认为不吸引人。
我们确定了痤疮患者和临床医生在心理、社会学和治疗相关领域的痤疮影响。此外，
