Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Lakehead University, Thunder Bay, Ontario, Canada.
Int J Dermatol. 2021 Jul;60(7):792-798. doi: 10.1111/ijd.15280. Epub 2020 Oct 31.
Affecting approximately 9.4% of the population worldwide, acne vulgaris is a common chronic inflammatory skin disease. Medical students are exposed to higher levels of stress and have a higher prevalence of acne. However, the risk factors and the impact of acne on medical students' mental health remains poorly understood. The aim of this literature review is to: (i) summarize the prevalence and risk factors of acne vulgaris in medical students and (ii) highlight the impact of psychological consequences of acne in medical students. A literature search was conducted using MEDLINE and EMBASE in OVID, using variations in the following search terms: acne vulgaris, medical students, self-esteem, psychology, psychiatry, suicide, suicidal thoughts, self-harm, positive and negative effects, psychological well-being, anxiety, and depression. Studies that stated the prevalence or risk factors of acne vulgaris and/or examined the association between psychosocial effects and acne vulgaris in medical students were included. Eleven cross-sectional studies were included. The prevalence of acne vulgaris in medical students ranged from 34.38% to 97.9% across nine studies. Review of these articles revealed that acne prevalence is associated with stress, gender differences, and lifestyle factors in medical students. Acne had many negative psychological and social impacts on medical students including negative self-image, lower confidence, embarrassment, depression, anxiety, social withdrawal, and impaired social behaviors. Further research on the intersection between acne vulgaris and the mental health of medical students is needed.
痤疮影响全球约 9.4%的人口，是一种常见的慢性炎症性皮肤病。医学生面临更高水平的压力，痤疮发病率也更高。然而，痤疮的风险因素及其对医学生心理健康的影响仍知之甚少。本文献综述的目的是：（i）总结医学生痤疮的患病率和危险因素；（ii）强调痤疮对医学生心理后果的影响。使用 OVID 中的 MEDLINE 和 EMBASE 进行文献检索，使用以下搜索词的变体：寻常痤疮、医学生、自尊、心理学、精神病学、自杀、自杀念头、自残、积极和消极影响、心理健康、焦虑和抑郁。纳入了报告寻常痤疮患病率或危险因素的研究，以及检查医学生痤疮与心理社会影响之间关联的研究。纳入了 11 项横断面研究。9 项研究中，医学生寻常痤疮的患病率从 34.38%到 97.9%不等。这些文章的综述表明，痤疮的患病率与医学生的压力、性别差异和生活方式因素有关。痤疮对医学生的心理健康有许多负面影响，包括自我形象不佳、自信心降低、尴尬、抑郁、焦虑、社交退缩和社交行为受损。需要进一步研究寻常痤疮和医学生心理健康之间的交叉点。
