Clinic of Dermatology, Adıyaman Training and Research Hospital, Adıyaman, Turkey.
J Cosmet Dermatol. 2022 Feb;21(2):836-843. doi: 10.1111/jocd.14151. Epub 2021 Apr 26.
Dermatological diseases, including acne vulgaris, have significant psychosocial effects on patients.
To compare body satisfaction, self-esteem, and quality of life (QoL) in adolescents and adults with acne.
A total of 192 acne patients (132 female, 60 male; aged 19.42 ± 3.50 years) were included in the study. Global Acne Grading System, Rosenberg Self-Esteem Scale (RSES), Turkish Acne Quality of Life Index (TAQoLI), and Body Cathexis Scale (BCS) were used. The patients were divided into two groups: under 20 years old (adolescents) and 20 years and above (adults).
The mean RSES score was found as 19.49 ± 5.11, the mean BCS score was 143.95 ± 20.92 and the mean TAQoLI score was 23.44 ± 10.02. There was no difference between adolescents and adults in terms of the mean value of the RSES score, TAQoLI score, and BCS score (p > 0.05). But, the proportion of those whose RSES score is below 15 is higher in patients under 20 years of age (28%) than patients aged 20 and over (14%) (p < 0.05). Linear regression analysis revealed that the most important determinant of body satisfaction was self-esteem (β = 0.287, p < 0.05), the most important determinants of self-esteem were body satisfaction (β = 0.208, p < 0.05), QoL (β = -0.398, p < 0.001), and education level (β = 0.245, p = 0.007) and, one of the most important determinant of QoL was self-esteem (β = -0.403, p < 0.001).
This study demonstrates that acne vulgaris negatively affects an individual's body satisfaction, self-esteem, and QoL. The psychosocial burden of acne is as significant for adults as for adolescents. Body satisfaction, self-esteem, and QoL are in interaction with each other.
皮肤病，包括寻常痤疮，对患者有显著的心理社会影响。
比较青少年和成人痤疮患者的身体满意度、自尊和生活质量（QoL）。
共纳入 192 例痤疮患者（132 例女性，60 例男性；年龄 19.42±3.50 岁）。采用痤疮整体分级系统、罗森伯格自尊量表（RSES）、土耳其痤疮生活质量指数（TAQoLI）和身体自我意识量表（BCS）进行评估。患者分为两组：20 岁以下（青少年）和 20 岁及以上（成人）。
RSES 评分的平均值为 19.49±5.11，BCS 评分的平均值为 143.95±20.92，TAQoLI 评分的平均值为 23.44±10.02。青少年和成人的 RSES 评分、TAQoLI 评分和 BCS 评分的平均值无差异（p＞0.05）。但是，20 岁以下患者的 RSES 评分＜15 的比例（28%）高于 20 岁及以上患者（14%）（p＜0.05）。线性回归分析显示，身体满意度是决定身体满意度的最重要因素（β=0.287，p＜0.05），自尊的最重要决定因素是身体满意度（β=0.208，p＜0.05）、QoL（β=-0.398，p＜0.001）和教育程度（β=0.245，p=0.007），而 QoL 的最重要决定因素之一是自尊（β=-0.403，p＜0.001）。
本研究表明，寻常痤疮会对个体的身体满意度、自尊和 QoL 产生负面影响。痤疮对成年人和青少年的心理社会负担同样严重。身体满意度、自尊和 QoL 相互作用。
