Tan Jerry, Beissert Stefan, Cook-Bolden Fran, Chavda Rajeev, Harper Julie, Hebert Adelaide, Lain Edward, Layton Alison, Rocha Marco, Weiss Jonathan, Dréno Brigitte
Western University Canada, Schulich School of Medicine and Dentistry, Ontario, Canada.
Department of Dermatology, University Hospital Carl Gustav Carus, Dresden, Germany.
JAAD Int. 2021 Dec 23;6:43-50. doi: 10.1016/j.jdin.2021.11.006. eCollection 2022 Mar.
Most people with acne are at risk of developing acne scars, but the impact of these scars on patients' quality of life is poorly researched.
To assess the perspective of patients with acne scars and the impact of these scars on their emotional well-being and social functioning.
A 60-minute interview of 30 adults with acne scars informed and contextualized the development of a cross-sectional survey of 723 adults with atrophic acne scars.
The main themes identified in the qualitative interviews included acceptability to self and others, social functioning, and emotional well-being. In the cross-sectional survey, 31.6%, 49.6%, and 18.8% of the participants had mild, moderate, and severe/very severe acne scarring. The survey revealed that 25.7% of the participants felt less attractive, 27.5% were embarrassed or self-conscious because of their scars, 8.3% reported being verbally and/or physically abused because of their scars on a regular basis, and 15.9% felt that they were unfairly dismissed from work. In addition, 37.5% of the participants believed that their scars affected people's perceptions about them, and 19.7% of the participants were very bothered about hiding their scars daily. Moreover, 35.5% of the participants avoided public appearances, and 43.2% felt that their scars had negatively impacted their relationships.
The temporal evaluation of the impact was not estimated.
Even mild atrophic acne scarring can evoke substantial emotional, social, and functional concerns.
大多数痤疮患者有形成痤疮瘢痕的风险，但这些瘢痕对患者生活质量的影响研究较少。
评估痤疮瘢痕患者的观点以及这些瘢痕对其情绪健康和社交功能的影响。
对30名有痤疮瘢痕的成年人进行60分钟访谈，为对723名有萎缩性痤疮瘢痕的成年人开展的横断面调查提供信息并进行背景描述。
定性访谈中确定的主要主题包括对自我和他人的可接受性、社交功能和情绪健康。在横断面调查中，31.6%、49.6%和18.8%的参与者有轻度、中度和重度/非常严重的痤疮瘢痕。该调查显示，25.7%的参与者觉得自己吸引力下降，27.5%的参与者因瘢痕感到尴尬或自觉难堪，8.3%的参与者报告经常因瘢痕遭受言语和/或身体虐待，15.9%的参与者觉得自己遭到工作单位不公平解雇。此外，37.5%的参与者认为他们的瘢痕影响了人们对他们的看法，19.7%的参与者每天都为隐藏瘢痕而苦恼。而且，35.5%的参与者避免公开露面，43.2%的参与者觉得他们的瘢痕对其人际关系产生了负面影响。
未评估影响的时间性。
即使是轻度萎缩性痤疮瘢痕也会引发大量情绪、社交和功能方面的问题。
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