Rieder Evan A, Andriessen Anneke, Cutler Vanessa, Gonzalez Mercedes E, Greenberg Jennifer L, Lio Peter, Love Elyse M, Park Joyce H, Andriessen Hinke, Phillips Katharine A
J Drugs Dermatol. 2023 Aug 1;22(8):817-825. doi: 10.36849/jdd.7596.
The contribution of psychological disorders to the burden of skin disease has been poorly explored in adolescent patients. The review aims to provide insights into the psychological, social, occupational, and social medias' association with acne, atopic dermatitis (AD), and aesthetics in adolescent patients.
The project used a modified Delphi process comprising face-to-face discussions followed up online. The systematic literature search results informed the 14 draft statements. During an expert panel meeting, the draft statements underwent the panel's evaluation at a workshop, followed by a plenary discussion adopting five statements using evidence from the literature coupled with the panel's opinions and experiences. Results: Studies reported an association between poor sleep, social impairment, and mental health disorders, including body dysmorphic disorder (BDD) with acne or AD in adolescents with acne or AD. Education for patients and parents may improve self-management skills and self-responsibility, promoting better outcomes for acne and AD. The use of certain types of social media can contribute to unrealistic expectations regarding the outcomes of cosmetic procedures. Social media use may also be associated with, and potentially contribute to unrealistic appearance expectations and certain mental health conditions. However, social media use may have benefits, such as connection, diversity, social support, increased self-esteem, safe identity experimentation, and an increased opportunity for self-disclosure. Conclusions: The association with negative life events, BDD, suicidal ideation, depression, and anxiety are thought to be high for adolescent patients with acne or AD. Using social media for information has both positive and negative aspects. Awareness of the risks and benefits of receiving health information about dermatological disease among adolescents needs to be improved through the education of patients and clinicians. Action-oriented items need to be developed to help dermatologists address these issues in clinical practice.Rieder EA, Andriessen A, Cutler V, et al. Dermatology in contemporary times: building awareness of social media's association with adolescent skin disease and mental health. J Drugs Dermatol. 2023;22(8):817-825. doi:10.36849/JDD.7596.
心理障碍对青少年皮肤病负担的影响尚未得到充分研究。本综述旨在深入探讨青少年患者心理、社会、职业及社交媒体与痤疮、特应性皮炎（AD）及美容的关联。
该项目采用了改良的德尔菲法，包括面对面讨论及后续在线跟进。系统文献检索结果为14条陈述草案提供了依据。在专家小组会议上，陈述草案在研讨会上接受小组评估，随后进行全体讨论，采用了五条结合文献证据、小组意见和经验的陈述。
研究报告称，睡眠不佳、社交障碍和心理健康障碍（包括身体变形障碍[BDD]）与患有痤疮或AD的青少年的痤疮或AD之间存在关联。对患者和家长的教育可能会提高自我管理技能和自我责任感，促进痤疮和AD的更好治疗效果。某些类型社交媒体的使用可能会导致对美容手术结果产生不切实际的期望。社交媒体的使用也可能与不切实际的外表期望和某些心理健康状况相关，并可能导致这些状况。然而，社交媒体的使用可能有好处，比如建立联系、多样性、社会支持、增强自尊、安全的身份探索以及增加自我表露的机会。
对于患有痤疮或AD的青少年患者，与负面生活事件、BDD、自杀意念、抑郁和焦虑的关联被认为较高。利用社交媒体获取信息有积极和消极两个方面。需要通过对患者和临床医生的教育来提高青少年对获取皮肤病健康信息的风险和益处的认识。需要制定以行动为导向的项目，以帮助皮肤科医生在临床实践中解决这些问题。
里德EA、安德里森A、卡特勒V等。当代皮肤病学：增强对社交媒体与青少年皮肤病和心理健康关联的认识。《药物皮肤病学杂志》。2023；22(8)：817 - 825。doi:10.36849/JDD.7596。
