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痤疮青年成年人的疾病接纳情况:一项横断面研究。

Illness acceptance among young adults with acne: a cross-sectional study.

作者信息

Bień Beata, Krajewski Piotr, Szepietowski Jacek Cezary

机构信息

Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland.

出版信息

Postepy Dermatol Alergol. 2024 Oct;41(5):530-535. doi: 10.5114/ada.2024.142580. Epub 2024 Aug 10.

Abstract

INTRODUCTION

The level of acceptance of acne can have a substantial impact on improving patients' mood and quality of life.

AIM

To investigate the level of acne vulgaris acceptance among young patients and its correlation with disease severity, quality of life, and feelings of stigmatization.

MATERIAL AND METHODS

The study was conducted on 213 young individuals diagnosed with acne. A variety of questionnaires were employed to measure the psychological aspects of the condition, including illness acceptance, quality of life, and feeling of stigmatization.

RESULTS

Based on the Global Evaluation Acne (GEA) scale, 45% of participants had mild acne, 31.7% had minimal acne, and 23.3% had moderate acne. The Acceptance of Illness Scale (AIS) scores ranged from 13 to 40, with a mean of 37.0 ±5.2 points. Males had higher illness acceptance (mean score: 37.7 vs. 36.5 points; = 0.027). Most participants (87.6%) had high illness acceptance. The greatest challenge was adjusting to disease limitations. A significant negative correlation was found between acne severity and illness acceptance ( = -0.277 < 0.001), between AIS scores and both QoL impairment (measured by the Dermatology Life Quality Index (DLQI) and the Cardiff Acne Disability Index (CADI)) ( = -0.499 and = -0.621, respectively; < 0.001 for both) as well as between AIS scores and the 6-Item Stigmatization Scale (6-ISS) ( = -0.621, < 0.001).

CONCLUSIONS

The level of acne acceptance depends on gender and the severity of acne lesions. Based on the study results, we hypothesize that an intervention aimed at increasing the level of disease acceptance could improve patients' psychological well-being and ability to cope with the condition.

摘要

引言

痤疮的接受程度对改善患者情绪和生活质量有重大影响。

目的

调查年轻患者对寻常痤疮的接受程度及其与疾病严重程度、生活质量和耻辱感的相关性。

材料与方法

对213名诊断为痤疮的年轻个体进行了研究。使用了多种问卷来测量该疾病的心理方面,包括疾病接受度、生活质量和耻辱感。

结果

根据全球痤疮评估(GEA)量表,45%的参与者患有轻度痤疮,31.7%患有极轻度痤疮,23.3%患有中度痤疮。疾病接受度量表(AIS)得分在13至40分之间,平均为37.0±5.2分。男性的疾病接受度更高(平均得分:37.7分对36.5分;P = 0.027)。大多数参与者(87.6%)具有较高的疾病接受度。最大的挑战是适应疾病限制。痤疮严重程度与疾病接受度之间存在显著负相关(r = -0.277,P < 0.001),AIS得分与生活质量损害(通过皮肤病生活质量指数(DLQI)和加的夫痤疮残疾指数(CADI)测量)之间存在显著负相关(分别为r = -0.499和r = -0.621;两者P均< 0.001),以及AIS得分与6项耻辱感量表(6-ISS)之间存在显著负相关(r = -0.621,P < 0.001)。

结论

痤疮的接受程度取决于性别和痤疮皮损的严重程度。根据研究结果,我们假设旨在提高疾病接受程度的干预措施可以改善患者的心理健康和应对疾病的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6a/11589631/9df7498a73c9/PDIA-41-54675-g001.jpg

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