Skip to main content
Log in

Psychosocial Effects of Acne

  • Published:
Journal of Cutaneous Medicine and Surgery

Abstract

This article discusses the psychological effect of acne vulgaris. It is shown that acne has significant effect on self-image and impacts quality of life. The impact of acne may be equivalent to that of asthma or epilepsy. Anxiety and depression and a reduction in social functioning are a consequence of this condition. Effective treatment results in improvement of quality-of-life measurement. Most of the data is gathered from case control studies. Further work, particularly prospective longitudinal cohort studies, needs to be performed to validate the impact of acne on quality of life. Acne severity grading should incorporate life quality scores to better establish the true impact of this condition on our patients in order to optimize therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

References

  1. A Picardi D Abeni CF Melchi et al. (2000) ArticleTitlePsychiatric morbidity in dermatological outpatients: an issue to be recognized Br J Dermatol 143 983–991 Occurrence Handle10.1046/j.1365-2133.2000.03831.x Occurrence Handle11069507 Occurrence Handle1:STN:280:DC%2BD3M%2FltFWqsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  2. D Harlow T Poyner AY Finlay et al. (2000) ArticleTitleImpaired quality of life in adults with skin disease in primary care Br J Dermatol 143 979–982 Occurrence Handle10.1046/j.1365-2133.2000.03830.x Occurrence Handle11069506 Occurrence Handle1:STN:280:DC%2BD3M%2FltFWqsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  3. S Jowett T. Ryan (1985) ArticleTitleSkin disease and handicap: analysis of the impact of skin conditions Soc Sci Med 20 425–429 Occurrence Handle10.1016/0277-9536(85)90021-8 Occurrence Handle3158080 Occurrence Handle1:STN:280:BiqC1M3mtVw%3D

    Article  PubMed  CAS  Google Scholar 

  4. S Shuster GH Fisher E Harris et al. (1978) ArticleTitleThe effect of skin disease on self-image Br J Dermatol 99 IssueIDSuppl 16 18–19 Occurrence Handle151549 Occurrence Handle1:STN:280:CSaD387ktVw%3D

    PubMed  CAS  Google Scholar 

  5. RJ Lasek M-M. Chern (1998) ArticleTitleAcne vulgaris and the quality of life of adult dermatology patients Arch Dermatol 134 454–458 Occurrence Handle10.1001/archderm.134.4.454 Occurrence Handle9554297 Occurrence Handle1:STN:280:DyaK1c3ht12mug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. WJ. Cunliffe (1986) ArticleTitleAcne and unemployment Br J Dermatol 115 386 Occurrence Handle2944538 Occurrence Handle1:STN:280:BiiD3c%2FkslY%3D

    PubMed  CAS  Google Scholar 

  7. E Mallon JN Newton A Klassen et al. (1999) ArticleTitleThe quality of life: a comparison with general medical conditions using generic questionnaires Br J Dermatol 149 672–676 Occurrence Handle10.1046/j.1365-2133.1999.02768.x

    Article  Google Scholar 

  8. JYM Koo JH Do CS. Lee (2000) ArticleTitlePsychodermatology J Am Acad Dermatol 43 848–853 Occurrence Handle10.1067/mjd.2000.109274 Occurrence Handle11050592 Occurrence Handle1:STN:280:DC%2BD3M7pt1aguw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  9. U Gieler J Kupfer V Niemeier et al. (2003) ArticleTitlePsyche and the skin: What’s new? J Eur Acad Dermatol Venereol 17 128–130 Occurrence Handle10.1046/j.1468-3083.2003.00618.x Occurrence Handle12705740 Occurrence Handle1:STN:280:DC%2BD3s7os1GqtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  10. J Koo L. Smith (1991) ArticleTitlePsychologic aspects of acne Pediatr Dermatol 8 185–188 Occurrence Handle1836060 Occurrence Handle1:STN:280:By2D1c%2FksVQ%3D

    PubMed  CAS  Google Scholar 

  11. SF Wu BN Kinder TN Trunnell et al. (1998) ArticleTitleRole of anxiety and anger in acne patients: a relationship with the severity of the disorder J Am Acad Dermatol 18 325–333 Occurrence Handle10.1016/S0190-9622(88)70047-X Occurrence Handle1:CAS:528:DyaK1MXhvVWmtbc%3D

    Article  CAS  Google Scholar 

  12. S Aktan E Ozmen B. Sanil (2000) ArticleTitleAnxiety, depression, and the nature of acne vulgaris in adolescents Int J Dermatol 39 354–357 Occurrence Handle10.1046/j.1365-4362.2000.00907.x Occurrence Handle10849125 Occurrence Handle1:STN:280:DC%2BD3czgslOgtg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. MA Gupta AK. Gupta (1998) ArticleTitleDepression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis Br J Dermatol 139 846–850 Occurrence Handle10.1046/j.1365-2133.1998.02511.x Occurrence Handle9892952 Occurrence Handle1:STN:280:DyaK1M7htFemsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. AY. Finlay (1997) ArticleTitleQuality of life measurement in dermatology: a practical guide Br J Dermatol 136 305–314 Occurrence Handle10.1046/j.1365-2133.1997.5541510.x Occurrence Handle9115906 Occurrence Handle1:STN:280:ByiB2cjjtFw%3D

    Article  PubMed  CAS  Google Scholar 

  15. AY Finlay GK Khan MS. Luscombe-Salek (1990) ArticleTitleValidation of Sickness Impact Profile and Psoriasis Disability Index in psoriasis Br J Dermatol 123 751–756 Occurrence Handle2265090 Occurrence Handle1:STN:280:By6D1M7hvVc%3D

    PubMed  CAS  Google Scholar 

  16. KE McKeena RS. Stern (1996) ArticleTitleThe outcomes movement and new measures of the severity of psoriasis J Am Acad Dermatol 34 534–538 Occurrence Handle10.1016/S0190-9622(96)90469-7 Occurrence Handle8609278

    Article  PubMed  Google Scholar 

  17. AY Finlay GK. Kahn (1994) ArticleTitleDermatology Life Quality Index-a simple practical measure for routine clinical use Clin Exp Dermatol 19 210–216 Occurrence Handle8033378 Occurrence Handle1:STN:280:ByuA3cnntVI%3D

    PubMed  CAS  Google Scholar 

  18. AY Finlay MS Lewis-Jones JL Sharp et al. (1998) ArticleTitleChildren’s Dermatology Life Quality of Life Index: cartoon version validation Br J Dermatol 139 IssueIDSuppl 51 67–68 Occurrence Handle10.1046/j.1365-2133.1998.02425.x

    Article  Google Scholar 

  19. M-M Chren RJ Lasek LM Quinn et al. (1996) ArticleTitleSkindex, a quality of life measure for patients with skin disease. Reliability, validity, and responsiveness Invest Dermatol 107 707–713 Occurrence Handle10.1111/1523-1747.ep12365600 Occurrence Handle1:STN:280:ByiD38bpvVQ%3D

    Article  CAS  Google Scholar 

  20. RT Anderson R. Rajagopalan (1997) ArticleTitleDevelopment and validation of a quality of life instrument for cutaneous disease J Am Acad Dermatol 37 41–50 Occurrence Handle9216522 Occurrence Handle1:STN:280:ByiA2MbmtVI%3D

    PubMed  CAS  Google Scholar 

  21. MA Gupta AM Johnson AK. Gupta (1998) ArticleTitleThe development of an Acne Qualoty of Life Scale: reliability, validity, and relation to subjective acne severity in mild to moderate acne vulgaris Acta Derm Venereol 78 451–456 Occurrence Handle10.1080/000155598442773 Occurrence Handle9833047 Occurrence Handle1:STN:280:DyaK1M%2FltVansw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  22. JN Newton E Mallon A Klassen et al. (1997) ArticleTitleThe effectiveness of acne treatment: an assessment by patients of the outcome of therapy Br J Dermatol 137 563–567 Occurrence Handle9390332 Occurrence Handle1:STN:280:DyaK1c%2Flt1Sgtg%3D%3D

    PubMed  CAS  Google Scholar 

  23. DR Rubinow GL Peck KM Squillace et al. (1987) ArticleTitleReduced anxiety and depression in cystic acne patients after successful treatment with oral isotretinoin J Am Acad Dermatol 17 25–32 Occurrence Handle2956296 Occurrence Handle1:STN:280:BiiB1c%2FptVI%3D Occurrence Handle10.1016/S0190-9622(87)70166-2

    Article  PubMed  CAS  Google Scholar 

  24. SC Kellett DJ. Gawkrodger (1999) ArticleTitleThe psychological and emotional impact of acne and the effect of treatment with isotretinoin Br J Dermatol 140 273–282 Occurrence Handle10.1046/j.1365-2133.1999.02662.x Occurrence Handle10233222 Occurrence Handle1:STN:280:DyaK1M3kvF2msg%3D%3D

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. R. Thomas.

About this article

Cite this article

Thomas, D.R. Psychosocial Effects of Acne. J Cutan Med Surg 8 (Suppl 4), 3–5 (2004). https://doi.org/10.1007/s10227-004-0752-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10227-004-0752-x

Keywords

Navigation