Acne: What Does Youth Think About It?

Year 2020, Volume: 14 Issue: 1, 66 - 71, 16.03.2020

İlyas Erken Ülkü Yıldız Melike Eskici Gizem Limnili Nilgün Özçakar

https://doi.org/10.21763/tjfmpc.693094

Abstract

Objective: Acne vulgaris, a chronic disorder of pilosebaceous units, is common in adolescents. Early detection and appropriate treatment of acne is essential in the prevention of severe acne and scarring, and the consequent adverse psychosocial disabilities resulting from feelings of embarrassment, frustration and poor self-esteem. Emotional issues in young individuals with acne must be identified appropriately. Material and method: This was a cross-sectional survey involving students applied to a University Medical Center. They were administered a questionnaire including socio-demographical properties, general knowledge about acne and Rosenberg Self-Esteem Scale’s first ten questions. SPSS 15.0 program was used for statistical analysis and p<0.05 was accepted as statistical significant. Results: Two hundred and forty seven students were included and 63.6% (n.157) were women. Mean age was 21.40±2.38. Majority of the students (99.3%) had acne but 41.3% of acne problems had lasted before three months. Acne was defined as an illness by 53.4% of the students and 38.1% visited a doctor for acne treatment. Conclusion: Despite the high prevalence of acne, there is still much deficiency of knowledge and wrong beliefs about acne. This indicates that there is a need for education about etiopathogenesis, potential complications and importance of effective treatment for acne.



Amaç: Akne vulgaris, pilosebase birimlerin ergenlerde yaygın olarak görülen kronik bir hastalığıdır. Aknenin erken tanısı ve uygun tedavisi, şiddetli akne ile yara izi oluşumunun utanç, hayal kırıklığı, düşük benlik saygısı duygularından kaynaklanan, olumsuz psikososyal sorunların önlenmesinde önemlidir. Akneli genç bireylerde, duygusal konular, uygun teşhis edilmelidir. Yöntem: Bu çalışma, bir üniversitenin medikososyal hizmetler birimine başvuran öğrencilerin yer aldığı kesitsel bir çalışmadır. Katılımcılara, sosyodemografik özellikler, akne hakkında genel bilgiler ve Rosenberg Benlik Saygısı Ölçeği ilk on sorusunu içeren bir anket uygulanmıştır. Veri analizinde SPSS 15.0 kullanılmış ve p<0.05 anlamlı kabul edilmiştir. Bulgular: Çalışmaya 247 öğrenci dâhil edilmiş olup % 63,6’sı (n=157) kadındır. Yaş ortalaması 21.40±2.38 (Min=18, Maks=32) olan öğrencilerin çoğunluğunda (%99,3) akne görüldüğü, %41,3’ünde üç aydan az sürdüğü belirtilmiştir. Öğrencilerin %53,4’ü akneyi bir hastalık olarak tanımlamış ve %38,1’i akne tedavisi için doktora başvurmuştur. Sonuç: Üniversite öğrencileri arasında akne görülme sıklığı yüksek olmasına rağmen, akne hakkındaki bilgi düzeyleri düşük bulunmuştur. Konuyla ilgili olarak etiyopatogenez, potansiyel komplikasyonlar ve uygun tedavinin önemi açısından gerekli bilgilendirmenin yarar sağlayabileceği düşünülmektedir.

Keywords

Acne, acne perception, adolescence, university students, self-esteem, Rosenberg Self-Esteem Scale

References

• 1. Dawson AL, Dellavalle RP. Acne vulgaris. BMJ 2013;346:f2634.
• 2. Thiboutot D, Gollnick H, Bettoli V, Dréno B, Kang S, Leyden JJ et al. New insights into the management of acne: an update from the Global Alliance to Improve Outcomes in Acnegroup. J Am Acad Dermatol. 2009 May;60(5 Suppl):1-50.
• 3. Güngör E. Akne. Turk J Dermatol 2012; 6: 138-49.
• 4. Botros PA, Tsai G, Pujalte GGA. Evaluation and Management of Acne. Primary Care: Clinics in Office Practice 2015;42(4):465–471.
• 5. Tan JKL, Vasey K, Fung KY. Beliefs and perceptions of patients with acne. J Am Acad Dermatol 2001;44(3):439-445.
• 6. Uslu G, Sendur N, Uslu M, Savk E, Karaman G, Eskin M. Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey. Journal of the European Academy of Dermatology and Venereology, 2008;22(4):462–469.
• 7. Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: a community-based study. Br J Dermatol 2001; 145(2): 274–279.
• 8. Yahya H. Acne vulgaris in Nigerian adolescents-prevelance, severity, beliefs, perceptions, and practices. Int J Dermatol 2009; 48: 498–505.
• 9. Al Robaee AA. Prevalence, knowledge, beliefs and psychosocial impact of acne in university students in Central Saudi Arabia. Saudi Med J 2005; 26:1958-61.
• 10. Fried RG, Wechsler A. Psychological problems in the acne patient. Dermatologic Therapy 2006;19: 237–240.
• 11. Su P, Chen Wee Aw D, Lee SH, Han Sim Toh MP. Beliefs, perceptions and psychosocial impact of acne amongst Singaporean students in tertiary institutions. J Dtsch Dermatol Ges. 2015;13(3):227-33.
• 12. Aktan Ş, Özmen E, Şanlı B. Anxiety, depression, and nature of acne vulgaris in adolescents. Int J Dermatol 2000;39: 354-7.
• 13. Behnam B, Taheri R, Ghorbani R, Allameh P. Psychological Impairments in the Patients with Acne. Indian Journal of Dermatology 2013; 58(1):26-9.
• 14. Yolaç Yarpuz A, Demirci Saadet E, Erdi Sanli H, Devrimci Ozgüven H. Akne Vulgaris Hastalarında Sosyal Kaygı Düzeyi ve Bunun Klinik Değişkenler İle İlişkisi. Turk Psikiyatri Derg 2008;19(1):29-37.
• 15. Gurel MS, Yanik M, Simsek Z, Kati M, Karaman A. Quality of life instrument for Turkish people with skin diseases. Int J Dermatol 2005;44(11):933-8.
• 16. Hanna S, Sharma J, Klotz J. Acne vulgaris: more than skin deep. Dermatol Online J 2003;9(3):8.
• 17. Williams HC, Dellavalle RP, Garner S. Acne vulgaris. Lancet 2012; 379: 361–72.
• 18. Tan JK, Bhate K. A global perspective on the epidemiology of acne. Br J Dermatol. 2015;172 (1):3-12. doi: 10.1111/bjd.13462.
• 19. Rzany B, Kahl C. Epidemiology of acne vulgaris. JDDG 2006; 4:8–9.
• 20. Magin P, Adams J, Heading G, Pond D, Smith W. The causes of acne: a qualitative study of patient perceptions of acne causation and their implication for acne care. Dermatol Nurs 2006; 18: 344–349.
• 21. Veith WB1, Silverberg NB. The association of acne vulgaris with diet. Cutis 2011 Aug;88(2):84-91.
• 22. Davidovici BB. and Wolf R. The role of diet in acne: facts and controversies, Clin Dermatol 2010;28(1):12-6. doi: 10.1016/j.clindermatol.2009.03.010.
• 23. Yazici K, Baz K, Yazici AE, Kokturk A, Tot S, Demirseren D et al. Disease -specific Quality of life is associated with anxiety and depression in patients with acne. J Eur Acad Dermatol Venereol 2004; 18: 435-9.
• 24. Kaptanoglu AF, Çalısır ZE, Akdur R. Türkiye’deki genç popülasyonda akneye ilişkin inanışlar, algılamalar ve tutumlar. Near East Medical Journal 2011;1(1):7-13.
• 25. Kaymak Y, Ulutaş I, Taner E, Bakir B, Simşek I. Body image satisfaction and anxiety of a Turkish sample of university students with skin diseases. Psychol Rep. 2007;100(2):499-508.
• 26. Shahzad N, Nasir J, Ikram U, Asmaa-ul-Haque, Qadir A, Sohail MA. Frequency and psychosocial impact of acne on university and college students. J Coll Physicians Surg Pak. 2011;21(7):442-3. doi: 07.2011/JCPSP.442443.
• 27. Çelik T, Akman A, Karaman T, Başaran E, Yılmaz E. Alopesi Areata ve Akne Vulgarisin Ruhsal Durum Üzerine Etkileri. Turk J Dermatol 2010; 4: 4-8.
• 28. Magin P, Pond C, Smith W, Goode S. Acne's relationship with psychiatric and psychological morbidity: results of a school-based cohort study of adolescents. J Eur Acad Dermatol Venereol 2010; 24: 58-64.
• 29. Nguyen CM, Beroukhim K, Danesh MJ, Babikian A, Koo J, Leon A. The psychosocial impact of acne, vitiligo, and psoriasis: a review Clinical, Cosmetic and Investigational Dermatology 2016:9 383–392