Acne-related quality of life and mental health among adolescents: a cross-sectional analysis.

IF 3.7 4区医学 Q1 DERMATOLOGY

Clinical and Experimental Dermatology Pub Date : 2025-03-26 DOI:10.1093/ced/llae453

Shireen Dumont, Elsa Lorthe, Andrea Loizeau, Viviane Richard, Mayssam Nehme, Klara M Posfay-Barbe, Rémy P Barbe, Laurence Toutous Trellu, Silvia Stringhini, Idris Guessous, Roxane Dumont

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引用次数: 0

Abstract

Background: Acne vulgaris is one of the most common skin conditions worldwide among adolescents. Beyond its physical manifestations, acne can leave invisible psychological scars.

Objectives: We aimed to examine the protective and risk factors of acne-related quality of life and its association with mental health outcomes.

Methods: The analysis included data collected in 2023 from adolescents enrolled in the SEROCoV-KIDS population-based cohort. By combining the Acne Severity and Acne-Specific Quality of Life (Acne-QoL) scales, the following three groups were established: Acne-LowAQoL (adolescents with acne and low acne-related quality of life), Acne-HighAQoL and NoAcne-HighAQoL. We used multinomial and logistic regression to assess the association between health behaviours and mental health outcomes in these groups.

Results: Among 335 adolescents [mean age 16.1 years (SD 1.8), 56% female sex], 65 (19.4%) reported experiencing acne while maintaining a high Acne-QoL, 26 (7.7%) reported having acne and a low Acne-QoL, and 244 (72.9%) reported having nearly no acne. Low engagement in physical activity [adjusted odds ratio (aOR) 0.30, 95% confidence interval (CI) 0.12-0.77], addictive use of social media (aOR 3.78, 95% CI 1.60-8.96), and prolonged screen time (aOR 2.99, 95% CI 1.26-7.08) were independently associated with Acne-LowAQoL. Conversely, those from the group, Acne-HighAQoL, reported higher social support (aOR 1.95, 95% CI 1.07-3.54). Adolescents with Acne-LowAQoL showed lower levels of self-esteem, resilience and increased psychological distress.

Conclusions: Among adolescents with acne, physical activity and social support were positively associated with good acne-related quality of life, which translated into better mental health. In contrast, screen time and social media use notably worsened mental health. Dermatologists should incorporate these considerations into clinical practice to ensure effective patient care.

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青少年与痤疮有关的生活质量和心理健康：横断面分析

背景：寻常痤疮是全球青少年中最常见的皮肤病之一。除了身体上的表现外，痤疮还会在心理上留下无形的伤疤：我们旨在研究与痤疮相关的生活质量的保护因素和风险因素及其与心理健康结果的关联：分析包括 2023 年收集的 SEROCoV-KIDS 群体队列中青少年的数据。结合痤疮严重程度量表和痤疮生活质量（Acne-QoL）量表，确定了三个组别：痤疮-低生活质量量表组（患有痤疮且痤疮相关生活质量较低的青少年）、痤疮-高生活质量量表组和无痤疮-高生活质量量表组。我们使用多项式回归和逻辑回归来评估健康行为、这些组别和心理健康结果之间的关联：在 335 名青少年（平均年龄 16.1 岁 [标码 1.8]，56% 为女性）中，有 65 人（19.4%）表示在长痤疮的同时保持较高的痤疮生活质量水平，26 人（7.7%）表示在长痤疮的同时保持较低的痤疮生活质量水平，244 人（72.9%）表示几乎没有长过痤疮。很少参加体育锻炼（aOR：0.30，95%CI：0.12-0.77）、沉迷于使用社交媒体（aOR：3.78，95%CI：1.60-8.96）和长时间使用屏幕（aOR：2.99，95%CI：1.26-7.08）与痤疮-低痤疮生活质量相关。相反，痤疮-高AQoL组的青少年则获得了更多的社会支持（aOR：1.95，95%CI：1.07-3.54）。痤疮-低AQoL组青少年的自尊心和抗压能力较低，心理压力也有所增加：在患有痤疮的青少年中，体育锻炼和社会支持与良好的痤疮相关生活质量呈正相关，而良好的痤疮相关生活质量又会带来更好的心理健康。相比之下，屏幕时间和社交媒体的使用则明显降低了生活质量。皮肤科医生应在临床实践中考虑到这些因素，以确保为患者提供有效的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Dermatology 医学-皮肤病学

CiteScore

3.20

自引率

2.40%

发文量

389

审稿时长

3-8 weeks

期刊介绍： Clinical and Experimental Dermatology (CED) is a unique provider of relevant and educational material for practising clinicians and dermatological researchers. We support continuing professional development (CPD) of dermatology specialists to advance the understanding, management and treatment of skin disease in order to improve patient outcomes.