{"title":"The impact of facial acne scars on quality of life, anxiety, depression and its associated risk factors.","authors":"M M Heah, D W Low, R S Ng, N Mohd Ali, A Jamil","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Acne scars negatively impact psychosocial and emotional wellbeing. However, data on the impact of acne scarring on anxiety and depression as well as quality of life are limited. This study assessed the effects of facial acne scars on quality of life, anxiety, and depression, and identifies risk factors associated with scar severity.</p><p><strong>Materials and methods: </strong>We conducted an observational cross-sectional study between February 2023 and January 2024 at dermatology clinics in two public hospitals. A total of 175 patients with facial acne scars were recruited. Data collection included patient demographics, acne severity, scar severity (SCAR-S) and questionnaires such as Dermatology Life Quality Index (DLQI) and Hospital Anxiety and Depression Scale (HADS). The association between scar severity, quality of life, anxiety, and depression was analyzed using Chi-square tests and ordinal logistic regression.</p><p><strong>Results: </strong>The median age of participants was 26.9 years and 56% were female. Most patients had mild (37.7%) to moderate (28.6%) acne scars. Among patients with severe/very severe scars, 69.2% reported a significant impact on quality of life (DLQI>10). A significant association was observed between scar severity and anxiety (p=0.009) as well as depression (p<0.001). There was a positive correlation between HADS and DLQI scores (r=0.602, p<0.001). Delayed or absent treatment after acne onset was a significant risk factor for acne scar severity.</p><p><strong>Conclusion: </strong>Facial acne scars are associated with impairment in quality of life and increased anxiety and depression. Timely and effective acne treatment is essential to reduce the severity of scarring and its psychosocial burden.</p>","PeriodicalId":39388,"journal":{"name":"Medical Journal of Malaysia","volume":"80 3","pages":"313-320"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Journal of Malaysia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Acne scars negatively impact psychosocial and emotional wellbeing. However, data on the impact of acne scarring on anxiety and depression as well as quality of life are limited. This study assessed the effects of facial acne scars on quality of life, anxiety, and depression, and identifies risk factors associated with scar severity.
Materials and methods: We conducted an observational cross-sectional study between February 2023 and January 2024 at dermatology clinics in two public hospitals. A total of 175 patients with facial acne scars were recruited. Data collection included patient demographics, acne severity, scar severity (SCAR-S) and questionnaires such as Dermatology Life Quality Index (DLQI) and Hospital Anxiety and Depression Scale (HADS). The association between scar severity, quality of life, anxiety, and depression was analyzed using Chi-square tests and ordinal logistic regression.
Results: The median age of participants was 26.9 years and 56% were female. Most patients had mild (37.7%) to moderate (28.6%) acne scars. Among patients with severe/very severe scars, 69.2% reported a significant impact on quality of life (DLQI>10). A significant association was observed between scar severity and anxiety (p=0.009) as well as depression (p<0.001). There was a positive correlation between HADS and DLQI scores (r=0.602, p<0.001). Delayed or absent treatment after acne onset was a significant risk factor for acne scar severity.
Conclusion: Facial acne scars are associated with impairment in quality of life and increased anxiety and depression. Timely and effective acne treatment is essential to reduce the severity of scarring and its psychosocial burden.
期刊介绍：
Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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