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Background: The relationship between acne and psychological well-being has been a subject of controversy. There is paucity of data on the role of anger in acne vulgaris. The present study was designed to delineate the relevant psychometric characteristics of acne vulgaris and specifically to shed light on the role of anger in acne vulgaris. Patients and Methods: 31 acne vulgaris patients and 25 controls with healthy skins were recruited in the study. The subjects were assessed by Beck Depression Inventory, State-Trait Anxiety Inventory, Rosenberg Self-Esteem Scale, and Spielberger State-Trait Anger Expression Inventory. Results: The acne group had significantly higher scores on depression and trait anxiety scales and their self-esteem was significantly lower than controls. No significant difference was detected on anger-related subscales between the acne and control groups. Conclusions: Our data indicate that acne has a serious impact on the patients’ lives. We also conclude that no association exists between anger and acne vulgaris.

In a Turkish sample, 100 suicide attempters, were compared with 60 healthy controls on measures of hopelessness, depression, and suicidal ideation. Suicide attempters were more depressive, more hopeless, and displayed greater suicidal ideation than healthy controls. Depression severity rather than hopelessness correlated with suicidal intent. Suicide lethality was independent of depression severity, hopelessness, and suicidal ideation and intent, suggesting that lethality is likely due to chance.

Anger attacks have been described as sudden spells of anger accompanied by symptoms of autonomic activation and have been experienced by patients as uncharacteristic of them and inappropriate to the situations in which they had occurred. The aim of this study was to assess the prevalence of anger attacks in a non-Western depressed population. We also wanted to see whether depression in patients with anger attacks was qualitatively different from depression without anger attacks. The Anger Attacks Questionnaire, designed by Fava et al. to assess these attacks, was administered to 88 medication-free consecutive outpatients diagnosed as major depression according to DSM-IV criteria by two psychiatrists. The patients also were assessed by the Beck Depression Inventory, the Beck Anxiety Inventory, the Beck Hopelessness Scale, and the Spielberger's State-Trait Anger Expression Inventory. Forty-three (49%) of these patients had reported having anger attacks. The patients with anger attacks were significantly more depressed and anxious than patients without anger attacks. Anger-out and trait anger measures were significantly higher in depressed patients with anger attacks than patients without anger attacks. Patients with anger attacks also scored higher in hopelessness measure and there was a trend toward statistical significance. Our results are in line with previous literature which show, that anger attacks are prevalent in depressed patients. We also conclude that patients with anger attacks constitute a more depressed population than those without anger attacks. Severity of depression emerges as the strongest predictor of the presence of anger attacks in our study.

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