Alexithymia in Adolescents with Acne: Association with Quality of Life Impairment and Stigmatization

Szepietowska, Marta; Dąbrowska, Alicja; Nowak, Beata; Skinderowicz, Katarzyna; Wilczyński, Bartosz; Krajewski, Piotr; Jankowska‐Konsur, Alina

doi:10.3390/jcm11030732

Cited by 8 publications

(9 citation statements)

References 55 publications

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“…Several studies demonstrated an increased prevalence of alexithymia in common dermatological disorders, including psoriasis, acne, hidradenitis suppurativa, pruritus and others [6,[13][14][15]39]. Some of them, as acne for example, affect mainly adolescents [40]. Therefore, taking into consideration that alexithymia may have a negative impact on the final result of the therapeutic process of many conditions [18], the knowledge of prevalence and gender differences of alexithymia in selected populations might be of value.…”

Section: Discussionmentioning

confidence: 99%

Alexithymia in adolescents in Poland: an important issue in the holistic approach to patients’ care

Szepietowska¹,

Nowak²,

Dąbrowska³

et al. 2023

pdia

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Introduction: Alexithymia is defined as a disturbed ability to identify and verbally express emotions with a limited imaginative capacity as well as externally oriented thinking. The literature on alexithymia is limited and scarce research concentrated on alexithymia in different gender groups. Aim: As alexithymia may influence the therapeutic outcome, the objective of the study was to assess the prevalence of alexithymia in adolescents in Poland, paying special attention to gender differences. Material and methods: This cross-sectional study was run on a group of 730 high school students in Poland. The mean age of this group was 17.05 ±1.18 years (age range: 15-19 years). Alexithymia was assessed with Toronto Alexithymia Scale (TAS-20). Results: Alexithymia was found in 31.0% of adolescents. 56.0% of subjects presented with signs of at least intermediate (borderline) alexithymia. Significantly more females than males suffered from alexithymia (37.0% and 20.8%, respectively; p < 0.001). TAS-20 scores were also significantly higher in females than males (55.59 ±12.32 points and 49.40 ±12.00, respectively; p < 0.001). The same phenomenon was observed for the following domains of alexithymia: difficulty in identifying feelings (DIF) and difficulty in describing feelings (DDF). However, there was no difference in gender distribution in the externally oriented thinking (EOT) domain. Conclusions: Alexithymia was shown to be common among adolescents in our country. More females than males suffer from this condition. This seems to be of importance in the holistic approach to patients' care.

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Section: Discussionmentioning

confidence: 99%

Alexithymia in adolescents in Poland: an important issue in the holistic approach to patients’ care

Szepietowska¹,

Nowak²,

Dąbrowska³

et al. 2023

pdia

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“…Acne is regarded as one of the most common reasons for visiting the [ 25 ] doctor. The disease has a profound negative influence on patients’ well-being [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. Therefore, the European Dermatology Forum S3-Guideline for the Treatment of Acne strongly recommends consideration of health-related QoL in acne patients as routine daily measurement as well as the assessment of treatment effectiveness [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…The most common location of acne is the face; however, the lesions frequently appear on the chest and upper back [ 1 ]. Although acne is not a life-treating condition, independently of its clinical severity, it heavily influences patients’ psychosocial status [ 5 , 6 , 7 , 8 , 9 ]. Acne patients have been demonstrated to have significantly lower quality of life (QoL) [ 9 , 10 ] and a higher level of stigmatization [ 9 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Females May Have Less Severe Acne, but They Suffer More: A Prospective Cross-Sectional Study on Psychosocial Consequences in 104 Consecutive Polish Acne Patients

Szepietowska,

Stefaniak,

Krajewski

et al. 2023

JCM

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Acne is a common skin condition affecting both adolescents and adults, and it can profoundly impact patients’ quality of life and mental well-being. This prospective cross-sectional study aims to explore the differences in psychosocial aspects between male and female acne patients in Poland. A total of 104 consecutive acne patients were included in this study. Clinical severity, patients’ quality of life, stigmatization levels, and psychiatric disturbances were evaluated using the following instruments: Investigator Global Assessment (IGA), Dermatology Life Quality Index (DLQI), Cardiff Acne Disability Index (CADI), 6-Item Stigmatization Scale (6-ISS), and Hospital Anxiety and Depression Scale (HADS). This study found that female patients exhibited significantly less severe acne and experienced significantly decreased quality of life and increased levels of stigmatization. Furthermore, anxiety levels among female patients exceeded those observed in their male counterparts. Notably, no disparities in the severity of depression were observed between the two gender groups. Correlations were discerned among all psychosocial parameters in the entire study cohort and in the female subgroup, while such correlations were not uniformly observed among male participants. This study underscores the importance of considering psychosocial aspects and implementing routine measurements in the management of acne to improve patients’ well-being.

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“…Acne is a chronic inflammatory disease of the pilosebaceous unit, involving increased androgen-induced sebum production, abnormal keratinization of the pilosebaceous duct and an immune response to colonization by Cutibacterium acnes (formerly Propionibacterium acnes ) (1, 2). Acne is estimated to affect 9.4% of the world’s population, making it the eighth most prevalent disease worldwide, affecting 90% of adolescents and young adults (3, 4).…”

Section: Introductionmentioning

confidence: 99%

“…The visibility, chronicity and recurrent course of many skin lesions contribute to various psychosocial disorders, consequences of skin diseases. Patients with dermatoses are at increased risk of developing depression, anxiety, and suicidal ideation (4, 8, 9). In our society today, if certain social parameters are not met in physical appearance, adolescents suffer from bullying by their peers, acne can lead to emotional stress and the impact on quality of life can be significant (10).…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the quality of life of acne-suffering adolescents in Honduras, Central America, and its repercussions

Espinoza-Turcios

Chinchilla-Castañeda

Sosa-Mendoza

et al. 2023

Preprint

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Introduction: Adolescence is a stage of physical, psychological, and social changes, which determine the personality of the individual, which can be influenced by physical appearance because of alterations in the skin texture of adolescents. Patients with dermatosis have a higher risk of developing depression, anxiety and suicidal ideas. Acne is an important factor for quality of life and affects adolescents both physically and psychosocially. Objective : To determine the factors associated with the repercussions of acne in adolescents in Honduras. Methodology: Analytical cross-sectional study. The Cardiff Acne Disability Index (CADI) scale was used through a questionnaire in Google Forms. Descriptive and analytical statistics were obtained. Results: Of the 3,272 young participants, with respect to quality of life, 25.8% (845) had medium or high repercussions, 5.3% were very depressed by the appearance of their skin in the month prior to filling out the questionnaire. When multivariate analysis was performed, it was found that those who had medium or high repercussions due to acne were women (RPa: 1.33; 95%CI: 1.20-1.48; p-value<0.001), those of indigenous ethnicity (RPa: 1.36; 95%CI: 1.05-1.75; p-value=0.019), those who had scars on the face (RPa: 13.08; 95%CI: 10.02-17.05; p-value<0.001) or those who had the father (RPa: 1.13; 95%CI: 1.01-1.25; p-value=0.031) or siblings with acne (RPa: 1.16; 95%CI: 1.04-1.28; p-value=0.005). Conclusion: It was found that gender, belonging to an indigenous ethnicity, having scars on the face or that having a close relative who had suffered from acne were associated with medium or high repercussions on the quality of life; it is important to take care of acne in this stage of life to avoid repercussions in adulthood.

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Alexithymia in Adolescents with Acne: Association with Quality of Life Impairment and Stigmatization

Cited by 8 publications

References 55 publications

Alexithymia in adolescents in Poland: an important issue in the holistic approach to patients’ care

Alexithymia in adolescents in Poland: an important issue in the holistic approach to patients’ care

Females May Have Less Severe Acne, but They Suffer More: A Prospective Cross-Sectional Study on Psychosocial Consequences in 104 Consecutive Polish Acne Patients

Factors affecting the quality of life of acne-suffering adolescents in Honduras, Central America, and its repercussions

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