Study of psycho-emotional state of patients with acne depending on the severity and hereditary factors

Abstract

Acne is one of the most common skin disease in young adults and occurs in 85% of boys and girls. The disease is characterized by progressive course of the formation of psycho-emotional disorders, mainly depression row in about half of patients. Installed heredity is almost 80% of first-degree relatives of patients with acne. In patients with positive family history of acne the disease occurs earlier and course harder. The aim of the study -is to determine the impact of acne on psycho-emotional status in patients. Materials and methods. We examined 78 patients with severe and moderate acne. All patients were questioned by questionnaire CADI (Cardiff Acne Disability Index). Results. Among the surveyed men with moderate acne average value was 6, median -6, mode -6; in men with severe acne course average value was 8.6, median -9.5, mode -10. Among women surveyed the results of the form were somewhat different from data that were shown by male patients. Women with moderate acne had average value 7 points, the median -7.5 mode -8; among women who had severe acne course the average value was -8, median -9. Conclusions. As can be seen from the results of the questionnaire, respondents in all groups were shown a significant effect of disease on the psycho-emotional state of patients. Problem statement and analysis of the recent researchAmong noninfectious chronic inflammatory dermatoses acne occupies an exceptional position. Acne is one of the most common skin diseases in young adults and occurs in 85% of young people aged from 12 to 20 years, but the incidence peak falls at 16 years of age. Recently, a marked tendency to increase the number of women older than 25 years, in whom in 20-40% of cases occur in adult or acne tarda, which require an individual approach to the administration of therapy [1, 2].The disease is characterized by progressive course, the formation of psycho-emotional disorders, mainly of depression row, about in half of the patients (because of persistent disease for decades due to inadequate therapy), dramatically reduces the quality of life of patients. Severe forms that lead to complex cosmetic defects and the formation of hypo-and hypertrophic scars are from 5 to 15% of all cases of acne. Acne can cause psychological distress associated with many psychiatric conditions, which include suicidal thoughts, psychiatric problems and isolation from others [10]. 30-50% of adolescents experience psychological distress associated with acne: assessment of image, communication difficulties, social misadaption, destruction of hopes, anxiety, depression, low self-esteem [13]. However, there are works, which state that young male acne patients do not suffer from depressive symptoms; the risk of suicide is not greater than in the population [12].In the crossover study 108 patients with three dermatological diseases (acne, psoriasis, atopic dermatitis) in general and dermatological medicinal attendances were examined for the presence of minimal psychological disorders (anxiety, depression, social consciou...