Type D personality, anxiety sensitivity, social anxiety, and disability in patients with acne: a cross-sectional controlled study

Abstract

IntroductionAcne has long been associated with many psychiatric comorbidities.AimTo determine anxiety and depression levels, social phobia frequency, social anxiety level, subjective stress perception, anxiety sensitivity, disability, and the frequency of type D personality in patients with acne.Material and methodsIn total, 61 patients with acne aged > 16 years and 61 age, gender, and educationally matched healthy volunteers were included in the study. The patients and healthy controls were evaluated using the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria for social anxiety disorder and completed the Liebowitz Social Anxiety Scale, Sheehan Disability Scale, Anxiety Sensitivity Index, Hospital Anxiety and Depression Scale, Perceived Stress Scale (PSS), and Type D Scale-14.ResultsDepression, anxiety, social anxiety, self-reported stress, anxiety sensitivity, and disability levels were significantly higher in patients with acne than in healthy controls (p < 0.05). Type D personality was more prevalent in patients with acne than in healthy controls (49% vs. 18%, p < 0.001).ConclusionsTo our knowledge, this study is the first reported in which type D personality and anxiety sensitivity, as well as social anxiety disorder according to the DSM-5 criteria, was evaluated in patients with acne compared with healthy controls. This study shows that patients with acne have higher levels of depression, anxiety, social anxiety, self-reported stress, anxiety sensitivity, and disability, and a greater prevalence of type D personality, than healthy controls. Psychiatric evaluation of patients with acne may aid the detection of mental disorders.

Association between Satisfaction with Life and Personality Types A and D in Young Women with Acne Vulgaris

“…Consistent with hypothesis H2, the present findings indicate that women with acne have higher Type D personality scores than their counterparts without acne. This result is also consistent with a previous study regarding acne [ 85 ] and the extensive scientific literature on the relationship between Type D personality and various somatic diseases and mental problems or disorders [ 62 ]. Moreover, the findings suggest that the relationship between Type D personality and health outcomes may be generalized across different chronic illnesses [ 70 ].…”

“…Type D personality is also related to low levels of positive affect, poor quality of life and self-esteem, high mental distress, post-traumatic stress disorder, depression, and social and general anxiety [ 60 , 63 , 64 , 65 , 66 , 68 , 72 , 76 , 79 , 80 , 82 , 83 , 84 ]. Moreover, Type D personality is positively associated with acne vulgaris [ 85 ] and negatively with life satisfaction [ 71 , 82 , 86 , 87 , 88 ].…”

“…To date, there has only been one study in the field of acne vulgaris, indicating that Type D traits may be more common among patients with acne (49%) compared to those without acne (18%) [ 85 ]. Furthermore, acne patients report significantly more depressive symptoms, anxiety, social anxiety, self-reported stress, anxiety sensitivity, and disability levels than healthy controls.…”

Change of the diagnostic distribution in applicants to dermatology afterCOVID‐19 pandemic: What it whispers to us?

“…Acne, which is one‐quarter of the applications among all diseases, was in this group. Various studies have shown that depression, anxiety disorders, and body dysmorphic disorder are higher in acne patients 24,25 . Also, it was reported that there was a significant effect on the QoL, depending on the severity of acne 26 .…”

“…Various studies have shown that depression, anxiety disorders, and body dysmorphic disorder are higher in acne patients. 24,25 Also, it was reported that there was a significant effect on the QoL, depending on the severity of acne. 26 Some diseases (such as psoriasis, urticaria/angioedema and Behçet's disease) requiring follow-up can seriously impair patients' QoL when they are severe.…”