Impact of Acne on the Quality of Life of Adolescents in the Territory of the Northern and Southern Regions of Montenegro
,
Abstract
Background: Acne vulgaris is a chronic inflammatory disease predominantly known as a disease of adolescents. We aimed to assess the quality of life of adolescents with acne in the territory of northern and southern regions of Montenegro.
Methods: This cross-sectional study was conducted in 2024, in four secondary schools in the north and south of Montenegro with total number of 561 subjects. To assess the quality of life of adolescents with acne we used the Children's Dermatology Life Quality Index and to measure acne-related disability we used The Cardiff Acne Disability Index.
Results: The average value of the total CDLQI score among adolescents from the northern region of Montenegro was 4.45±3.31, and 4.03±3.50 among southern region. The average value of the total CADI score among adolescents from the northern region of Montenegro was 3.56±1.77, and 3.50±1.98 among adolescents from the southern region. A statistically significantly higher mean value of sub scores in adolescents from the northern region compared to adolescents from the southern region existed in the domain of symptoms and feelings, vacation and treatment (P< 0.05). The regression analysis was also performed.
Conclusion: This study confirms the negative impact of acne on the quality of life of Montenegrin adolescents, especially those in the northern region. It is necessary to give more attention to the acne problems from doctors, and to increase awareness among adolescents and provide them early and the most effective therapy.
1. Chen H, Zhang TC, Yin XL, Man JY, Yang XR, Lu M (2022). Magnitude and tem-poral trend of acne vulgaris burden in 204 countries and territories from 1990 to 2019: an analysis from the Global Burden of Disease Study 2019. Br J Der-matol, 186 (4): 673-683. doi: 10.1111/bjd.20882.
2. Layton AM, Thiboutot D, Tan J (2021). Re-viewing the global burden of acne: how could we improve care to reduce the burden? Br J Dermatol, 184 (2): 219-225. doi: 10.1111/bjd.19477.
3. Alshammrie FF, Alshammari R, Alharbi RM, Khan FH, Alshammari SK (2020). Epidemiology of Acne Vulgaris and Its Association with Lifestyle Among Ado-lescents and Young Adults in Hail, Kingdom of Saudi Arabia: A Communi-ty-Based Study. Cureus, 12 (7): e9277. doi: 10.7759/cureus.9277.
4. Bhate K, Williams HC (2013). Epidemiolo-gy of acne vulgaris. Br J Dermatol, 168 (3): 474-85. doi: 10.1111/bjd.12149.
5. Lynn DD, Umari T, Dunnick CA, Del-lavalle RP (2016). The epidemiology of acne vulgaris in late adolescence. Adolesc Health Med Ther, 7: 13-25. doi: 10.2147/AHMT.S55832.
6. Zhou C, Vempati A, Tam C, et al (2023). Beyond the Surface: A Deeper Look at the Psychosocial Impacts of Acne Scar-ring. Clin Cosmet Investig Dermatol, 16: 731-738. doi: 10.2147/CCID.S406235.
7. Vasam M, Korutla S, Bohara RA (2023). Ac-ne vulgaris: A review of the pathophysi-ology, treatment, and recent nanotech-nology based advances. Biochem Biophys Rep, 36: 101578. doi: 10.1016/j.bbrep.2023.101578.
8. Kaikati J, Zoghaib S, Kechichian E, et al (2021). The impact of acne treatment on quality of life and self-esteem: A pro-spective cohort study from Lebanon. Int J Womens Dermatol, 7 (4): 415-421. doi: 10.1016/j.ijwd.2021.03.005.
9. Jones-Caballero M, Chren MM, Soler B, Pedrosa E, Peñas PF (2007). Quality of life in mild to moderate acne: relation-ship to clinical severity and factors in-fluencing change with treatment. J Eur Acad Dermatol Venereol, 21 (2): 219-26. doi: 10.1111/j.1468-3083.2006.01907.x.
10. Gallitano SM, Berson DS (2017). How Acne Bumps Cause the Blues: The Influence of Acne Vulgaris on Self-Esteem. Int J Womens Dermatol, 4 (1): 12-17. doi: 10.1016/j.ijwd.2017.10.004.
11. Dunn LK, O'Neill JL, Feldman SR (2011). Acne in adolescents: quality of life, self-esteem, mood, and psychological disor-ders. Dermatol Online J, 17 (1): 1.
12. Mooney T (2014). Preventing psychological distress in patients with acne. Nurs Stand, 28 (22): 42-8. doi: 10.7748/ns2014.01.28.22.42.e8166.
13. Duquia RP, de Almeida HL Jr, Breunig JA, Souzat PR, Göellner CD (2013). Most common patterns of acne in male ado-lescents: a population-based study. Int J Dermatol, 52 (5): 550-3. doi: 10.1111/j.1365-4632.2011.05333.x.
14. Pfeifer JH, Berkman ET (2018). The De-velopment of Self and Identity in Ado-lescence: Neural Evidence and Implica-tions for a Value-Based Choice Perspec-tive on Motivated Behavior. Child Dev Perspect, 12 (3): 158-164. doi: 10.1111/cdep.12279.
15. Merkiel-Pawłowska S, Chalcarz W (2017). Gender differences and typical nutri-tion concerns of the diets of preschool children - the results of the first stage of an intervention study. BMC Pediatr, 17 (1): 207. doi: 10.1186/s12887-017-0962-1.
16. Quann EE, Fulgoni VL 3rd, Auestad N (2015). Consuming the daily recom-mended amounts of dairy products would reduce the prevalence of inade-quate micronutrient intakes in the Unit-ed States: diet modeling study based on NHANES 2007-2010. Nutr J, 14: 90. doi: 10.1186/s12937-015-0057-5.
17. Borzyszkowska D, Niedzielska M, Kozłowski M, et al (2022). Evaluation of Hormonal Factors in Acne Vulgaris and the Course of Acne Vulgaris Treatment with Contraceptive-Based Therapies in Young Adult Women. Cells, 11 (24): 4078. doi: 10.3390/cells11244078.
18. Đurović MR, Đurović M, Janković J, Janković S (2021). Quality of life in Montenegrin pupils with acne. PLoS One, 16 (4): e0250155. doi: 10.1371/journal.pone.0250155.
19. Kurokawa I, Nakase K (2020). Recent ad-vances in understanding and managing acne. F1000Res, 9: F1000 Faculty Rev-792. doi: 10.12688/f1000research.25588.1.
20. Tasneem T, Begum A, Chowdhury MRK, et al (2023). Effects of acne severity and acne-related quality of life on depressive symptoms among adolescents and young adults: a cross-sectional study in Bangladesh. Front Psychol, 14: 1153101. doi: 10.3389/fpsyg.2023.1153101.
21. Dréno B (2006). Assessing quality of life in patients with acne vulgaris: implications for treatment. Am J Clin Dermatol, 7 (2): 99-106. doi: 10.2165/00128071-200607020-00003.
22. Ritvo E, Del Rosso JQ, Stillman MA, La Riche C (2011). Psychosocial judgements and perceptions of adolescents with ac-ne vulgaris: A blinded, controlled com-parison of adult and peer evaluations. Biopsychosoc Med, 5 (1): 11. doi: 10.1186/1751-0759-5-11.
23. Durai PC, Nair DG (2015). Acne vulgaris and quality of life among young adults in South India. Indian J Dermatol, 60 (1): 33-40. doi: 10.4103/0019-5154.147784.
24. Sagaltici E, Tas B (2021). Mental health and psychological resilience among acne vulgaris patients during the pandemic: A cross-sectional controlled study. J Cosmet Dermatol, 20 (12): 3739-3746. doi: 10.1111/jocd.14531.
25. Özkesici Kurt B (2022). Comparison of the psychosocial impact of acne in adoles-cents and adults; body satisfaction, self-esteem, and quality of life. J Cosmet Der-matol, 21 (2): 836-843. doi: 10.1111/jocd.14151.
26. Sharma R, Dogra N, Arora M (2023). Psy-chosocial impact of acne vulgaris on the quality of life among adolescents versus adults. Clin Med (Lond), 23 (6): 35. doi: 10.7861/clinmed.23-6-s35.
27. Khan AS, Almulhim AF, Alqattan MH, et al (2022). Psychological Impact of Acne Vulgaris among Young Females in the Eastern Province, Saudi Arabia. Cureus, 14 (9): e29378. doi: 10.7759/cureus.29378. .
28. Martínez-García E, Arias-Santiago S, Herre-ra-Acosta E, Affleck A, Herrera-Ceballos E, Buendía-Eisman A (2020). Quality of Life of Cohabitants of People Living with Acne. Acta Derm Venereol, 100 (17): 5884. doi: 10.2340/00015555-3636.
2. Layton AM, Thiboutot D, Tan J (2021). Re-viewing the global burden of acne: how could we improve care to reduce the burden? Br J Dermatol, 184 (2): 219-225. doi: 10.1111/bjd.19477.
3. Alshammrie FF, Alshammari R, Alharbi RM, Khan FH, Alshammari SK (2020). Epidemiology of Acne Vulgaris and Its Association with Lifestyle Among Ado-lescents and Young Adults in Hail, Kingdom of Saudi Arabia: A Communi-ty-Based Study. Cureus, 12 (7): e9277. doi: 10.7759/cureus.9277.
4. Bhate K, Williams HC (2013). Epidemiolo-gy of acne vulgaris. Br J Dermatol, 168 (3): 474-85. doi: 10.1111/bjd.12149.
5. Lynn DD, Umari T, Dunnick CA, Del-lavalle RP (2016). The epidemiology of acne vulgaris in late adolescence. Adolesc Health Med Ther, 7: 13-25. doi: 10.2147/AHMT.S55832.
6. Zhou C, Vempati A, Tam C, et al (2023). Beyond the Surface: A Deeper Look at the Psychosocial Impacts of Acne Scar-ring. Clin Cosmet Investig Dermatol, 16: 731-738. doi: 10.2147/CCID.S406235.
7. Vasam M, Korutla S, Bohara RA (2023). Ac-ne vulgaris: A review of the pathophysi-ology, treatment, and recent nanotech-nology based advances. Biochem Biophys Rep, 36: 101578. doi: 10.1016/j.bbrep.2023.101578.
8. Kaikati J, Zoghaib S, Kechichian E, et al (2021). The impact of acne treatment on quality of life and self-esteem: A pro-spective cohort study from Lebanon. Int J Womens Dermatol, 7 (4): 415-421. doi: 10.1016/j.ijwd.2021.03.005.
9. Jones-Caballero M, Chren MM, Soler B, Pedrosa E, Peñas PF (2007). Quality of life in mild to moderate acne: relation-ship to clinical severity and factors in-fluencing change with treatment. J Eur Acad Dermatol Venereol, 21 (2): 219-26. doi: 10.1111/j.1468-3083.2006.01907.x.
10. Gallitano SM, Berson DS (2017). How Acne Bumps Cause the Blues: The Influence of Acne Vulgaris on Self-Esteem. Int J Womens Dermatol, 4 (1): 12-17. doi: 10.1016/j.ijwd.2017.10.004.
11. Dunn LK, O'Neill JL, Feldman SR (2011). Acne in adolescents: quality of life, self-esteem, mood, and psychological disor-ders. Dermatol Online J, 17 (1): 1.
12. Mooney T (2014). Preventing psychological distress in patients with acne. Nurs Stand, 28 (22): 42-8. doi: 10.7748/ns2014.01.28.22.42.e8166.
13. Duquia RP, de Almeida HL Jr, Breunig JA, Souzat PR, Göellner CD (2013). Most common patterns of acne in male ado-lescents: a population-based study. Int J Dermatol, 52 (5): 550-3. doi: 10.1111/j.1365-4632.2011.05333.x.
14. Pfeifer JH, Berkman ET (2018). The De-velopment of Self and Identity in Ado-lescence: Neural Evidence and Implica-tions for a Value-Based Choice Perspec-tive on Motivated Behavior. Child Dev Perspect, 12 (3): 158-164. doi: 10.1111/cdep.12279.
15. Merkiel-Pawłowska S, Chalcarz W (2017). Gender differences and typical nutri-tion concerns of the diets of preschool children - the results of the first stage of an intervention study. BMC Pediatr, 17 (1): 207. doi: 10.1186/s12887-017-0962-1.
16. Quann EE, Fulgoni VL 3rd, Auestad N (2015). Consuming the daily recom-mended amounts of dairy products would reduce the prevalence of inade-quate micronutrient intakes in the Unit-ed States: diet modeling study based on NHANES 2007-2010. Nutr J, 14: 90. doi: 10.1186/s12937-015-0057-5.
17. Borzyszkowska D, Niedzielska M, Kozłowski M, et al (2022). Evaluation of Hormonal Factors in Acne Vulgaris and the Course of Acne Vulgaris Treatment with Contraceptive-Based Therapies in Young Adult Women. Cells, 11 (24): 4078. doi: 10.3390/cells11244078.
18. Đurović MR, Đurović M, Janković J, Janković S (2021). Quality of life in Montenegrin pupils with acne. PLoS One, 16 (4): e0250155. doi: 10.1371/journal.pone.0250155.
19. Kurokawa I, Nakase K (2020). Recent ad-vances in understanding and managing acne. F1000Res, 9: F1000 Faculty Rev-792. doi: 10.12688/f1000research.25588.1.
20. Tasneem T, Begum A, Chowdhury MRK, et al (2023). Effects of acne severity and acne-related quality of life on depressive symptoms among adolescents and young adults: a cross-sectional study in Bangladesh. Front Psychol, 14: 1153101. doi: 10.3389/fpsyg.2023.1153101.
21. Dréno B (2006). Assessing quality of life in patients with acne vulgaris: implications for treatment. Am J Clin Dermatol, 7 (2): 99-106. doi: 10.2165/00128071-200607020-00003.
22. Ritvo E, Del Rosso JQ, Stillman MA, La Riche C (2011). Psychosocial judgements and perceptions of adolescents with ac-ne vulgaris: A blinded, controlled com-parison of adult and peer evaluations. Biopsychosoc Med, 5 (1): 11. doi: 10.1186/1751-0759-5-11.
23. Durai PC, Nair DG (2015). Acne vulgaris and quality of life among young adults in South India. Indian J Dermatol, 60 (1): 33-40. doi: 10.4103/0019-5154.147784.
24. Sagaltici E, Tas B (2021). Mental health and psychological resilience among acne vulgaris patients during the pandemic: A cross-sectional controlled study. J Cosmet Dermatol, 20 (12): 3739-3746. doi: 10.1111/jocd.14531.
25. Özkesici Kurt B (2022). Comparison of the psychosocial impact of acne in adoles-cents and adults; body satisfaction, self-esteem, and quality of life. J Cosmet Der-matol, 21 (2): 836-843. doi: 10.1111/jocd.14151.
26. Sharma R, Dogra N, Arora M (2023). Psy-chosocial impact of acne vulgaris on the quality of life among adolescents versus adults. Clin Med (Lond), 23 (6): 35. doi: 10.7861/clinmed.23-6-s35.
27. Khan AS, Almulhim AF, Alqattan MH, et al (2022). Psychological Impact of Acne Vulgaris among Young Females in the Eastern Province, Saudi Arabia. Cureus, 14 (9): e29378. doi: 10.7759/cureus.29378. .
28. Martínez-García E, Arias-Santiago S, Herre-ra-Acosta E, Affleck A, Herrera-Ceballos E, Buendía-Eisman A (2020). Quality of Life of Cohabitants of People Living with Acne. Acta Derm Venereol, 100 (17): 5884. doi: 10.2340/00015555-3636.
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| Issue | Vol 53 No 10 (2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v53i10.16721 | |
| Keywords | ||
| Acne Quality of life Adolescents Montenegro | ||
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How to Cite
1.
Popovic A, Djurovic Bojic M, Djurovic M, Bojic M, Pjescic T. Impact of Acne on the Quality of Life of Adolescents in the Territory of the Northern and Southern Regions of Montenegro. Iran J Public Health. 2024;53(10):2341-2349.
