Objective:Facial acne and scars not only cause cosmetic issues,but also cause mental problems,so we conducted this study to investigate the quality of life of patients with acne vulgaris of various degrees of severity...Objective:Facial acne and scars not only cause cosmetic issues,but also cause mental problems,so we conducted this study to investigate the quality of life of patients with acne vulgaris of various degrees of severity,in order to provide evidence for establishing effective clinical treatment strategies.Methods:We used a self-made questionnaire to assess the demographics,symptoms,and physical signs of patients with acne vulgaris,as well as the acne severity,treatment efficacy,impact of acne on mental health,and effect of acne on daily life.The severity of acne was classified into 4 grades based on the latest acne grading guideline.The chi-squared test and Fisher‘s exact test were used for categorical data,and Spearman’s correlation was used for ordinal variables.Results:Of the 94 patients who responded to the questionnaire,the responses of 9 patients were excluded because of incomplete data.As the acne severity grading increased and the self-assessed appearance rating decreased,the impacts on daily life,social activity,and mental health increased.There was a weak correlation between the acne severity grading and self-assessed appearance rating(P=0.020,rs=−0.253).The impact of acne severity on the quality of life was mainly reflected as influences on personal reputation(P=0.016)and recreation and leisure activities(P=0.042);the self-assessed appearance mainly affected the patients’professional careers(P=0.010).The severity of acne(P=0.005)and the effects of acne on attention(P=0.010)and intimacy(P=0.024)varied by sex.Females were less tolerant of appearance blemishes,while males were more troubled by the physical discomforts caused by acne.Conclusion:The impact of facial acne on quality of life is related to the acne severity grading,patients’selfassessed appearance rating,and sex.In clinical practice,therapeutic regimes should be formulated in accordance with the different needs of each patient.展开更多
基金supported by Nanjing National Clinical Medical Center Cultivation Plan(No.2019060001).
文摘Objective:Facial acne and scars not only cause cosmetic issues,but also cause mental problems,so we conducted this study to investigate the quality of life of patients with acne vulgaris of various degrees of severity,in order to provide evidence for establishing effective clinical treatment strategies.Methods:We used a self-made questionnaire to assess the demographics,symptoms,and physical signs of patients with acne vulgaris,as well as the acne severity,treatment efficacy,impact of acne on mental health,and effect of acne on daily life.The severity of acne was classified into 4 grades based on the latest acne grading guideline.The chi-squared test and Fisher‘s exact test were used for categorical data,and Spearman’s correlation was used for ordinal variables.Results:Of the 94 patients who responded to the questionnaire,the responses of 9 patients were excluded because of incomplete data.As the acne severity grading increased and the self-assessed appearance rating decreased,the impacts on daily life,social activity,and mental health increased.There was a weak correlation between the acne severity grading and self-assessed appearance rating(P=0.020,rs=−0.253).The impact of acne severity on the quality of life was mainly reflected as influences on personal reputation(P=0.016)and recreation and leisure activities(P=0.042);the self-assessed appearance mainly affected the patients’professional careers(P=0.010).The severity of acne(P=0.005)and the effects of acne on attention(P=0.010)and intimacy(P=0.024)varied by sex.Females were less tolerant of appearance blemishes,while males were more troubled by the physical discomforts caused by acne.Conclusion:The impact of facial acne on quality of life is related to the acne severity grading,patients’selfassessed appearance rating,and sex.In clinical practice,therapeutic regimes should be formulated in accordance with the different needs of each patient.
