RESUMEN
BACKGROUND: There is a clear link between skin disease and psychological factors and this relationship works both ways: skin diseases can cause psychological distress and psychological issues can worsen skin disease. There are a number of therapies that approach this problem from the psychological side and may be useful, especially as adjunctive therapies in select patients. OBJECTIVE: The aim of this review was to determine the efficacy of various psychological therapies and mind-body techniques in the management of common dermatologic diseases in individuals of all ages. METHODS: A systematic review of PubMed, Elsevier, and Wiley was performed for studies investigating psychological and mind-body interventions in the management of various skin diseases. Both physical and non-physical treatment outcomes were considered. Studies were evaluated for both risk of bias and overall quality of evidence. RESULTS: A total of 40 articles studying unique sets of dermatological patients receiving psychological therapies or mind-body interventions were identified. Of the 40 included articles encompassing 3112 patients, 18 investigated these interventions in psoriasis management while 15 focused on atopic dermatitis. The remaining studies investigated vitiligo (2), pruritus (2), acne vulgaris (2), and acne excoriée (1). CONCLUSIONS: Based on the analysis of included studies and an assessment of their quality of evidence, the most promising interventions are cognitive behavioral therapy, mindfulness-based interventions, and habit reversal therapy.
Asunto(s)
Acné Vulgar , Terapia Cognitivo-Conductual , Dermatitis Atópica , Psoriasis , Acné Vulgar/psicología , Humanos , Psoriasis/terapia , Resultado del TratamientoRESUMEN
BACKGROUND: Acne is a common inflammatory disease of sebaceous glands, which brings extensive emotional and psychological distress to patients. Although acupuncture has certain advantages in the treatment of acne, the curative effect is not exact. The purpose of this trial is to evaluate the feasibility, preliminary efficacy, and safety of the "Spleen and Stomach Guiyuan Acupuncture Method" (SSGA) in the treatment of gastrointestinal damp-heat acne. METHODS: The proposed protocol is planned as a randomized, assessor-blind, conventional-treatment-controlled trial to evaluate the efficacy of SSGA on gastrointestinal damp-heat acne. Seventy six gastrointestinal damp-heat acne patients will be randomly divided into 2 groups and receive SSGA or conventional acupuncture treatment. The entire study period is 12âweeks, including an 8-week treatment period and a 4-week follow-up period. All patients will receive 16 sessions of acupuncture treatment over 8âweeks. The primary outcome is the investigation global assessment (IGA) at week 8, which is an overall assessment of the degree of the inflammatory and non-inflammatory lesion. The secondary outcomes include IGA, the total facial lesion count (Total Lesion Count), the acne-specific quality of life, etc at weeks 8 and 12. The Expectation and Credibility of treatment rating scale will be used to measure the patients' attitudes to acupuncture after the first treatment. Adverse events will also be recorded. DISCUSSION: This study is helpful to evaluate the feasibility, preliminary efficacy, and safety of SSGA in the treatment of gastrointestinal damp-heat acne. The results will be used in sample size calculations for subsequent large-scale studies.Trial registration: Chinese Clinical Trial Registry ChiCTR2100047363. Registered on June 13, 2021.
Asunto(s)
Acné Vulgar/terapia , Terapia por Acupuntura , Acné Vulgar/psicología , Calor , Humanos , Inmunoglobulina A , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Resultado del TratamientoRESUMEN
OBJECTIVE: This study aimed to determine the prevalence of acne among university students and also assess the effects of acne on quality of life, social appearance anxiety, and use of conventional, complementary, and alternative treatment methods. DESIGN AND SAMPLE: This cross-sectional study was conducted on 1007 students (98.24 %) of a university located in the Central Anatolian Region of Turkey. MEASUREMENTS: The study used "the CAM Questionnaire" to determine students' CAM use, "the Acne Quality-of-Life Scale" to investigate students' quality of life and "the Social Appearance Anxiety Scale" to measure their social anxiety, along with a questionnaire that asked about some acne-related characteristics and conventional, complementary, and alternative treatment methods. RESULTS: The prevalence rate of acne among the study sample was 65.4 %. The participants' perceived acne severity and acne's impacts on their lives were inversely proportional to their quality of life (respectively; r = 0.400; 0.327, for each p < 0.001) and directly proportional to their social appearance anxiety (respectively; r = 0.276; 0.302, for each p < 0.001). Acne distress accounted for 19 % of the change in acne quality-of-life scores (ß = 0.186; p < 0.001), which in turn caused 61 % of the change in social appearance anxiety scores (ß = 0.615; p < 0.001). CONCLUSIONS: The students whose quality-of-life had deteriorated due to acne had higher social appearance anxiety. Social appearance anxiety had a minor effect on complementary and alternative medicine use, which was affected mainly by acne distress.
Asunto(s)
Acné Vulgar/psicología , Acné Vulgar/terapia , Ansiedad/psicología , Terapias Complementarias/métodos , Calidad de Vida , Estudiantes/psicología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Encuestas y Cuestionarios , Universidades , Adulto JovenRESUMEN
Current acne treatments present several limitations, posing the need for new effective therapies for long-term administration for recalcitrant or relapsing acne. Key players in acne that may emerge as targets for future acne treatments include the cutaneous loss of diversity of Cutibacterium (formerly Propionibacterium) acnes phylotypes and the insulin-like growth factor-1 signalling pathway. New data about the loss of diversity of microbiota in acne provides the rationale for the potential use of oral or topical probiotics. Another therapeutic approach to modulate the microbiota could be topical formulation of C. acnes bacteriophages to target specifically the pathogenic 'acnegenic' C. acnes phylotypes. Insulin-sensitizing agents such as metformin, myo-inositol and d-chiro-inositol represent promising agents, but to date there have been only limited studies and much heterogeneity in the methods of assessing acne efficacy outcomes. Moving towards a holistic approach for patients with acne is the future, by taking into account both internal and external factors, such as pollution, stress, acne family history, age, smoking habits and diet, and addressing quality of life and the psychological impact of acne.
Asunto(s)
Acné Vulgar/tratamiento farmacológico , Acné Vulgar/microbiología , Microbiota/efectos de los fármacos , Probióticos/efectos adversos , Propionibacterium acnes/efectos de los fármacos , Acné Vulgar/patología , Acné Vulgar/psicología , Administración Oral , Administración Tópica , Factores de Edad , Contaminación Ambiental/efectos adversos , Femenino , Humanos , Resistencia a la Insulina/fisiología , Factor I del Crecimiento Similar a la Insulina/efectos de los fármacos , Factor I del Crecimiento Similar a la Insulina/metabolismo , Estilo de Vida , Masculino , Anamnesis/estadística & datos numéricos , Probióticos/administración & dosificación , Propionibacterium acnes/genética , Calidad de Vida , Prevención Secundaria/métodos , Estrés Psicológico/complicacionesRESUMEN
Acne vulgaris is the most common skin disease treated by dermatologists. It can be severe and result in permanent scars. Isotretinoin is the most effective treatment for acne and has the potential for long-term clearance. Prescribing and monitoring protocols can vary widely among prescribers. Recent studies, reports, and consensus statements help shed light on optimizing the use of isotretinoin for acne. A recent literature review is summarized in this article to help the practitioner optimize isotretinoin use for acne. The article outlines the advantages and disadvantages of standard, high-dose, and low-dose isotretinoin regimens; discusses the current status of controversies surrounding isotretinoin (including depression/suicide, pregnancy, and inflammatory bowel disease); reviews monitoring recommendations and treatment for hypertriglyceridemia and elevated transaminase levels; and discusses common adverse effects seen with isotretinoin, along with their treatment and prevention.
Asunto(s)
Acné Vulgar/tratamiento farmacológico , Prescripciones de Medicamentos/normas , Isotretinoína/administración & dosificación , Guías de Práctica Clínica como Asunto , Teratógenos/toxicidad , Anomalías Inducidas por Medicamentos/etiología , Anomalías Inducidas por Medicamentos/prevención & control , Acné Vulgar/psicología , Ansiedad/inducido químicamente , Ansiedad/prevención & control , Ansiedad/psicología , Anticoncepción/normas , Depresión/inducido químicamente , Depresión/prevención & control , Depresión/psicología , Relación Dosis-Respuesta a Droga , Monitoreo de Drogas/normas , Femenino , Humanos , Enfermedades Inflamatorias del Intestino/inducido químicamente , Enfermedades Inflamatorias del Intestino/prevención & control , Isotretinoína/efectos adversos , Isotretinoína/toxicidad , Cooperación del Paciente , Educación del Paciente como Asunto , Embarazo , Suicidio/psicología , Cicatrización de Heridas/efectos de los fármacosRESUMEN
BACKGROUND: Acne is a very common skin disease. Information on it is readily available and accessed by most patients. Nevertheless, they tend to have misunderstandings about the disease. AIMS: This study investigated Thai acne patients' perceptions of, and beliefs, about acne; their treatment-seeking behaviors; and the data sources available to them. PATIENTS/METHODS: A cross-sectional, questionnaire-based study was conducted among teenage and adult acne patients at the skin clinics of the Department of Dermatology and the Department of Pediatrics, Siriraj Hospital, January-December 2017. RESULTS: A total of 330 patients with a mean age of 23.89 ± 7.19 years (range: 9-51 years) were enrolled. Hormonal factors were the most common determinant thought to worsen acne (80.6%), followed by dirt (72.4%), inadequate sleep (65.5%), cosmetics (58.2%), and stress (55.8%), whereas frequent facial washing and exercise were the least common (4.8% each). The most common information source utilized by patients was friends (40.9%), followed by digital media (36.8%). Both males and females felt their acne greatly affected their quality of life. Before visiting the hospital, most patients used vitamin supplements and over-the-counter drugs as treatment. CONCLUSIONS: Some patients had good conceptions of certain aspects of acne, such as the influence of hormones or food, whereas others had misunderstandings about the effects of poor hygiene on acne. Friends and websites were the most common information resources exploited by patients. Acne substantially impaired the quality of patients' lives.
Asunto(s)
Acné Vulgar/psicología , Acné Vulgar/terapia , Conocimientos, Actitudes y Práctica en Salud , Conducta en la Búsqueda de Información , Internet/estadística & datos numéricos , Acné Vulgar/economía , Acné Vulgar/etiología , Actividades Cotidianas/psicología , Adolescente , Adulto , Niño , Estudios Transversales , Femenino , Gastos en Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Calidad de Vida , Encuestas y Cuestionarios/estadística & datos numéricos , Tailandia , Adulto JovenRESUMEN
BACKGROUND: Although there is a standard guideline for the treatment of acne, it is still a common skin disease, and suboptimal medication adherence is a major reason for treatment failure. Herbal extracts are an interesting alternative medicine because they consist of a variety of active ingredients. Moreover, herbal extracts may have improved therapeutic efficacy because of the combination of various herbs. OBJECTIVES: To evaluate the effectiveness of herbal extracts for the treatment of mild to moderate acne vulgaris. METHODS: A total of 77 patients were randomized to receive either an herbal extract or 2.5% benzoyl peroxide, which were applied for a period of 12 weeks. Acne lesion counts, adherence, porphyrin counts, the Dermatology Life Quality Index, satisfaction and side effects were assessed. RESULT: At the 12-week point, the acne lesion counts decreased, with statistically significant differences from the baseline values in both groups and for all types of acne (P-value < 0.001). The adherence rate was significantly higher in the patients using the herbal extract than in the patients using 2.5% benzoyl peroxide (P-value = 0.002). There was no statistically significant difference in terms of porphyrin counts, spot scores, the Dermatology Life Quality Index or satisfaction with efficacy between the groups; however, satisfaction with drug administration was significantly higher in the patients using the herbal extract (P-value = 0.001). CONCLUSION: Herbal extracts could be beneficial for anti-acne pharmaceutical preparations and may be used as an alternative medicine for patients with mild to moderate acne vulgaris who do not adhere to benzoyl peroxide treatment.
Asunto(s)
Acné Vulgar/tratamiento farmacológico , Peróxido de Benzoílo/administración & dosificación , Fármacos Dermatológicos/administración & dosificación , Cumplimiento de la Medicación/estadística & datos numéricos , Extractos Vegetales/administración & dosificación , Acné Vulgar/diagnóstico , Acné Vulgar/psicología , Peróxido de Benzoílo/efectos adversos , Fármacos Dermatológicos/efectos adversos , Femenino , Humanos , Masculino , Satisfacción del Paciente , Extractos Vegetales/efectos adversos , Calidad de Vida , Índice de Severidad de la Enfermedad , Resultado del Tratamiento , Adulto JovenRESUMEN
Today we see more cases of acne after adolescence, with a greater prevalence in females than males. Adult female acne has a distinct clinical presentation and is associated with a number of specific pathophysiological features and gender-specific triggers. The psychological impact of acne is generally significant and largely underestimated; stress during professional and private life, anxiety and sleep quality, in particular, have a reciprocal relationship with disease susceptibility and severity. It is essential to compare with males. Acne in females often causes greater distress in adults than in adolescents. The impact of disease may therefore be greater for female patients, triggering higher levels of psychosocial anguish and increasing the likelihood of sequelae such as skin picking and the risks of cutaneous superinfection, scarring and PIH and acne recurrence. The management of adult female acne should encompass not just medical treatment of the symptoms, but also a comprehensive, holistic approach to the patient as a whole, her individual lifestyle factors and the impact of acne on her quality of life. Future management of this disease should aim to improve patient adherence to therapy and to develop validated outcomes of treatment regarding overall skin appearance and quality of life.
Asunto(s)
Acné Vulgar/terapia , Acné Vulgar/diagnóstico , Acné Vulgar/fisiopatología , Acné Vulgar/psicología , Adulto , Ansiedad/psicología , Terapia Combinada , Diagnóstico Diferencial , Femenino , Salud Holística , Humanos , Estilo de Vida , Calidad de Vida , Factores de Riesgo , Factores SexualesRESUMEN
Acne is one of the most common skin disorders. It is a multifactorial and complex disease, originating in the pilosebaceous follicle where a hereditary background, androgens, skin lipids, disorders of keratinization, inflammatory signaling, and regulatory neuropeptides seem to be mainly involved. Even though emotional stress has long been suspected to trigger or exacerbate acne, its influence on acne severity has been mostly underestimated until recently when studies have brought new data about the different mechanisms and possible factors involved in this interaction. A point to note is that there have been relatively few studies examining stress as a possible cause of acne or acne exacerbation; more studies have focused on stress and mental health problems occurring as a result of acne. In this review, we have tried to identify the underlying mechanisms that link stress to acne according to the latest scientific findings, and we summarize this perplexing connection. The basis for the association between emotional stress and the onset or exacerbation of acne is in several cutaneous neurogenic factors which interact with a pathogenic cascade in acne. This bidirectional intimate relationship of the skin and the mind emphasizes the importance of a holistic and interdisciplinary approach to caring for patients with acne that involves not only dermatologists but also psychologists and psychiatrists.
Asunto(s)
Acné Vulgar/etiología , Acné Vulgar/psicología , Estrés Psicológico/complicaciones , HumanosRESUMEN
Acne patients experience not only a medical disease but also an aesthetic condition, and this latter complication greatly motivates patients to seek out the best treatment regimen to hasten improvement in their appearance. The available clinical procedures for acne treatment include salicylic acid 30% peel and pneumatic broadband light (PBBL). The objective of this study was to compare the efficacy of salicylic acid 30% peel and PBBL treatments in patients with mild to moderately severe facial acne vulgaris. Twelve patients were recruited for a 12-week prospective, single-blind, randomized, split-face study. Patients were treated with a salicylic acid 30% peel on one side of the face and PBBL treatment was administered on the opposite side of the face for 6 consecutive weeks without other acne treatments. At every visit, treatment evaluations were performed using a modified Global Acne Grading Score (mGAGS), acne quality of life (QOL) questionnaire, Wong-Baker FACES Pain Rating Scale (WBPRS) assessments, and clinical photography. Improvement in acne symptoms was observed for both treatment procedures without significant differences and with minimal side effects. Salicylic acid 30% peel and PBBL were well tolerated in our study, and both clinical procedures were efficacious and well-tolerated by the patients.
Asunto(s)
Acné Vulgar/terapia , Dermatosis Facial/terapia , Queratolíticos/administración & dosificación , Fototerapia , Ácido Salicílico/administración & dosificación , Acné Vulgar/tratamiento farmacológico , Acné Vulgar/psicología , Adolescente , Adulto , Quimioexfoliación , Dermatosis Facial/tratamiento farmacológico , Dermatosis Facial/psicología , Femenino , Humanos , Masculino , Estudios Prospectivos , Calidad de Vida , Índice de Severidad de la Enfermedad , Método Simple Ciego , Encuestas y Cuestionarios , Resultado del Tratamiento , Adulto JovenRESUMEN
Acne vulgaris is a common and distressing condition that typically presents in adolescents and young adults. The aim of this split-face, single-blind, randomized, controlled study was to determine if combination therapy with pneumatic broadband light (PBBL) plus adapalene gel 0.3% is superior to adapalene gel 0.3% monotherapy in the treatment of acne. Results indicated that the addition of PBBL to topical regimens may lead to quicker results and therefore may improve treatment adherence to topical therapies in acne patients.
Asunto(s)
Acné Vulgar , Adapaleno/administración & dosificación , Fototerapia/métodos , Acné Vulgar/diagnóstico , Acné Vulgar/tratamiento farmacológico , Acné Vulgar/psicología , Acné Vulgar/radioterapia , Adulto , Terapia Combinada/métodos , Fármacos Dermatológicos/administración & dosificación , Femenino , Humanos , Masculino , Monitoreo Fisiológico/métodos , Cooperación del Paciente , Resultado del TratamientoRESUMEN
BACKGROUND: Isotretinoin, for acne treatment, is associated with high rates of permanent remission. However, at recommended doses of 0.5-1.0 mg/kg/day for 5-6 months [average cumulative dose: 120-150 mg/kg], more than 20% of patients experience a relapse within two years that requires further medical management. OBJECTIVE: To examine outcomes of high-dose isotretinoin in a cohort with cystic acne, as well as measuring its impact on quality of life (QOL). METHODS: A single dermatologist, single institution investigation within an academic tertiary care center in Bronx, NY. Eighty patients with nodulocystic acne, maintained on oral isotretinoin at a dose of 1.3 mg/kg/day or greater, were studied from 2006-2009 while additionally participating in a QOL survey. Main outcome measures included documented events, acne clearance, presence of relapse, and quality of life parameters. RESULTS: The mean daily dose of isotretinoin was 1.6 mg/kg/day for an average time course of 178 days [cumulative dose: 290 mg/kg]. No side effects or laboratory abnormalities led to discontinuation of treatment. There were no psychiatric symptoms. One-hundred percent (100%) of patients were disease-free upon completion of treatment. During the three-year study period, 10 patients (12.5%) developed a relapse that required an additional course of isotretinoin. Analysis of QOL domains (self-perception, role-social, symptoms) revealed significant improvement following isotretinoin therapy (p = 0.0124, p = 0.0066, p = 0.0265, respectively). CONCLUSIONS: Isotretinoin prescribed at 1.5 mg/kg/day or greater for 5-6 months [cumulative total dose of 290 mg/kg] is safe and effective compared to current standard dosing practices. We propose the use of high-dose isotretinoin (>1.3 mg/kg/day) as a treatment option in severe nodulocystic acne and encourage larger, prospective, multicenter studies into this therapeutic approach.
Asunto(s)
Acné Vulgar/tratamiento farmacológico , Fármacos Dermatológicos/administración & dosificación , Isotretinoína/administración & dosificación , Calidad de Vida/psicología , Acné Vulgar/psicología , Adolescente , Adulto , Niño , Fármacos Dermatológicos/efectos adversos , Femenino , Cefalea/inducido químicamente , Encuestas Epidemiológicas , Humanos , Isotretinoína/efectos adversos , Pruebas de Función Hepática , Masculino , Persona de Mediana Edad , Dolor Musculoesquelético/inducido químicamente , Recurrencia , Estudios Retrospectivos , Autoimagen , Encuestas y Cuestionarios , Resultado del Tratamiento , Adulto JovenRESUMEN
The effective and safe treatment of acne vulgaris often is affected by individual patient characteristics, including skin color and cultural background. Skin of color is especially prone to hyperpigmentation, both from lesions and from irritating therapy. Clinicians also should be aware of cultural attitudes and folk remedies that may adversely affect dermatologic conditions such as acne.
Asunto(s)
Acné Vulgar/tratamiento farmacológico , Grupos Raciales , Acné Vulgar/complicaciones , Acné Vulgar/etnología , Acné Vulgar/psicología , Adolescente , Niño , Cicatriz/etiología , Cultura , Femenino , Humanos , Hiperpigmentación/inducido químicamente , Masculino , Medicina Tradicional , Cooperación del Paciente , Pigmentación de la PielRESUMEN
BACKGROUND: Data are lacking on the prevalence of acne, its effects on quality of life (QOL) and the treatment usage among Chinese patients in late adolescence. AIM: To derive data about the prevalence and predictive factors of acne, the disability caused by acne and choice of treatment used by Chinese late adolescents in Hong Kong. METHODS: This was a cross-sectional study of a random sample of 389 entrants in a university in Hong Kong, using the Global Acne Grading System (GAGS) to measure the clinical severity of acne and the Cardiff Acne Disability Index (CADI) to measure QOL. RESULTS: The response rate was 99.3%. The prevalence of acne was of 81.5% (95% CI 77.6-85.4%) and coexisted with a high frequency of acne disability at a rate of 81.8% (95% CI 78.1-85.6%). Assessment of the clinical severity of acne did not correlate strongly with the effect on QOL (gamma(s) = 0.445, P < 0.001). Over the previous 6 months, 30.3% of subjects had used topical treatments, 3.9% had taken systemic conventional western drugs and 3.2% of the subjects had used traditional Chinese medicine. Multivariate logistic regression was used to explore the predictive factors for acne disability. Female gender (P = 0.002), higher GAGS score (P < 0.001), higher perceived stress (P = 0.01) and willingness to pay Hong Kong$15,000 (970 pounds) for a hypothetical permanent cure (P = 0.03) were positive predictors. CONCLUSIONS: Acne is prevalent in Hong Kong and has considerable psychological effects. The association between clinical severity and impaired QOL is not strong.
Asunto(s)
Acné Vulgar/psicología , Calidad de Vida/psicología , Acné Vulgar/epidemiología , Adolescente , China , Estudios Transversales , Femenino , Conocimientos, Actitudes y Práctica en Salud , Hong Kong/epidemiología , Humanos , Masculino , Aceptación de la Atención de Salud , Prevalencia , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Adulto JovenRESUMEN
Interest in sebaceous gland functioning and its diseases is increasing. This article provides a summarized update of the current knowledge of the pathophysiology of acne vulgaris and the new treatment concepts that have emerged in recent years. Recent literature is reviewed regarding teenage acne, focusing on pathogenesis, associations, controversies and considerations in therapy to further help practitioners stay current on the issues regarding this topic. Current research is expected to provide new and improved treatments in the near future.
Asunto(s)
Acné Vulgar/fisiopatología , Acné Vulgar/epidemiología , Acné Vulgar/etiología , Acné Vulgar/psicología , Acné Vulgar/terapia , Adolescente , Animales , Antibacterianos/uso terapéutico , Vacunas Bacterianas/uso terapéutico , Toxinas Botulínicas Tipo A/uso terapéutico , Terapia Combinada , Fármacos Dermatológicos/uso terapéutico , Dieta/efectos adversos , Ejercicio Físico , Predicción , Humanos , Higiene , Terapia por Luz de Baja Intensidad , Ratones , Pubertad , Glándulas Sebáceas/fisiopatología , Índice de Severidad de la EnfermedadRESUMEN
Acne vulgaris is a common skin condition, one that is associated with significant psychological disability. The psychological impairments in acne include higher rates of depression, anxiety, anger and suicidal thoughts. Despite a paucity of clinical research, patients with skin conditions and/or mental health disorders are frequent consumers of dietary supplements. An overlap may exist between nutrients that potentially have both anti-acne and mood regulating properties; examples include omega-3 fatty acids from fish oil, chromium, zinc and selenium. Here we report on five cases of acne treated with eicosapentaenoic acid and antioxidant nutrients. Self-administration of these nutrients may have improved inflammatory acne lesions and global aspects of well-being; the observations suggest a need for controlled trials.
Asunto(s)
Acné Vulgar/tratamiento farmacológico , Ácidos Grasos Omega-3/uso terapéutico , Salud Mental , Acné Vulgar/psicología , Adolescente , Antioxidantes/uso terapéutico , Suplementos Dietéticos , Ácido Eicosapentaenoico/uso terapéutico , Femenino , Humanos , Masculino , Autoadministración , Resultado del Tratamiento , Adulto JovenAsunto(s)
Acné Vulgar/prevención & control , Acné Vulgar/psicología , Salud Holística , Acné Vulgar/epidemiología , Acné Vulgar/etiología , Adulto , Imagen Corporal , Fármacos Dermatológicos/uso terapéutico , Femenino , Humanos , Masculino , Enfermeras Practicantes , Factores de Riesgo , Autoimagen , Salud de la MujerRESUMEN
Little is known about the treatment-seeking behaviors of acne patients, especially Asian acne patients. This study was performed to obtain detailed information about the treatment-seeking behaviors in Korean acne patients. Patients who visited the dermatology departments at 17 university hospitals completed a self-administered questionnaire. Most patients obtained information about acne from doctors or the Internet. The most important criteria for selecting a treatment method or choosing a particular clinic were effectiveness and accessibility. Patients used traditional medicine, visited beauty clinics, drank more water, and used over-the-counter topical agents more frequently than they sought doctors during the worsening period. The degree of satisfaction in treatment was found to depend on the total cost of treatment, number of places visited, site affected by acne, and emotional stress. Those who had experienced a side effect tended to have been treated for longer, to have paid more for treatment, and to have an associated skin disease. Treatments prescribed by dermatology clinics had the lowest aggravating rate, although improvement rates for family medicine clinics were also fairly high. This is the first study to investigate in detail the demographic features and characteristics of the treatment-seeking behaviors of acne patients in Asia.
Asunto(s)
Acné Vulgar/psicología , Satisfacción del Paciente , Acné Vulgar/epidemiología , Acné Vulgar/terapia , Adulto , Demografía , Femenino , Conductas Relacionadas con la Salud , Conocimientos, Actitudes y Práctica en Salud , Hospitales Universitarios , Humanos , Corea (Geográfico) , Masculino , Factores Sexuales , Estrés Psicológico , Encuestas y Cuestionarios , Adulto JovenRESUMEN
Acne vulgaris is a distressing skin condition which can carry with it significant psychological disability. Patients with acne are more likely to experience anger and are at increased risk of depression, anxiety, suicidal ideation. Certain nutrients which have been implicated as influencing the pathophysiology of acne have also been identified as important mediators of human cognition, behavior and emotions. Zinc, folic acid, selenium, chromium and omega-3 fatty acids are all examples of nutrients which have been shown to influence depression, anger and/or anxiety. These same nutrients, along with systemic oxidative stress and an altered intestinal microflora have been implicated in acne vulgaris. It is our contention that certain nutritional factors, a weakened antioxidant defense system and altered intestinal microflora may interplay to increase the risk of psychological sequelae in acne vulgaris.
Asunto(s)
Acné Vulgar/fisiopatología , Acné Vulgar/psicología , Trastornos Mentales/fisiopatología , Trastornos Mentales/psicología , Modelos Biológicos , Estado Nutricional , Acné Vulgar/complicaciones , Humanos , Trastornos Mentales/etiología , Medición de RiesgoRESUMEN
BACKGROUND: The intimate relationship of the skin and the mind illustrates the importance of a holistic approach in caring for patients with skin problems. Habits related to psychological problems may lead to skin problems such as lichen simplex chronicus and acne excoriée. Emotional stress may affect skin diseases such as atopic dermatitis, perioral dermatitis, pompholyx, and plaque psoriasis. OBJECTIVE: This article describes the relationship between the mind and skin disease. DISCUSSION: Skin disease can exert a profound effect on the psychosocial dimension of a patient's life. Its effect on quality of life can be objectively assessed and documented by validated tools specific for the skin. Patient rated measures should be taken into account when evaluating the efficacy and adverse effects of treatments for skin disease.