Disability In Acne Patients – A Hospital Based Study In Rural Population Of Central India

Authors

  • Adarshlata Singh Department of Dermatology, DMIMS, Nagpur, India
  • Piyush Agrawal Department of Dermatology, DMIMS, Nagpur, India
  • Sanjiv V. Choudhary Department of Dermatology, DMIMS, Nagpur, India
  • Divya Jain Department of Dermatology, DMIMS, Nagpur, India

DOI:

https://doi.org/10.12970/2310-998X.2013.01.02.2

Keywords:

 Acne vulgaris, CADI, QOL, Rural Population.

Abstract

Introduction: Acne vulgaris is chronic inflammatory disease of pilosebaceous unit. It has been found that acne is one of the most common distressing diseases that can affect all aspects of an individual’s health-related quality of life (HRQOL), particularly in feelings and emotions, personal relationships, sports, social life and to get employment opportunity. As per best of our knowledge, there was no study on disability in acne patients in rural population of India.

Aim and Objectives: The aim was to assess quality of life of patient having acne vulgaris, with the objectives 1) to assess the impact of acne on the rural patients by executing Cardiff Acne Disability Index formula (i.e. physical, social and psychological aspects of the patient’s life) 2) to observe any relationship between severity of acne vulgaris and its impact on quality of life.

Material and Methods: The patients who came to dermatology OPD having acne vulgaris at AVBRH were enrolled. Quality of life of all enrolled patients of acne vulgaris were evaluated by using Cardiff Acne Disability Index questionnaires. The parameters evaluated were aggressiveness, frustration, embarrassment, effect on social life, relation with members of opposite sex, concern for skin appearance, avoidance of changing facility. Acne grading will be done by IADVL grading system. Statistical analysis done with Chi-square (χ²) test.

Result: Total 81 patients with Acne vulgaris were included. By using the parameters, we analyze a statistical significant impact on quality of life of acne patients were frustration, embarrassment, effect on social life, relation with members of opposite sex, concern for skin appearance and avoidance of changing facility. Aggressiveness was found to be statistically insignificant. It implies that acne is a disease of mild to moderate severity. There was a significant positive relationship between disease severities with scores of CADI.

Conclusion: There was impairment in quality of life due to acne in a rural population.

References

Ritvo, et al. BioPsychoSocial Medicine 2011, 5: 11. http://dx.doi.org/10.1186/1751-0759-5-11

Bloom DF. Is acne really a disease? a theory of acne as an evolutionarily significant, high-order psychoneuroimmune interaction timed to cortical development with a crucial role in mate choice. Med Hypotheses 2004; 62: 462-9. http://dx.doi.org/10.1016/j.mehy.2003.11.003

Kurokawa I, Danby FW, Ju Q, et al. New developments in our understanding of acne pathogenesis and treatment. Exp Dermatol 2009; 18: 821-32. http://dx.doi.org/10.1111/j.1600-0625.2009.00890.x

Thiboutot D, Gollnick H, Bettoli V, et al. New insights into the management of acne: an update from the Global Alliance to improve outcomes in acne group. J Am Acad Dermatol 2009; 60: S1-50. http://dx.doi.org/10.1016/j.jaad.2009.01.019

Ghodsi SZ, Orawa H, Zouboulis CC. Prevalence, severity, and severity risk factors of acne in high school pupils: a community-based study. J Invest Dermatol 2009; 129: 2136-41. http://dx.doi.org/10.1038/jid.2009.47

Walker N, Lewis-Jones MS. Quality of life and acne in Scottish adolescent schoolchildren: Use of the children's dermatology life quality index (CDLQI) and the Cardiff acne disability index (CADI). JEADV 2006; 20: 45-50. http://dx.doi.org/10.1111/j.1468-3083.2005.01344.x

Martin AR, Lookingbill DP, Botek A, Light J, Thiboutot D, Girman CJ. Health related quality of life among patients with facial acne-assessment of a new acne-specific questionnaire. Clin Exp Dermatol 2001; 26: 380-5. http://dx.doi.org/10.1046/j.1365-2230.2001.00839.x

Finlay AY. Quality of life indices. Indian J Dermatolo Loprol 2004; 70: 143-8.

Tutakne MA, Chari KV. Acne, rosacea and perioral dermatitis, in Valia RG, Valia AR, Editors. IADVL textbook and atlas of dermatology 2nd ed. Mumbai, Bhalani Publishing house 2003; pp. 689-710.

Mosam A, Vawda NB, Gordhan AH, Nkwanyana N, Aboobaker J. Quality of life issues for South Africans with acne vulgaris. Clin Exp Dermatol 2005; 30: 6-9. http://dx.doi.org/10.1111/j.1365-2230.2004.01678.x

Gupta MA, Gupta AK, Schork NJ. Psychosomatic study of self-excoriative behaviour among male acne patients. Int J Dermatol 1994; 33: 846-8. http://dx.doi.org/10.1111/j.1365-4362.1994.tb01017.x

Smail and Mohammed-Ali Health and Quality of Life Outcomes 2012; 10:60 http://www.hqlo.com/content/10/1/60

Balaji A, Thappa DD. A Hospital based study from south India. Indian J Dermatol Venereol Leprol 2009; 75(3).

Kokandi A. Evaluation of acne quality of life and clinical severity in acne female adults. Dermatol Res Pract 2010; 2010; pii: 410809.

Jankovic S, Vukicevic J, Djordjevic S, Jankovic J, Marinkovic J. Quality of life among school children with acne: results of a cross-sectional study. Indian J Dermatol Venereol Leprol 2012; 78454-8.

Safizadeh H, Shamsi-Meymandy S, Naeimi A. Quality of life in Iranian patients with acne. Dermatol Res Pract 2012; 2012: Article ID 571516, 4 pages.

Jayaprakasam A, Darvay A, Osborne G, McGibbon D. Comparison of assessments of severity and quality of life in cutaneous disease. Clin Exp Dermatol 2002; 27: 306-8. http://dx.doi.org/10.1046/j.1365-2230.2002.01025.x

Yun J, Kateralis CH, Weerasinghe A, et al. Impact of chronic urticaria on the quality of life in Australian and Sri Lankan populations. Asia Pac Allergy 2011; 1: 25-9. http://dx.doi.org/10.5415/apallergy.2011.1.1.25

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Published

2013-08-02

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