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The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates
BACKGROUND: Acne and facial post-inflammatory hyperpigmentation are relatively common clinical conditions among adolescents and young adults, and inflict psychosocial injuries on sufferers. OBJECTIVE: To document the psychosocial and self-esteem implications of acne and facial hyperpigmentation on n...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5955012/ https://www.ncbi.nlm.nih.gov/pubmed/29785134 http://dx.doi.org/10.2147/CCID.S158129 |
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author | Akinboro, Adeolu Oladayo Ezejiofor, Ogochukwu Ifeanyi Olanrewaju, Fatai Olatunde Oripelaye, Mufutau Muphy Olabode, Olatunde Peter Ayodele, Olugbenga Edward Onayemi, Emmanuel Olaniyi |
author_facet | Akinboro, Adeolu Oladayo Ezejiofor, Ogochukwu Ifeanyi Olanrewaju, Fatai Olatunde Oripelaye, Mufutau Muphy Olabode, Olatunde Peter Ayodele, Olugbenga Edward Onayemi, Emmanuel Olaniyi |
author_sort | Akinboro, Adeolu Oladayo |
collection | PubMed |
description | BACKGROUND: Acne and facial post-inflammatory hyperpigmentation are relatively common clinical conditions among adolescents and young adults, and inflict psychosocial injuries on sufferers. OBJECTIVE: To document the psychosocial and self-esteem implications of acne and facial hyperpigmentation on newly admitted undergraduates. MATERIALS AND METHODS: A cross-sectional survey was conducted among 200 undergraduates. Demographics and clinical characteristics were obtained and acne was graded using the US Food and Drug Administration 5-category global system of acne classification. Participants completed the Cardiff Acne Disability Index (CADI) and the Rosenberg self-esteem scale (RSES), and data were analyzed using SPSS 20. RESULTS: Mean age of acne onset was 16.24 ± 3.32 years. There were 168 (84.0%) cases categorized as almost clear, 24 (12.0%) as mild acne, 4 (2.0%) as moderate acne and 4 (2.0%) as severe acne. Acne with facial hyperpigmentation, compared to acne without hyperpigmentation, was associated with significant level of anxiety in 30 participants (26.5% vs 10.3%, p=0.004) and emotional distress in 40 (35.4% vs 10.3%, p<0.001). Acne severity correlated with total CADI score but not with total RSES score. Quality of life (QoL) was significantly reduced among acne patients with facial hyperpigmentation (1.77±1.62, vs 1.07±1.02, p<0.001) compared to those without hyperpigmentation. Acne and facial hyperpigmentation was associated with social life interference, avoidance of public facilities, poor body image and self-esteem and perception of worse disease. There was no association between gender and QoL but acne was related to a reduction of self-worth. Low self-esteem was present in 1.5%, and severe acne was associated with an occasional feeling of uselessness in the male gender. CONCLUSION: Acne with facial hyperpigmentation induces poorer QoL and self-esteem is impaired only in severe acne. Beyond the medical treatment of acne, dermatologists should routinely assess the QoL and give attention to treatment of facial post-inflammatory hyperpigmentation among people of color. |
format | Online Article Text |
id | pubmed-5955012 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-59550122018-05-21 The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates Akinboro, Adeolu Oladayo Ezejiofor, Ogochukwu Ifeanyi Olanrewaju, Fatai Olatunde Oripelaye, Mufutau Muphy Olabode, Olatunde Peter Ayodele, Olugbenga Edward Onayemi, Emmanuel Olaniyi Clin Cosmet Investig Dermatol Original Research BACKGROUND: Acne and facial post-inflammatory hyperpigmentation are relatively common clinical conditions among adolescents and young adults, and inflict psychosocial injuries on sufferers. OBJECTIVE: To document the psychosocial and self-esteem implications of acne and facial hyperpigmentation on newly admitted undergraduates. MATERIALS AND METHODS: A cross-sectional survey was conducted among 200 undergraduates. Demographics and clinical characteristics were obtained and acne was graded using the US Food and Drug Administration 5-category global system of acne classification. Participants completed the Cardiff Acne Disability Index (CADI) and the Rosenberg self-esteem scale (RSES), and data were analyzed using SPSS 20. RESULTS: Mean age of acne onset was 16.24 ± 3.32 years. There were 168 (84.0%) cases categorized as almost clear, 24 (12.0%) as mild acne, 4 (2.0%) as moderate acne and 4 (2.0%) as severe acne. Acne with facial hyperpigmentation, compared to acne without hyperpigmentation, was associated with significant level of anxiety in 30 participants (26.5% vs 10.3%, p=0.004) and emotional distress in 40 (35.4% vs 10.3%, p<0.001). Acne severity correlated with total CADI score but not with total RSES score. Quality of life (QoL) was significantly reduced among acne patients with facial hyperpigmentation (1.77±1.62, vs 1.07±1.02, p<0.001) compared to those without hyperpigmentation. Acne and facial hyperpigmentation was associated with social life interference, avoidance of public facilities, poor body image and self-esteem and perception of worse disease. There was no association between gender and QoL but acne was related to a reduction of self-worth. Low self-esteem was present in 1.5%, and severe acne was associated with an occasional feeling of uselessness in the male gender. CONCLUSION: Acne with facial hyperpigmentation induces poorer QoL and self-esteem is impaired only in severe acne. Beyond the medical treatment of acne, dermatologists should routinely assess the QoL and give attention to treatment of facial post-inflammatory hyperpigmentation among people of color. Dove Medical Press 2018-05-10 /pmc/articles/PMC5955012/ /pubmed/29785134 http://dx.doi.org/10.2147/CCID.S158129 Text en © 2018 Akinboro et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Akinboro, Adeolu Oladayo Ezejiofor, Ogochukwu Ifeanyi Olanrewaju, Fatai Olatunde Oripelaye, Mufutau Muphy Olabode, Olatunde Peter Ayodele, Olugbenga Edward Onayemi, Emmanuel Olaniyi The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates |
title | The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates |
title_full | The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates |
title_fullStr | The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates |
title_full_unstemmed | The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates |
title_short | The impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted Nigerian undergraduates |
title_sort | impact of acne and facial post-inflammatory hyperpigmentation on quality of life and self-esteem of newly admitted nigerian undergraduates |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5955012/ https://www.ncbi.nlm.nih.gov/pubmed/29785134 http://dx.doi.org/10.2147/CCID.S158129 |
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