Psychosocial impact of acne vulgaris. evaluation of the relation between a change in clinical acne severity and psychosocial state

Dermatology. 2001;203(2):124-30. doi: 10.1159/000051726.


Background: Although knowledge concerning the impact of acne vulgaris on quality of life has increased in recent years, relatively few studies have assessed the effect of a change in clinical severity on psychosocial state.

Objective: Assessment of the effect of a change in clinical acne severity on psychosocial state.

Methods: This was investigated by means of questionnaires and clinical assessments by acne patients and dermatologists. Fifty females with mild to moderate facial acne were seen before and after a 9-month treatment with oral contraceptives.

Results: The results showed a great variability in psychosocial impairment between individuals. After 9 months, a significant reduction in clinical severity was seen overall which did not relate to the significant improvements in self-esteem, stability of self-esteem and acceptance of appearance.

Conclusion: Perceived psychosocial impairment is individually based, is greater in women who subjectively overrate their acne and does not relate to clinical improvement.

MeSH terms

  • Acne Vulgaris / pathology
  • Acne Vulgaris / psychology*
  • Acne Vulgaris / therapy
  • Adult
  • Data Interpretation, Statistical
  • Facial Dermatoses / pathology
  • Facial Dermatoses / psychology*
  • Facial Dermatoses / therapy
  • Female
  • Humans
  • Self Concept
  • Self-Examination
  • Severity of Illness Index
  • Social Adjustment
  • Surveys and Questionnaires