Sleep Disturbances and Acne: A Comprehensive Review

Dermatol Pract Concept. 2025 Oct 1;15(4):e20255530. doi: 10.5826/dpc.1504a5530.

Abstract

Introduction: Acne, a common inflammatory skin disorder, is influenced by factors like hormones, age, and stress. Sleep also affects acne, as poor sleep quality can exacerbate skin issues.

Objective: This review aimed to explore the relationship between acne and sleep quality, examining the mechanisms, extent, and implications of this connection.

Methods: A systematic review of 18 studies was conducted to assess the link. Studies were retrieved from PubMed using predefined search criteria and evaluated for relevance.

Results: The findings indicate a bidirectional relationship between acne and sleep. Acne is associated with poor sleep quality, insomnia, and increased stress, while sleep deprivation exacerbates acne through hormonal imbalances, inflammation, and immune dysregulation.

Conclusion: There is a complex, bidirectional link between acne and sleep, requiring further research. Standardized metrics and behavioral interventions such as cognitive-behavioral therapy for insomnia could improve acne and sleep outcomes.

Publication types

  • Review