The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Social Appearance Anxiety in Patients with Acne Vulgaris: A Cross-Sectional Controlled Study
Open accessAbstract
Aim: The purpose of our study is to identify the extent to which acne vulgaris patients with facial involvement are affected by this condition which may negatively affect the self-perception of individuals.Methods: A total of 122 acne vulgaris patients with facial involvement between the ages of 18-65 and 115 healthy controls that were matched in terms of age, gender and educational status have included in the study.Patients and healthy controls were asked to fill in social appearance anxiety scale (SAAS) and hospital anxiety depression scale, and dermatology life quality index and visual analog scales were applied to the patient group.The study was designed as a cross-sectional controlled study which is a type of observational study.The data of this study were collected among those who applied to the dermatology outpatient clinic between 01.03.2020-01.10.2020.The control group was selected from the hospital staff who were healthy and volunteers.Results: Average SAAS scores of the patient, and the control group were 55.20, and 19.70 points, respectively.Thus, the average SAAS score of the patient group was found to be significantly higher than that of the control group (p<0.01).Conclusion: Acne lesions in acne vulgaris patients that appear on visible skin surfaces cause anxiety in individuals due to their appearance.This condition revealed that those with acne lesions should undergo psychiatric as well as dermatological treatments.
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“Although many adjust well to having a visible difference, samples of individuals with visible differences commonly show significantly higher rates of appearance-based anxiety and depression across cultures (eg, in adults with acne [7] and alopecia [8]) when compared with matched controls.”
From An Acceptance and Commitment Therapy Prototype Mobile Program for Individuals with a Visible Difference: Mixed Methods Feasibility Study (2022) · cites this paper as [7]
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Citations
Cites
The Children's Dermatology Life Quality Index (CDLQI): initial validation and practical use
Lewis‐Jones, M. S., & Finlay, A. Y. (2010) · British Journal of Dermatology · doi:10.1111/j.1365-2133.1995.tb16953.x · Cited by 1,055
Slominski, A., Wortsman, J., Luger, T., Paus, R., & Solomon, S. (2000) · Physiological Reviews · doi:10.1152/physrev.2000.80.3.979 · Cited by 776 · cited 1×
“If the skin has a HPA-equivalent pathway, it may be easier to understand the impact of psychological stress on certain skin conditions, including acne vulgaris (24).”
Neuroendocrinology of the Skin
Slominski, A. T. (2000) · Endocrine Reviews · doi:10.1210/er.21.5.457 · Cited by 508
From pathogenesis of acne vulgaris to anti-acne agents
Cong, T., Hao, D., Wen, X., Li, X., He, G., & Jiang, X. L. (2019) · Archives of Dermatological Research · doi:10.1007/s00403-019-01908-x · Cited by 349 · cited 1×
“Its four main etiopathogenetic factors are increased sebum manufacture, extreme cornification of the pilosebaceous canal, microbial habitats and inflammation (2).”
Acne vulgaris and risk of depression and anxiety: A meta-analytic review
Samuels, D. V., Rosenthal, R., Lin, R., Chaudhari, S. P., & Natsuaki, M. N. (2020) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2020.02.040 · Cited by 288
Acne Vulgaris and the Quality of Life of Adult Dermatology Patients
Lasek, R. J., & Chren, M. (1998) · Archives of Dermatology · doi:10.1001/archderm.134.4.454 · Cited by 286 · cited 1×
“Many studies have shown that acne has a negative effect on quality of life (7,27,28).”
An epidemiological study of acne in female adults: results of a survey conducted in France
Poli, F., Dréno, B., & Verschoore, M. (2001) · Journal of the European Academy of Dermatology and Venereology · doi:10.1046/j.1468-3083.2001.00357.x · Cited by 285 · cited 1×
“In a larger study, the researchers stated that the cause of acne was stress in 50% of adult female acne patients (17,18).”
Stressful Life Events and Skin Diseases: Disentangling Evidence from Myth
Picardi, A., & ABENI, D. D. (2001) · Psychotherapy and Psychosomatics · doi:10.1159/000056237 · Cited by 269 · cited 1×
“In a larger study, the researchers stated that the cause of acne was stress in 50% of adult female acne patients (17,18).”
The psychosocial impact of acne: Patients' perceptions
Koo, J. Y. M. (1995) · Journal of the American Academy of Dermatology · doi:10.1016/0190-9622(95)90417-4 · Cited by 242 · cited 1×
“Acne can cause psychosocial burden as well as physical deterioration (12).”
Wittkowski, A., Richards, H. L., Griffiths, C. E. M., & Main, C. J. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00572-5 · Cited by 173 · cited 1×
“It has been reported that the presence of psychiatric symptoms is a strong determinant of impairment in quality of life in various dermatological diseases (29,30).”
Research works printed but not linked: 5
- Yolaç Yarpuz A, Demirci Saadet E, Erdi Sanli H, Devrimci Ozgüven H. Akne vulgaris hastalarinda sosyal kaygi düzeyi ve bunun klinik değişkenler ile ilişkisi [Social anxiety level in acne vulgaris patients and its relationship to clinical variables]. Turk Psikiyatri Derg 2008;19:29-37.
- Doğan T. Adaptation of Social Appearance Anxiety Scale (SAAS) to Turkish validity and reliability study. Hacettepe University Journal of Education 2010;39:151-9.
- Aydemir O. Validity and reliability of the Turkish version of the hospital anxiety and depression scale. Turkish Psychiatry Journal 1997;8:187-280.
- Niemeier V, Kupfer J, Demmelbauer-Ebner M, Stangier U, Effendy I, Gieler U. Coping with acne vulgaris. Evaluation of the chronic skin disorder questionnaire in patients with acne. Dermatology 1998;196:108-15.
- Chiu A, Chon SY, Kimball AB. The response of skin disease to stress:changes in the severity of acne vulgaris as affected by examination stress. Arch Dermatol 2003;139:897-900.
Cited by
Zucchelli, F., Donnelly, O., Rush, E., White, P., Gwyther, H., Williamson, H., & The VTCT Foundation Research Team at the Centre for Appearance Research (2022) · JMIR Formative Research · doi:10.2196/33449 · Cited by 22
Proopiomelanocortin (POMC) and Psychodermatology
Millington, G. W. M., & Palmer, H. E. (2023) · Skin Health and Disease · doi:10.1002/ski2.201 · Cited by 16
“There have been a number of more clinical and psychosocial studies supporting the role of stress and mental health in the pathogenesis of acne too.(62,63) Against this argument of MC5‐R involvement in acne is a more recent study.”
BackgroundThe impact of facial vitiligo on social appearance anxiety: a case–control study
Kurhan, F., & Yavuz, İ. H. (2025) · Clinical and Experimental Dermatology · doi:10.1093/ced/llaf471 · Cited by 12
Self-citationMurshidi, R., Hammouri, M., Al-Ani, A. T., Kitaneh, R., Al‐Soleiti, M., Ta’ani, Z. A., Sweis, S., Halasa, Z., Fashho, E., Arafah, M., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-56315-8 · Cited by 12
“Stigma, however, could arguably be viewed as a larger umbrella encompassing other phenomena as it could occur on basis of mental or physical illness as well and is not confined to appearance, as it is the case for BDD 35,51,52 .”
BackgroundKurhan, F., & Yavuz, İ. H. (2026) · Psychology Health & Medicine · doi:10.1080/13548506.2026.2653105 · Cited by 4
Self-citation
Metadata
- Authors
- Kurhan, F., Ozaydin, Y. G., & Kubra, T.
- Affiliations
- Van Yüzüncü Yıl Üniversitesi (TR)
- Corresponding author
- Kurhan, Faruk
- Venue
- Medical Bulletin of Haseki
- Publisher
- Galenos Yayinevi
- Published
- 2021-06-03
- Volume
- 59
- Issue
- 3
- Pages
- 234-238
- ISSN
- 1302-0072 (ISSN-L)
- 2147-2688
- OpenAlex
- W3161745930
- Cited by
- 17
- References
- 26
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 2 · 2023: 1 · 2021: 1
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Medical Bulletin of Haseki (publishedVersion)
- Van Yüzüncü Yıl University Academic Data Management System (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- acne, social appearance anxiety, facial acne, self-perception, anxiety and depression, psychiatric comorbidity
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