WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Alyaa Idrees Ahmed, Yousif Abdul Raheem and Muna Attallah K. Ali

ABSTRACT

Background: Acne vulgaris (AV) is one of the most frequently encountered skin conditions in clinical practice. While often regarded as a cosmetic issue, its impact on psychological well-being can be profound. In recent years, the significance of evaluating the quality of life in acne patients has gained attention, highlighting the broader consequences of the condition beyond the skin. Objectives: This study aimed to assess the prevalence of anxiety and depression among adolescents with acne vulgaris and to evaluate how the severity and duration of acne correlate with psychological well-being and quality of life. Methodology: A cross-sectional study was carried out between July 1st, 2018, and February 1st, 2019, in Baghdad, Iraq. The study included 700 adolescents aged 16 to 19 years diagnosed with acne vulgaris. Data were collected through face-to-face interviews and self-administered questionnaires. The survey consisted of three components: sociodemographic details, the Hospital Anxiety and Depression Scale (HADS) for assessing psychological status, and the Cardiff Acne Disability Index (CADI) for evaluating the impact of acne on quality of life. Results: Anxiety and depression were present in 45% and 18.6% of participants, respectively. There was no significant association between psychological status and sociodemographic factors. However, both the severity and duration of acne showed a significant positive association with anxiety, depression, and impaired quality of life. Quality of life disability was rated as high in 25.7% and moderate in 35.7% of participants. Conclusions: Adolescents with acne vulgaris experience a high prevalence of anxiety and depression. The psychological burden and quality of life impairment increase with the severity and chronicity of the condition. These findings underscore the need for a holistic approach in managing acne, addressing both dermatological and psychological aspects.