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Acne - Etiology, Treatment Options & Social Effects (Hardcover)
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Acne - Etiology, Treatment Options & Social Effects (Hardcover)
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Although many dermatological diseases are not life threatening,
they pose a unique challenge to the human psyche. Cutaneous disease
carries a distinctive psychosocial burden in that patients who
suffer from these diseases are often unable to hide their condition
from public scrutiny. Specifically, acne vulgaris is a ubiquitous
disease with a known potential to cause significant psychological
repercussions. Acne is the leading cause for visits to a
dermatologist and affects more than 80 percent of adolescents. Acne
can affect up to 50.9 percent of women and 42.5 percent of men
throughout their 20s and can continue to occur throughout
adulthood. Between 30 to 50 percent of adolescents experience
psychological difficulties associated with acne, including body
image concerns, embarrassment, social impairment, anxiety,
frustration, anger, depression, and poor self-esteem. Additionally,
suicidal ideation and suicide attempts related to the negative
psychosocial impacts of acne have also been documented. Not only
does acne result in emotional distress, the anxiety evoked by
having acne can aggravate the skin condition itself, thereby
creating a vicious cycle. Acne is the most common problem that
presents to dermatologists. Although acne does not cause direct
physical impairment, it can produce a significant psychosocial
burden. Acne commonly involves the face. Facial appearance
represents an important aspect of one's perception of body image.
Therefore, it is not surprising that a susceptible individual with
facial acne may develop significant psychosocial disability. As
part of the emotional impact, increased levels of anxiety, anger,
depression, and frustration are observed in patients with acne.
Acne's consequences can prove very traumatic for adolescent
patients. This suggests that the impact of acne can be more serious
for the patients than most clinicians think it would be and it is
more important to focus on the subjective perception in managing
acne patients, irrespective of the objective severity. Our book
highlights and tackles several aspects of acne and magnifies the
importance of screening for psychosocial problems in those who
present for management of acne. It is important for all health
service workers to be cautious about psychological morbidity in
young people, and especially dermatologists should be aware of the
importance of basic psychosomatic treatment in conjunction with
medical treatment in the management of acne.
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