Skip to main content
Erschienen in: Quality of Life Research 2/2020

11.10.2019 | Affective Disorder

Difficulties in emotion regulation and quality of life in patients with acne

verfasst von: Gül Ferda Cengiz, Gülhan Gürel

Erschienen in: Quality of Life Research | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Abstract

Background

The psychological factors associated with the impairment of the quality of life (QoL) in acne vulgaris have not been fully elucidated, yet. The aim of the present study was to evaluate the performance of the difficulties in emotion regulation (DER) in predicting the QoL of patients with acne vulgaris and to examine the relationship between acne vulgaris and common psychopathologies, such as anxiety and depression.

Methods

A total of 141 patients were administered the difficulties in emotion regulation scale (DERS-Brief Form) (DERS-16), Hospital Anxiety and Depression Scale (HADS), and Acne Quality of Life (AQOL) Scale, while the control group including 102 participants was administered all scales other than the AQOL.

Results

The patients with acne vulgaris had significantly higher DERS scores than the control group. DER were found to predict quality of life more than acne severity. A strong positive correlation was found between the DERS and anxiety and depressive symptoms. There was no significant correlation between the acne severity and HADS and DERS scores, although only a weak correlation was found with the AQOL scores. The duration of acne showed no correlation with any of the variables.

Conclusions

Our study results showed the relationship between the DER and acne vulgaris. The ignorance of this relationship while evaluating patients with acne may result in anxiety and depression symptoms and impairment in the QoL in the future. Hence, psychopathologies should be considered in acne treatment and patients should gain the ability of regulating their emotions through appropriate therapeutic approaches.
Literatur
1.
Zurück zum Zitat Dreno, B., & Poli, F. (2003). Epidemiology of acne. Dermatology,206, 7–10.PubMed Dreno, B., & Poli, F. (2003). Epidemiology of acne. Dermatology,206, 7–10.PubMed
2.
Zurück zum Zitat Polenghi, M. M., Zizak, S., & Molinari, E. (2002). Emotions and acne. Dermatology and Psychosomatics,3(1), 20–25. Polenghi, M. M., Zizak, S., & Molinari, E. (2002). Emotions and acne. Dermatology and Psychosomatics,3(1), 20–25.
3.
Zurück zum Zitat Mallon, E., Newton, J. N., Klassen, A., Stewart-Brown, S. L., Ryan, T. J., & Finlay, A. Y. (1999). The quality of life in acne: A comparison with general medical conditions using generic questionnaires. The British Journal of Dermatology,140(4), 672–676.PubMed Mallon, E., Newton, J. N., Klassen, A., Stewart-Brown, S. L., Ryan, T. J., & Finlay, A. Y. (1999). The quality of life in acne: A comparison with general medical conditions using generic questionnaires. The British Journal of Dermatology,140(4), 672–676.PubMed
4.
Zurück zum Zitat Gupta, M. A., & Gupta, A. K. (1998). Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. The British Journal of Dermatology,139(5), 846–850.PubMed Gupta, M. A., & Gupta, A. K. (1998). Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. The British Journal of Dermatology,139(5), 846–850.PubMed
5.
Zurück zum Zitat Halvorsen, J. A., Stern, R. S., Dalgard, F., Thoresen, M., Bjertness, E., & Lien, L. (2011). Suicidal ideation, mental health problems, and social impairment are increased in adolescents with acne: A population-based study. Journal of Investigative Dermatology,131(2), 363–370.PubMed Halvorsen, J. A., Stern, R. S., Dalgard, F., Thoresen, M., Bjertness, E., & Lien, L. (2011). Suicidal ideation, mental health problems, and social impairment are increased in adolescents with acne: A population-based study. Journal of Investigative Dermatology,131(2), 363–370.PubMed
6.
Zurück zum Zitat Jain, N., Bukharia, A., Khess, C. R. J., & Munda, S. K. (2017). Psychiatric morbidity among patients with psoriasis and acne: A comparative study. Journal of Pakistan Association of Dermatology,26(4), 337–346. Jain, N., Bukharia, A., Khess, C. R. J., & Munda, S. K. (2017). Psychiatric morbidity among patients with psoriasis and acne: A comparative study. Journal of Pakistan Association of Dermatology,26(4), 337–346.
7.
Zurück zum Zitat Yang, Y. C., Tu, H. P., Hong, C. H., Chang, W. C., Fu, H. C., & Ho, J. C. (2014). Female gender and acne disease are jointly and independently associated with the risk of major depression and suicide: A national population-based study. BioMed Research International,2014, 504279.PubMedPubMedCentral Yang, Y. C., Tu, H. P., Hong, C. H., Chang, W. C., Fu, H. C., & Ho, J. C. (2014). Female gender and acne disease are jointly and independently associated with the risk of major depression and suicide: A national population-based study. BioMed Research International,2014, 504279.PubMedPubMedCentral
8.
Zurück zum Zitat Eyüboglu, M., Kalay, I., & Eyüboglu, D. (2018). Evaluation of adolescents diagnosed with acne vulgaris for quality of life and psychosocial challenges. Indian Journal of Dermatology,63(2), 131.PubMedPubMedCentral Eyüboglu, M., Kalay, I., & Eyüboglu, D. (2018). Evaluation of adolescents diagnosed with acne vulgaris for quality of life and psychosocial challenges. Indian Journal of Dermatology,63(2), 131.PubMedPubMedCentral
10.
Zurück zum Zitat Siener, S., & Kerns, K. A. (2012). Emotion regulation and depressive symptoms in preadolescence. Child Psychiatry and Human Development,43(3), 414–430.PubMed Siener, S., & Kerns, K. A. (2012). Emotion regulation and depressive symptoms in preadolescence. Child Psychiatry and Human Development,43(3), 414–430.PubMed
11.
Zurück zum Zitat Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy,46(11), 1230–1237.PubMed Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy,46(11), 1230–1237.PubMed
12.
Zurück zum Zitat Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy,40(2), 142–154.PubMed Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy,40(2), 142–154.PubMed
13.
Zurück zum Zitat Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: İmplications for affect, relationships, and well-being. Journal of Personality and Social Psychology,85(2), 348.PubMed Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: İmplications for affect, relationships, and well-being. Journal of Personality and Social Psychology,85(2), 348.PubMed
14.
Zurück zum Zitat Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development,59(2–3), 25–52.PubMed Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development,59(2–3), 25–52.PubMed
15.
Zurück zum Zitat Melnick, S. M., & Hinshaw, S. P. (2000). Emotion regulation and parenting in AD/HD and comparison boys: Linkages with social behaviors and peer preference. Journal of Abnormal Child Psychology,28(1), 73–86.PubMed Melnick, S. M., & Hinshaw, S. P. (2000). Emotion regulation and parenting in AD/HD and comparison boys: Linkages with social behaviors and peer preference. Journal of Abnormal Child Psychology,28(1), 73–86.PubMed
16.
Zurück zum Zitat Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment,26(1), 41–54. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment,26(1), 41–54.
17.
Zurück zum Zitat Sarkar, S., Patra, P., Mridha, K., Ghosh, S. K., Mukhopadhyay, A., & Thakurta, R. G. (2016). Personality disorders and its association with anxiety and depression among patients of severe acne: A cross-sectional study from Eastern India. Indian Journal of Psychiatry,58(4), 378.PubMedPubMedCentral Sarkar, S., Patra, P., Mridha, K., Ghosh, S. K., Mukhopadhyay, A., & Thakurta, R. G. (2016). Personality disorders and its association with anxiety and depression among patients of severe acne: A cross-sectional study from Eastern India. Indian Journal of Psychiatry,58(4), 378.PubMedPubMedCentral
18.
Zurück zum Zitat Lucas, C. J. (1961). Personality of students with acne vulgaris. BMJ,5, 354–356. Lucas, C. J. (1961). Personality of students with acne vulgaris. BMJ,5, 354–356.
19.
Zurück zum Zitat Gül, Aİ., & Çölgeçen, E. (2015). Personality traits and common psychiatric conditions in adult patients with acne vulgaris. Annals of Dermatology,27(1), 48–52.PubMedPubMedCentral Gül, Aİ., & Çölgeçen, E. (2015). Personality traits and common psychiatric conditions in adult patients with acne vulgaris. Annals of Dermatology,27(1), 48–52.PubMedPubMedCentral
20.
Zurück zum Zitat Pollock, N. C., McCabe, G. A., Southard, A. C., & Zeigler-Hill, V. (2016). Pathological personality traits and emotion regulation difficulties. Personality and Individual Differences,95, 168–177. Pollock, N. C., McCabe, G. A., Southard, A. C., & Zeigler-Hill, V. (2016). Pathological personality traits and emotion regulation difficulties. Personality and Individual Differences,95, 168–177.
21.
Zurück zum Zitat Ciuluvica, C., Amerio, P., & Fulcheri, M. (2014). Emotion regulation strategies and quality of life in dermatologic patients. Procedia-Social and Behavioral Sciences,127, 661–665. Ciuluvica, C., Amerio, P., & Fulcheri, M. (2014). Emotion regulation strategies and quality of life in dermatologic patients. Procedia-Social and Behavioral Sciences,127, 661–665.
22.
Zurück zum Zitat Innamorati, M., Quinto, R. M., Imperatori, C., Lora, V., Graceffa, D., Fabbricatore, M., et al. (2016). Health-related quality of life and its association with alexithymia and difficulties in emotion regulation in patients with psoriasis. Comprehensive Psychiatry,70, 200–208.PubMed Innamorati, M., Quinto, R. M., Imperatori, C., Lora, V., Graceffa, D., Fabbricatore, M., et al. (2016). Health-related quality of life and its association with alexithymia and difficulties in emotion regulation in patients with psoriasis. Comprehensive Psychiatry,70, 200–208.PubMed
23.
Zurück zum Zitat Almeida, V., Taveira, S., Teixeira, M., Almeida, I., Rocha, J., & Teixeira, A. (2017). Emotion regulation in patients with psoriasis: Correlates of disability, clinical dimensions, and psychopathology symptoms. International Journal of Behavioral Medicine,24(4), 563–570.PubMed Almeida, V., Taveira, S., Teixeira, M., Almeida, I., Rocha, J., & Teixeira, A. (2017). Emotion regulation in patients with psoriasis: Correlates of disability, clinical dimensions, and psychopathology symptoms. International Journal of Behavioral Medicine,24(4), 563–570.PubMed
24.
Zurück zum Zitat Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice,2(2), 151–164. Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice,2(2), 151–164.
25.
Zurück zum Zitat Hazarika, N., & Archana, M. (2016). The psychosocial impact of acne vulgaris. Indian Journal of Dermatology,61(5), 515.PubMedPubMedCentral Hazarika, N., & Archana, M. (2016). The psychosocial impact of acne vulgaris. Indian Journal of Dermatology,61(5), 515.PubMedPubMedCentral
26.
Zurück zum Zitat Singh, A., Agrawal, P., Chaudhary, S. V., & Jain, D. (2013). Disability in acne patients–A hospital based study in rural population of central India. Global Journal of Dermatology & Venereology,1(2), 21–24. Singh, A., Agrawal, P., Chaudhary, S. V., & Jain, D. (2013). Disability in acne patients–A hospital based study in rural population of central India. Global Journal of Dermatology & Venereology,1(2), 21–24.
27.
Zurück zum Zitat Doshi, A., Zaheer, A., & Stiller, M. J. (1997). A comparison of current acne grading system: And proposal of novel system. International Journal of Dermatology,36, 416–418.PubMed Doshi, A., Zaheer, A., & Stiller, M. J. (1997). A comparison of current acne grading system: And proposal of novel system. International Journal of Dermatology,36, 416–418.PubMed
28.
Zurück zum Zitat Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., et al. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. Journal of Psychopathology and Behavioral Assessment,38(2), 284–296.PubMed Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., et al. (2016). Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. Journal of Psychopathology and Behavioral Assessment,38(2), 284–296.PubMed
30.
Zurück zum Zitat Gupta, M. A., Johnson, A. M., & Gupta, A. K. (1998). The development of an Acne Quality of Life scale: Reliability, validity, and relation to subjective acne severity in mild to moderate acne vulgaris. Acta Dermato-Venereologica,78(6), 451–456.PubMed Gupta, M. A., Johnson, A. M., & Gupta, A. K. (1998). The development of an Acne Quality of Life scale: Reliability, validity, and relation to subjective acne severity in mild to moderate acne vulgaris. Acta Dermato-Venereologica,78(6), 451–456.PubMed
31.
Zurück zum Zitat Demirçay, Z., Şenol, A., Seçkin, D., & Demir, F. (2006). Akne Vulgarisli Hastalarda Akne Yaşam Kalite Ölçeğinin Türkçe Güvenilirlik Çalışması (Reliability of Turkish Version of Acne Quality of Life Scale in Patients with Acne Vulgaris). Türkderm,40, 94–97. Demirçay, Z., Şenol, A., Seçkin, D., & Demir, F. (2006). Akne Vulgarisli Hastalarda Akne Yaşam Kalite Ölçeğinin Türkçe Güvenilirlik Çalışması (Reliability of Turkish Version of Acne Quality of Life Scale in Patients with Acne Vulgaris). Türkderm,40, 94–97.
32.
Zurück zum Zitat Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica,67(6), 361–370.PubMed Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica,67(6), 361–370.PubMed
33.
Zurück zum Zitat Aydemir, Ö., Güvenir, T., Küey, L., & Kültür, S. (1997). The validity and reliability of the Turkish version of hospital anxiety and depression scale. Turkish Journal of Psychiatry,8, 280–287. Aydemir, Ö., Güvenir, T., Küey, L., & Kültür, S. (1997). The validity and reliability of the Turkish version of hospital anxiety and depression scale. Turkish Journal of Psychiatry,8, 280–287.
34.
Zurück zum Zitat Yazici, K., Baz, K., Yazici, A. E., Köktürk, A., Tot, S., Demirseren, D., et al. (2004). Disease-specific quality of life is associated with anxiety and depression in patients with acne. Journal of the European Academy of Dermatology and Venereology,18(4), 435–439.PubMed Yazici, K., Baz, K., Yazici, A. E., Köktürk, A., Tot, S., Demirseren, D., et al. (2004). Disease-specific quality of life is associated with anxiety and depression in patients with acne. Journal of the European Academy of Dermatology and Venereology,18(4), 435–439.PubMed
35.
Zurück zum Zitat Golchai, J., Khani, S. H., Heidarzadeh, A., Eshkevari, S. S., Alizade, N., & Eftekhari, H. (2010). Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Indian Journal of Dermatology,55(4), 352.PubMedPubMedCentral Golchai, J., Khani, S. H., Heidarzadeh, A., Eshkevari, S. S., Alizade, N., & Eftekhari, H. (2010). Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Indian Journal of Dermatology,55(4), 352.PubMedPubMedCentral
36.
Zurück zum Zitat Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research and Therapy,43(10), 1281–1310.PubMed Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005). Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research and Therapy,43(10), 1281–1310.PubMed
37.
Zurück zum Zitat Jafferany, M. (2011). Psychodermatology: When the mind and skin interact. Psychiatric Times,28(12), 1–2. Jafferany, M. (2011). Psychodermatology: When the mind and skin interact. Psychiatric Times,28(12), 1–2.
38.
Zurück zum Zitat Rao, T. S., Basavaraj, K. H., & Das, K. (2013). Psychosomatic paradigms in psoriasis: Psoriasis, stress and mental health. Indian Journal of Psychiatry,55(4), 313. Rao, T. S., Basavaraj, K. H., & Das, K. (2013). Psychosomatic paradigms in psoriasis: Psoriasis, stress and mental health. Indian Journal of Psychiatry,55(4), 313.
39.
Zurück zum Zitat Folks, D. G., & Warnock, J. K. (2001). Psychocutaneous disorders. Current Psychiatry Reports,3, 219–225.PubMed Folks, D. G., & Warnock, J. K. (2001). Psychocutaneous disorders. Current Psychiatry Reports,3, 219–225.PubMed
40.
Zurück zum Zitat Aktan, Ş., Özmen, E., & Şanli, B. (1998). Psychiatric disorders in patients attending a dermatology outpatient clinic. Dermatology,197(3), 230–234.PubMed Aktan, Ş., Özmen, E., & Şanli, B. (1998). Psychiatric disorders in patients attending a dermatology outpatient clinic. Dermatology,197(3), 230–234.PubMed
41.
Zurück zum Zitat Fried, R. G., & Wechsler, A. (2006). Psychological problems in the acne patient. Dermatologic Therapy,19(4), 237–240.PubMed Fried, R. G., & Wechsler, A. (2006). Psychological problems in the acne patient. Dermatologic Therapy,19(4), 237–240.PubMed
42.
Zurück zum Zitat Lukaviciute, L., Navickas, P., Navickas, A., Grigaitiene, J., Ganceviciene, R., et al. (2017). Quality of life, anxiety prevalence, depression symptomatology and suicidal ideation among acne patients in Lithuania. Journal of the European Academy of Dermatology and Venereology,31(11), 1900–1906.PubMed Lukaviciute, L., Navickas, P., Navickas, A., Grigaitiene, J., Ganceviciene, R., et al. (2017). Quality of life, anxiety prevalence, depression symptomatology and suicidal ideation among acne patients in Lithuania. Journal of the European Academy of Dermatology and Venereology,31(11), 1900–1906.PubMed
43.
Zurück zum Zitat Salman, A., Kurt, E., Topcuoglu, V., & Demircay, Z. (2016). Social anxiety and quality of life in vitiligo and acne patients with facial involvement: A cross-sectional controlled study. American Journal of Clinical Dermatology,17(3), 305–311.PubMed Salman, A., Kurt, E., Topcuoglu, V., & Demircay, Z. (2016). Social anxiety and quality of life in vitiligo and acne patients with facial involvement: A cross-sectional controlled study. American Journal of Clinical Dermatology,17(3), 305–311.PubMed
44.
Zurück zum Zitat Snorrason, Í., Smari, J., & Olafsson, R. P. (2010). Emotion regulation in pathological skin picking: Findings from a non-treatment seeking sample. Journal of Behavior Therapy and Experimental Psychiatry,41(3), 238–245.PubMed Snorrason, Í., Smari, J., & Olafsson, R. P. (2010). Emotion regulation in pathological skin picking: Findings from a non-treatment seeking sample. Journal of Behavior Therapy and Experimental Psychiatry,41(3), 238–245.PubMed
45.
Zurück zum Zitat Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review,29(6), 560–572.PubMed Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review,29(6), 560–572.PubMed
46.
Zurück zum Zitat Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology,57(2), 243–255.PubMed Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology,57(2), 243–255.PubMed
Metadaten
Titel
Difficulties in emotion regulation and quality of life in patients with acne
verfasst von
Gül Ferda Cengiz
Gülhan Gürel
Publikationsdatum
11.10.2019
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 2/2020
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02318-2

Weitere Artikel der Ausgabe 2/2020

Quality of Life Research 2/2020 Zur Ausgabe