Atrophic acne scarring had significant psychosocial impact in the form of embarrassment and self-consciousness. |
Individuals with mild scars also expressed significant impact on quality of life. |
Patient-reported outcomes provide an insight into the physical, functional, and psychological impact of acne scarring from the patient’s perspective. |
1 Introduction
2 Methods
2.1 Study Design
2.2 Analyses
2.3 Multivariate Regression
3 Results
3.1 Demographic and Clinical Characteristics
3.2 Impact of Acne Scars on HRQOL
3.2.1 DLQI Scale Analyses
DLQI score mean (SEM) | No effect score (0–1), n (%) | Mild effect score (2–5), n (%) | Moderate effect score (6–10), n (%) | Very large effect score (11–20), n (%) | Extremely large effect score (21–30), n (%) | P value* | |
---|---|---|---|---|---|---|---|
Total sample | 6.26 (0.22) | 178 (24.6) | 253 (35.0) | 129 (17.9) | 140 (19.3) | 23 (3.1) | |
Sex | 0.135 | ||||||
Male | 6.34 (0.19) | 98 (28) | 108 (31.0) | 62 (17.6) | 67 (19.3) | 15 (4.2) | |
Female | 6.17 (0.31) | 80 (21.4) | 145 (38.8) | 68 (18.2) | 72 (19.4) | 8 (2.2) | |
Age groups (years) | 0.021 | ||||||
18–24 | 7.19 (0.53) | 16 (17.2) | 29 (32.2) | 21 (22.6) | 24 (25.8) | 2 (2.2) | |
25–45 | 6.56 (0.25) | 113 (21.8) | 185 (35.7) | 97 (18.8) | 104 (20.0) | 20 (3.8) | |
46–55 | 4.09 (0.13) | 49 (43.7) | 39 (34.4) | 11 (10.0) | 12 (10.9) | 1 (1.0) | |
Scar severity on face | 0.014 | ||||||
Mild | 5.00 (0.30) | 75 (32.7) | 82 (35.7) | 28 (12.2) | 43 (18.7) | 1 (1.0) | |
Moderate | 6.34 (0.22) | 78 (21.8) | 133 (37.0) | 76 (21.1) | 59 (16.6) | 13 (3.5) | |
Severe or very severe | 8.12 (0.39) | 25 (18.5) | 39 (28.5) | 26 (19.0) | 37 (27.6) | 9 (6.4) | |
Fitzpatrick scale | 0.223 | ||||||
Type I: light, pale white | 7.85 (1.83) | 3 (9.86) | 12 (38.11) | 9 (29.1) | 5 (16.80) | 2 (6.12) | |
Type II: white, fair | 4.98 (0.27) | 33 (32.81) | 38 (37.06) | 14 (13.86) | 16 (15.50) | 1 (1.00) | |
Type III: medium, white to olive | 6.34 (0.27) | 48 (24.04) | 69 (34.63) | 35 (17.87) | 40 (20.16) | 7 (3.30) | |
Type IV: olive, moderate brown | 5.53 (0.56) | 49 (26.45) | 66 (35.22) | 39 (20.91) | 28 (15.04) | 4 (2.39) | |
Type V: brown, dark brown | 6.89 (0.66) | 35 (20.34) | 65 (38.37) | 26 (15.51) | 37 (21.65) | 7 (4.14) | |
Type VI: black, very dark brown to black | 8.81 (0.50) | 10 (28.47) | 4 (11.43) | 5 (15.30) | 14 (39.20) | 2 (5.60) |