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Erschienen in: American Journal of Clinical Dermatology 2/2006

01.04.2006 | Review Article

Assessing Quality of Life in Patients with Acne Vulgaris

Implications for Treatment

verfasst von: Prof. Brigitte Dréno

Erschienen in: American Journal of Clinical Dermatology | Ausgabe 2/2006

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Abstract

Diagnosing acne is easy. However, treatment must be adapted to the type and severity of acne, and must also take into account the impact of acne on patients’ quality of life. As there is not always a correlation between the severity of acne and its impact on quality of life, it can be helpful for the dermatologist to use a quality of life scale to determine the psychological impact of acne on patients. Either global scales or specific scales for acne can be used. This article reviews the different scales used for evaluation of quality of life in patients with acne.
Consideration of specific scales suggests that the Acne Disability Index/Cardiff Acne Disability Index is the easiest scale to use in routine dermatology practice. The Acne Quality of Life scale is particularly useful for evaluating anxiety and depression. The Acne-Specific Quality of Life questionnaire has been mainly validated in adult acne. The Assessment of the Psychological and Social Effects of Acne scale has yet to be validated. Clinical trials indicate that use of global and specific scales together has complementary benefits.
In the management of acne, evaluation of quality of life may help to detect depression in teenagers. It may also help to enhance adherence to treatment, which is a crucial factor for success. Finally, there are now validated quality of life scales that are easy to use during patient consultations (taking <2 minutes to complete) by clinicians wishing to evaluate quality of life in patients with acne.
Fußnoten
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Literatur
1.
Zurück zum Zitat Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: a community-based study. Br J Dermatol 2001; 145: 274-9PubMedCrossRef Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: a community-based study. Br J Dermatol 2001; 145: 274-9PubMedCrossRef
2.
Zurück zum Zitat Fried RG, Shalita AR. Acné et psychisme: interactions. Cutis et Psyché 1992; 2: 28-34 Fried RG, Shalita AR. Acné et psychisme: interactions. Cutis et Psyché 1992; 2: 28-34
3.
Zurück zum Zitat Toyoda M, Nakamura M, Morohashi M. Neuropeptides and sebaceous glands. Fur J Dermatol 2002; 12: 422-7 Toyoda M, Nakamura M, Morohashi M. Neuropeptides and sebaceous glands. Fur J Dermatol 2002; 12: 422-7
4.
Zurück zum Zitat Toyoda M, Nakamura M, Makino T, et al. Sebaceous glands in acne patients express high levels of neutral endopeptidases. Exp Dermatol 2002; 11: 241-7PubMedCrossRef Toyoda M, Nakamura M, Makino T, et al. Sebaceous glands in acne patients express high levels of neutral endopeptidases. Exp Dermatol 2002; 11: 241-7PubMedCrossRef
5.
Zurück zum Zitat Green J, Sinclair RD. Perceptions of acne vulgaris in final year medical student written examination answers. Australas J Dermatol 2001; 42 (2): 98-101PubMedCrossRef Green J, Sinclair RD. Perceptions of acne vulgaris in final year medical student written examination answers. Australas J Dermatol 2001; 42 (2): 98-101PubMedCrossRef
6.
Zurück zum Zitat The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995; 41: 1403-9 The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995; 41: 1403-9
7.
Zurück zum Zitat Cribier B. Acne and quality of life [in French]. Ann Dermatol Venereol 2000; 127 Suppl. 2: 2S13-4 Cribier B. Acne and quality of life [in French]. Ann Dermatol Venereol 2000; 127 Suppl. 2: 2S13-4
8.
Zurück zum Zitat Chren MM, Lasek RJ, Quinn LM, et al. Skindex, a quality of life measure for patients with skin disease: reliability, validity, and responsiveness. J Invest Dermatol 1996; 107: 707-13PubMedCrossRef Chren MM, Lasek RJ, Quinn LM, et al. Skindex, a quality of life measure for patients with skin disease: reliability, validity, and responsiveness. J Invest Dermatol 1996; 107: 707-13PubMedCrossRef
9.
Zurück zum Zitat Lasek RJ, Chren MM. Acne vulgaris and the quality of life of adult dermatology patients. Arch Dermatol 1998; 134: 454-8PubMedCrossRef Lasek RJ, Chren MM. Acne vulgaris and the quality of life of adult dermatology patients. Arch Dermatol 1998; 134: 454-8PubMedCrossRef
10.
Zurück zum Zitat Hayashi N, Higaki Y, Kawamoto K, et al. A cross-sectional analysis of quality of life in Japanese acne patients using the Japanese version of Skindex-16. J Dermatol 2004; 31: 971-6PubMed Hayashi N, Higaki Y, Kawamoto K, et al. A cross-sectional analysis of quality of life in Japanese acne patients using the Japanese version of Skindex-16. J Dermatol 2004; 31: 971-6PubMed
11.
Zurück zum Zitat Anderson RT, Rajagopalan R. Development and validation of a quality of life instrument for cutaneous diseases. J Am Acad Dermatol 1997; 37: 41-50PubMedCrossRef Anderson RT, Rajagopalan R. Development and validation of a quality of life instrument for cutaneous diseases. J Am Acad Dermatol 1997; 37: 41-50PubMedCrossRef
12.
Zurück zum Zitat Anderson R, Rajagopalan R. Responsiveness of the Dermatology-Specific Quality of Life (DSQL) instrument to treatment for acne vulgaris in a placebo-controlled clinical trial. Qual Life Res 1998; 7: 723-34PubMedCrossRef Anderson R, Rajagopalan R. Responsiveness of the Dermatology-Specific Quality of Life (DSQL) instrument to treatment for acne vulgaris in a placebo-controlled clinical trial. Qual Life Res 1998; 7: 723-34PubMedCrossRef
13.
Zurück zum Zitat Mosam A, Vawda NB, Gordhan AIL et al. Quality of life issues for South Africans with acne vulgaris. Clin Exp Dermatol 2005; 30: 6-9PubMedCrossRef Mosam A, Vawda NB, Gordhan AIL et al. Quality of life issues for South Africans with acne vulgaris. Clin Exp Dermatol 2005; 30: 6-9PubMedCrossRef
14.
Zurück zum Zitat Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol 1994; 19: 210-6PubMedCrossRef Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): a simple practical measure for routine clinical use. Clin Exp Dermatol 1994; 19: 210-6PubMedCrossRef
15.
Zurück zum Zitat Mallon E, Newton IN, Klassen A, et al. The quality of life in acne: a comparison with general medical conditions using generic questionnaires. Br J Dermatol 1999; 140: 672-6PubMedCrossRef Mallon E, Newton IN, Klassen A, et al. The quality of life in acne: a comparison with general medical conditions using generic questionnaires. Br J Dermatol 1999; 140: 672-6PubMedCrossRef
16.
Zurück zum Zitat Klassen AF, Newton IN, Mallon E. Measuring quality of life in people referred for specialist care of acne: comparing generic and disease-specific measures. J Am Acad Dermatol 2000; 43: 229-33PubMedCrossRef Klassen AF, Newton IN, Mallon E. Measuring quality of life in people referred for specialist care of acne: comparing generic and disease-specific measures. J Am Acad Dermatol 2000; 43: 229-33PubMedCrossRef
17.
Zurück zum Zitat Boehncke WH, Ochsendorf F, Paeslack I, et al. Decorative cosmetics improve the quality of life in patients with disfiguring skin diseases. Fur J Dermatol 2002; 12: 577-80 Boehncke WH, Ochsendorf F, Paeslack I, et al. Decorative cosmetics improve the quality of life in patients with disfiguring skin diseases. Fur J Dermatol 2002; 12: 577-80
18.
Zurück zum Zitat Oakley AM. The Acne Disability Index: usefulness confirmed. Australas J Dermalot 1996; 37: 37-9CrossRef Oakley AM. The Acne Disability Index: usefulness confirmed. Australas J Dermalot 1996; 37: 37-9CrossRef
19.
Zurück zum Zitat Salek MS, Khan GK, Finlay AY. Questionnaire techniques in assessing acne handicap: reliability and validity study. Qual Life Res 1996; 5: 131-8PubMedCrossRef Salek MS, Khan GK, Finlay AY. Questionnaire techniques in assessing acne handicap: reliability and validity study. Qual Life Res 1996; 5: 131-8PubMedCrossRef
20.
Zurück zum Zitat Dréno B, Finlay AY, Nocera T, et al. The Cardiff Acne Disability Index: cultural and linguistic validation in French. Dermatology 2004; 208: 104-8PubMedCrossRef Dréno B, Finlay AY, Nocera T, et al. The Cardiff Acne Disability Index: cultural and linguistic validation in French. Dermatology 2004; 208: 104-8PubMedCrossRef
21.
Zurück zum Zitat Girman CJ, Hartmeier S, Thiboudot D, et al. Evaluating health-related quality of life in patients with facial acne: development of a self-administered questionnaire for clinical trials. Qual Life Res 1996; 5: 481-90PubMedCrossRef Girman CJ, Hartmeier S, Thiboudot D, et al. Evaluating health-related quality of life in patients with facial acne: development of a self-administered questionnaire for clinical trials. Qual Life Res 1996; 5: 481-90PubMedCrossRef
22.
Zurück zum Zitat Martin AR, Lookingbill DP, Botek A. Health related quality of life among patients with facial acne: assessment of a new acne-specific questionnaire. Clin Exp Dermatol 2001; 26: 381-5 Martin AR, Lookingbill DP, Botek A. Health related quality of life among patients with facial acne: assessment of a new acne-specific questionnaire. Clin Exp Dermatol 2001; 26: 381-5
23.
Zurück zum Zitat Fehnel SE, McLeod LD, Brandman J, et al. Responsiveness of the Acne-Specific Quality of Life questionnaire (Acne-QoL) to treatment for acne vulgaris in placebo-controlled clinical trials. Qual Life Res 2002; 11: 809-16PubMedCrossRef Fehnel SE, McLeod LD, Brandman J, et al. Responsiveness of the Acne-Specific Quality of Life questionnaire (Acne-QoL) to treatment for acne vulgaris in placebo-controlled clinical trials. Qual Life Res 2002; 11: 809-16PubMedCrossRef
24.
Zurück zum Zitat McLeod LD, Fehnel SE, Brandman J, et al. Evaluating minimal clinically important differences for the Acne-Specific Quality of Life questionnaire. Pharmacoeconomics 2003; 21: 1069-79PubMedCrossRef McLeod LD, Fehnel SE, Brandman J, et al. Evaluating minimal clinically important differences for the Acne-Specific Quality of Life questionnaire. Pharmacoeconomics 2003; 21: 1069-79PubMedCrossRef
25.
Zurück zum Zitat Gupta MA, Johnson MA, Gupta AK. The development of an Acne Quality of Life scale: reliability, validity, and relation to subjective acne severity in mild to moderate acne vulgaris. Acta Derm Venereol 1998; 78: 451-6PubMedCrossRef Gupta MA, Johnson MA, Gupta AK. The development of an Acne Quality of Life scale: reliability, validity, and relation to subjective acne severity in mild to moderate acne vulgaris. Acta Derm Venereol 1998; 78: 451-6PubMedCrossRef
26.
Zurück zum Zitat Yazici K, Baz K, Yazici AE, et al. Disease-specific quality of life is associated with anxiety and depression in patients with acne. J Fur Acad Dermatol Venereol 2004; 18: 435-9CrossRef Yazici K, Baz K, Yazici AE, et al. Disease-specific quality of life is associated with anxiety and depression in patients with acne. J Fur Acad Dermatol Venereol 2004; 18: 435-9CrossRef
27.
Zurück zum Zitat Weiss JW, Shavin J, Davis M. Preliminary results of a nonrandomized, multicenter, open-label study of patient satisfaction after treatment with combination benzoyl peroxide/clindamycin topical gel for mild to moderate acne. Clin Ther 2002; 24: 1706-17PubMedCrossRef Weiss JW, Shavin J, Davis M. Preliminary results of a nonrandomized, multicenter, open-label study of patient satisfaction after treatment with combination benzoyl peroxide/clindamycin topical gel for mild to moderate acne. Clin Ther 2002; 24: 1706-17PubMedCrossRef
28.
Zurück zum Zitat Layton AM, Eady A, Cunliffe WJ. A reassessment of acne: what constitutes severe acne? Br J Dermatol 1991; 125 Suppl. 38: 35-6 Layton AM, Eady A, Cunliffe WJ. A reassessment of acne: what constitutes severe acne? Br J Dermatol 1991; 125 Suppl. 38: 35-6
29.
Zurück zum Zitat Niemeier V, Kupfer J, Demmelbauer-Ebner M, et al. Coping with acne vulgaris: evaluation of the chronic skin disorder questionnaire in patients with acne. Dermatology 1998; 134: 454-8CrossRef Niemeier V, Kupfer J, Demmelbauer-Ebner M, et al. Coping with acne vulgaris: evaluation of the chronic skin disorder questionnaire in patients with acne. Dermatology 1998; 134: 454-8CrossRef
30.
Zurück zum Zitat Lewis-Jones MS, Finlay AY. The Children’s Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol 1995; 132: 942-9PubMedCrossRef Lewis-Jones MS, Finlay AY. The Children’s Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol 1995; 132: 942-9PubMedCrossRef
31.
Zurück zum Zitat Baldwin HE. The interaction between acne vulgaris and the psyche. Cutis 2002 Aug; 70 (2): 133-9PubMed Baldwin HE. The interaction between acne vulgaris and the psyche. Cutis 2002 Aug; 70 (2): 133-9PubMed
32.
Zurück zum Zitat Rapp DA, Brenes GA, Feldman SR, et al. Anger and acne: implications for quality of life, patient satisfaction and clinical care. Br J Dermatol 2004 Jul; 151 (1): 183-9PubMedCrossRef Rapp DA, Brenes GA, Feldman SR, et al. Anger and acne: implications for quality of life, patient satisfaction and clinical care. Br J Dermatol 2004 Jul; 151 (1): 183-9PubMedCrossRef
33.
Zurück zum Zitat Tan JK. Psychosocial impact of acne vulgaris: evaluating the evidence. Skin Therapy Lett 2004; 9: 1-3PubMed Tan JK. Psychosocial impact of acne vulgaris: evaluating the evidence. Skin Therapy Lett 2004; 9: 1-3PubMed
34.
Zurück zum Zitat Jaeschke R, Singer J, Guyatt G. Measurement of health status: ascertaining the minimal clinically important difference. Control Clin Trials 1989; 10: 407-15PubMedCrossRef Jaeschke R, Singer J, Guyatt G. Measurement of health status: ascertaining the minimal clinically important difference. Control Clin Trials 1989; 10: 407-15PubMedCrossRef
35.
Zurück zum Zitat Gollnick H, Cunliffe W, Berson D, et al. Management of acne: a report from a Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol 2003; 49 (1 Suppl.): S1-37PubMedCrossRef Gollnick H, Cunliffe W, Berson D, et al. Management of acne: a report from a Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol 2003; 49 (1 Suppl.): S1-37PubMedCrossRef
Metadaten
Titel
Assessing Quality of Life in Patients with Acne Vulgaris
Implications for Treatment
verfasst von
Prof. Brigitte Dréno
Publikationsdatum
01.04.2006
Verlag
Springer International Publishing
Erschienen in
American Journal of Clinical Dermatology / Ausgabe 2/2006
Print ISSN: 1175-0561
Elektronische ISSN: 1179-1888
DOI
https://doi.org/10.2165/00128071-200607020-00003

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