A vivência da Acne e as suas consequências psicológicas / The Acne experience and its psychological consequences
Abstract
Além da componente física, a Acne possui consequências psicológicas que podem afetar a qualidade de vida do paciente, a sua autoimagem e a sua autoestima.
O presente estudo procurou identificar as características e o impacto psicológico associado à vivência subjetiva de ter Acne por parte de uma amostra composta por 1.666 sujeitos de nacionalidade portuguesa, com idade compreendida entre os 17 e os 49 anos, tendo-se dividido a amostra em três grupos: sujeitos sem Acne, sujeitos que tiveram Acne, e sujeitos com Acne. Aplicou-se um protocolo constituído por instrumentos para medir a qualidade de vida, a ansiedade, depressão e o stresse, as estratégias de coping, a alexitimia, e as crenças e comportamentos à volta da Acne.
Com base nos resultados deste estudo, poder-se-á deduzir que a qualidade de vida parece não sofrer qualquer impacto com a Acne ligeira. Sofre apenas um pequeno impacto com a Acne quando esta é percecionada como moderada ou grave. As crenças sobre a Acne são genericamente coincidentes com as crenças veiculadas pelos dermatologistas, o que indicia que os sujeitos da amostra estão bem esclarecidos sobre a Acne. A maioria dos sujeitos é não alexitimico, ou seja, não revela qualquer problema relacionado com a identificação, descrição e expressão dos sentimentos, emoções e sensações corporais. Apesar de não haver relação estatisticamente significativa entre indicadores de depressão e a ansiedade e a Acne, essa relação existe com o stresse, sendo a resposta ao mesmo através de estratégias de coping dominantemente adaptativas.
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Ali, G., Mehtab, K., Sheikh, Z., Ali, H., Kader, S., Mansoor, H., et al (2010). Beiefs and perceptions of acne among a sample of students from Sindh Medical College Karachi. Journal of Pakistan Medical Association, 60 (1), 51-54.
Anderson, R., & Rajagopalan, R. (1998). Responsiveness of the Dermatology-specific Quality of life (DSQL) instrument to treatment for acne vulgaris in a placebo-controlled clinical trial. Quality of Life Research, 7, 723-734.
Antoniazzi, A. S., Dell'Aglio, D. D., & Bandeira, D. R. (1998). O conceito de coping: uma revisão teórica. Estudos de Psicologia (Natal), 3(2), 273-294. Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-294X1998000200006&lng=en&tlng=pt. 10.1590/S1413-294X1998000200006.
Arendt, F., Steindl, N. & Vitouch, P. (2014). Effects of News Stereotypes on the Perception of Facial Threat. Journal of Media Psychology. 1-9.
Bashir, K., Dar, N. R., & Rao, S. U. (2010). Depression in adult dermatology outpatients. Journal of the College of Physicians and Surgeons, 20(12), 811-813. doi:12.2010/JCPSP.811813
Basra, M., Gada, V., Ungaro, S., Finlay, A., & Salek, S. (2013). Infant’s Dermatitis Quality of Life Index: a decade of experience of validation and clinical application. British Journal of Dermatology, 169(4), 760-768. doi:10.1111/bjd.12563.
Batel, S. & Castro, P. (2009). A Social Representations Approach to The Communication between Different Spheres: An Analysis of the Impacts of Two Discursive Formats. Journal of the Theory of Social Behaviour. 39 (4), 415-433.
Bauer, M. & Gaskell, G. (2008). Social Representation Theory: A Progressive Research Program for Social Psychology. Journal for the Theory of Social Behaviour. 38 (4), 335-353.
Basavaraj, K., Navya, M., & Rashmi, R. (2010). Relevance of psychiatry in dermatology: present concepts. Indian Journal of Psychiatry, 52(3), 270-275. doi:10.4103/0019-5545.70992
Bez, Y., Yesilova, Y., Ari, M., Kaya, M., Alpark, G., & Bulut, M. (2013). Predictive value of obssessive compulsive symptoms involving the skin on quality of life in patients with acne vulgaris. Acta Dermato-Venereologica, 93(6), 679-683. doi: 10.2340/00015555-1598.
Brajac, I., Bilic-Zulle, L., Tjalcic, M., Loncarek, K., & Gruber, F. (2004). Acne vulgaris: myths and misconceptions among patients and family physicians. Patient Education and Counseling, 54, 21-25.
Carver, C. (1997). You want to measure coping but your protocol’s too long: consider the Brief COPE. International Journal of Behavioral Medicine, 4 (1), 92-100.
Davidovici, B., & Wolf, R. (2010). The role of diet in acne: facts and controversies. Clinics in Dermatology, 28-12-16.
Dréno, B. (2006). Assessing quality of life in patients with acne vulgaris: implications for treatment. American Journal of Clinical Dermatology, 7(2), 99-106.
Ebata, A., & Moos, R. (1994). Personal, Situation, and Contextual Correlates of Coping in Adolescence. Journal of Research on Adolescence, 4(1), 99-125. doi:10.1207/s15327795jra0401_6
Fehnel, S., McLeod, L., Brandman, J., Arbit, D., McLauhlin-Milley, C., Coombs, A., … Girman, C. J. (2002). Responsiveness of the Acne-specific quality of life questionnaire (Acne-QoL) to treatment for Acnes vulgaris in placebo-controlled clinical trials. Quality of Life Research, 11(8), 809-816.
Goodman, G. (2006). Acne: Natural history, facts and myths. Australian Family Physician, 35 (8), 613-616.
Green, L. (2010). The effect of skin conditions on patients’ quality of life. Nursing standard, 25(9), 48-55.
Green, J., & Sinclair, R. (2011). Perceptions of acne vulgaris in final year medical student written examination answers. Australian Journal of Dermatology, 42, 98-101.
Gupta, M. A., & Gupta, A. K. (1998). Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. British Journal of Dermatology, 139(5), 846-850. doi:10.1046/j.1365-2133.1998.02511.x
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. doi:10.1080/000155598442773
Harju, B., & Bolen, L. (1998). The Effects of Optimism on Coping and Perceived Quality of Life of College Students. Journal of Social Behavior and Personality, 13(2), 185-200.
Hedden, S., Davidson, S., & Smith, C. (2008). Cause and Effect: The Relationship Between Acne and Self-Esteem in the Adolescent Years. The Journal of Nurse Practitioners, 595-600.
Helmes, E., McNeill, P. D., Holden, R. R., & Jackson, C. (2008). The construct of alexithymia: Associations with defense mechanisms. Journal of Clinical Psychology, 64(3), 318-331. doi:10.1002/jclp.20461
Hong, J., Koo, B., & Koo, J. (2008). The psychosocial and occupational impact of chronic skin disease. Dermatologic Therapy, 21(1), 54-59. doi:10.1111/j.1529-8019.2008.00170.x
Howarth, C. (2006). A social representation is not a quiet thing: exploring the critical potential of social representations theory. British Journal of Social Psychology. 45, 65-86.
Kojima, M. (2012). Alexithymia as a prognostic risk factor for health problems: a brief review of epidemiological studies. BioPsychoSocial Medicine, 6(1), 21. doi:10.1186/1751-0759-6-21
Kurtali?, N., & Hadžigrahi?, N., Tahirovi?, H., & Šadi?, S. (2010). Assessment of anxiety and depression in adolescents with acne vulgaris related to the severity of clinical features and gender. Acta Medica Academica, 39(2), 159-164. Retrieved from http://www.anubih.ba/ama/vol-39-no-2-y10/Nermina%20Kurtalic.pdf
Liu, L. (2004). Sensitising Concept, Themata and Shareness: A Dialogical Perspective of Social Representations. Journal of the Theory of Social Behaviour. 34 (3), 249-264.
Machat, S., Sharif, N., & Zimmo, S. (2013). Acne awareness and perception among population in Jeddah, Saudi Arabia. Journal of the Saudi Society of Dermatology & Dermatologic Surgery, 17 (2), 47-49.
Magin, P., Adams, J., Heading, G., Pond, D., & Smith, W. (2006). The Causes of Acne: A Qualitative Study of Patients Perceptions of Acne Causation and Their Implications for Acne Care. Dermatology Nursing, 18 (4), 344-349.
Marková, I. (2008). The Epistemological Significance of the Theory of social Representations. Journal for the Theory of Social Behaviour. 38 (4), 461-487.
Nast, A., Dréno, B., Bettoli, V., Degitz, K., Erdman, R., Finlay, A., ... Gollnick, H. (2011). European evidence based (S3) guidelines for the treatment of Acne. Journal of the European Academy of Dermatology and Venereology, 26(s1), 1-29. doi:10.1111/j.1468-3083.2011.04374.x
Niemeir, V., Kupfer, J., Demmelbauer-Ebner, M., Effendy, I., & Gieler, U. (1998). Coping with Acne vulgaris. Dermatology, 196(1), 108-115. doi:10.1159/000017842
Öztürk, P., Orhan, F., Özer, A., Karakas, T., Öksüz, A., & Yeti?ir, N. (2013). Assessment of Temperament and Character Profile with Anxiety and Depression in Patients with Acne. Balkan Medical Journal. 30(2), 161-166. doi:10.5152/balkanmedj.2012.101
Pawin, H., Chivot, M., Beylot, C., Faure, M., Poli, F., Revuz, J. et al (2007). Living with Acne: A Study of Adolescents’s Personal Experiences. Dermatology, 215, 308-314.
Pearl, A., Arroll, B., Lello, J., & Birchall, N. (1998). The impact of acne: a study of adolescents’ attitudes, perceptions and knowledge. New Zealand Medical Journal, 111, 269-271.
Picardi, A., Lega, I., & Tarolla, E. (2013). Suicide risk in skin disorders. Clinics in Dermatology, 31(1), 47-56. doi:10.1016/j.clindermatol.2011.11.006
Poli, F., Auffret, N., Beylot, C., Chivot, M., Faure, M., Moyse, D. et al. (2011). Acne as Seen by Adolescents: Results of Questionnaire Study in 852 French Individuals. Acta Dermato-Venereologica, 91, 531-536.
Ribeiro, J., & Rodrigues, A. (2004). Questões acerca do coping: a propósito do estudo de adaptação do Brief COPE. Psicologia, Saúdes & Doenças, 5(1), 3-15.
Rigopoulos, D., Gregoriou, S., Ifandi, A., Efstathiou, G., Georgala, S., Chalkias, J., et al (2007). Coping with acne: beliefs and perceptions in a sample of secondary school Greek pupils. Journal of the European Academy of Dermatology and Venereology, 21, 806-810.
Safizadeh, H., Nakhaee, N., Shamsi-meymandi, S., Pourdamghan, N. & Basra, M. (2014). Preliminary realiability and validity of Persian version of the Family Dermatology Life Quality Index (FDLQI). Quality of Life Research, 23, 869-875.
Salek, M., Jung, S., Brincat-Ruffini, L., MacFarlane, L., Lewis-Jones, M., Basra, M., & Finlay, A. (2013). Clinical experience and psychometric properties of the Children's Dermatology Life Quality Index (CDLQI), 1995-2012. British Journal of Dermatology, 169(4), 743-759. doi:10.1111/bjd.12437
Santos, C. & Cruz, O. (2013). Representações sociais de párocos portugueses sobre a toxidependência. Actas do VI Congresso Internacional da Sociedade Portuguesa de Psiquiatria e Psicologia da Justiça. 15-20.
Shaukat, S., Aman, S., Hussain, I., & Kazmi, A. (2013). The effect of oral doxycycline and topical 5% benzoyl peroxide on quality of life in patients with mild to moderate acne vulgaris. Journal of Pakistan Association of Dermatologists, 23(2), 173-179.
Schnider, K., & Elhai, J. (2007). Coping style use predicts posttraumatic stress and complicated grief symptom severity among college students reporting a traumatic loss. Journal of Counseling Psychology, 54 (3), 344-350.
Silva, A. N., & Vasco, A. B (2010, Fevereiro). Alexitimia: Que processos emocionais? Que intervenção terapêutica? Paper presented at Actas do VII Simpósio Nacional de Investigação em Psicologia, Universidade do Minho, Portugal. Retrieved from de 4 a 6 de fevereiro 675-682. Conference paper.
Staerklé, C., Clémence, A. & Spini, D. (2011). Social Representations: A Normative and Dynamic Intergroup Approach. Political Psychology. 32 (5), 759-768.
Tahir, M., & Ansari, R. (2012). Beliefs, perceptions and expectations among acne patients. Journal of Pakistan Association of Dermatologists, 22, 98-104.
Tan, J., Vasey, K., & Fung, K. (2001). Beliefs and perceptions of pacients with acne. Journal of the American Academy of Dermatology, 44 (3), 439-445.
Tasoula, E., Gregoriou, S., Chalikias, J., Lazarou, D., Danopoulou, I., Katsambas, A., & Rigopoulos, D. (2012). The impact of acne vulgaris on quality of life and psychic health in young adolescents in Greece. Results of a population survey. Anais Brasileiros de Dermatologia, 87(6), 862-869.
Tatasiewicz, K., Otdakowska, A., & Szcerkowska-Dobosz, A. (2012). Evaluation of knowledge about acne vulgaris among a selected population of adolescents of Tricity schools. Postepy Dermatologii i Alergologii XXI, 417-420.
Taylor, G. J., & Bagby, R. M. (2013). Psychoanalysis and Empirical Research: The Example of Alexithymia. Journal of the American Psychoanalytic Association, 61(1), 99-133. doi:10.1177/0003065112474066
Uhlenhake, E., Yentzer, B. A., & Feldman, S. R. (2010). Acne vulgaris and depression: a retrospective examination. Journal of Cosmetic Dermatology, 9(1), 59-63. doi:10.1111/j.1473-2165.2010.00478.x
Uslu, G., Sendur, N., Uslu, M., Sack, E., Karaman, G., Eskin, M. (2007). Acne: prevalence, perceptions and effects of psychological health among adolescents in Aydin, Turkey. Journal of the European Academy of Dermatology and Venereology, 22, 462-469.
Van Beek, M., Beach, S., Braslow, L., Braslow, J., & Chen, S. (2007). Highlights from the report of the working group on “core measures of the burden of skin diseases”. Journal of Investigative Dermatology, 127, 2701-2706. doi:10.1038/sj.jid.5701174
Veríssimo, R. (2003). Inteligência Emocional: da Alexitimia ao Controlo Emocional. Acta Médica Portuguesa, 16(6), 407-411.
Weiten, W. & Lloyd, M.A. (2008) Psychology Applied to Modern Life (9th ed.). Wadsworth Cengage Learning. ISBN 0-495-55339-5
Willemsen, R., Roseeuw, D., & Vanderlinden, J. (2007). Alexithymia and dermatology: the state of the art. International Journal of Dermatology, 47(9), 903-910. doi:10.1111/ijd.2008.47
Yahya, H. (2009). Acne vulgaris in Nigerian adolescents – prevalence, severity, beliefs, perceptions, and practices. International Journal of Dermatology, 48, 495-505.
Yang, Y. C., Tu, H. P., Hong, C. H., Chang, W. C., Fu, H. C., Ho, J. C., … Lee, C. H. (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, 1-7. doi:10.1155/2014/504279
DOI: https://doi.org/10.34119/bjhrv4n1-111
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