A vivência da Acne e as suas consequências psicológicas / The Acne experience and its psychological consequences

Catarina Rebelo Neves, Carlos Augusto Amaral Dias, Jorge Torgal Garcia, Sara Alexandra da Fonseca Marques Simões Dias

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.

 


Keywords


Acne, Impacto psicológico, Qualidade de vida, Coping, Crenças.

References


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

Kurtalić, N., & Hadžigrahić, N., Tahirović, H., & Šadić, 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., & Yetişir, 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

Refbacks

  • There are currently no refbacks.