QOL improvement with in adolescents with facial acne vulgaris before and after treatment
Abstract
Background: Acne is a common adolescent problem, affecting more than 85 percent of teenagers, as well as some adults. Although some consider acne to be merely a cosmetic problem, it may have significant and enduring emotional and psychological effects. Adolescent facial acne vulgaris impairs their quality of life (QOL). Objective: To assess QOL improvement with in adolescents who have facial acne vulgaris. Materials and Methods: This was a cross-sectional comparative study carried out at Dept. of Dermatology and venatarology, Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh from March to September 2022. Total of one hundred (100) adolescents aged 15-20 years clinically examined for facial acne vulgaris were studied. Study was explained to the subjects and their parents via a letter and an informed consent was obtained from the parents. Quality of life before and after 6 weeks of treatment with 10% benzoyl peroxide was assessed using the Cardiff acne disability index. Data was analyzed using SPSS 19. The differences in quality of life scores were tested using non-parametric tests. Level of significance of all tests was p<0.05. Results: Total One hundred (100) adolescents completed were study. Study population was made up of 42 (42%) males and 58 (58%) females. Before treatment, 90% of the adolescents had an impaired QOL and this decreased to 76% of adolescents’ post- treatment. Post-treatment, the median CADI score improved to 2 from a pre-interventional score of 4, p<0.001. Improvement was observed in all the components of the CADI especially with the question, “how bad do you think your acne is now” with a percentage reduction from 82% to 56% and this improvement was in more males with improvement from 95% to 67%. Also, post-treatment, moderate to severe clinical severity of acne improved from 49.1% to 10.3%, p<0.001. Conclusion: Acne is a highly prevalent condition, affecting the majority of people at some point in their lifetimes, most often during adolescence. Treatment of adolescent facial acne leads to improvement of QOL especially in the perception of facial skin appearance and the severity of acne.
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References
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