Psychosocial Impact of Acne Vulgaris: Evaluating the Evidence

J. K. L. Tan, MD, FRCPC


Skin Therapy Letter. 2004;9(7) 

In This Article

Cohort Studies and Summary

While a prospective longitudinal cohort study is the most powerful trial design for evaluating incidence and investigating potential causes of psychosocial dysfunction in acne patients, such a survey has not been performed. A cohort of school children followed from pre-adolescence to early adulthood would be of particular value in determining the sequence of events in the complex interaction of acne and psychological changes of adolescence, and in providing estimates of incidence and relative risks of these outcomes. Such a survey may be a relatively inexpensive extension or addition to longitudinal studies on general health in the pediatric population.

Acne vulgaris is associated with excess psychosocial morbidity, which can be reduced by effective treatment. Furthermore, acne is associated with a greater psychological burden than a variety of other disparate chronic disorders. The causal inference provided by current literature between acne and psychosocial disability requires validation by a longitudinal cohort evaluation.


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