Psychological distress and its association with functional disability index among acne patients attending dermatology clinics in the Kuantan tertiary hospitals

Samsudin, Suhaiza and Zulkifli, Zuliyasmin and Hassan, Noor Artika and Ismail, Rasimah and Ramalingam, Rajalingam (2024) Psychological distress and its association with functional disability index among acne patients attending dermatology clinics in the Kuantan tertiary hospitals. Malaysian Journal of Medicine and Health Sciences, 20 (1). pp. 126-133. ISSN 1675-8544 E-ISSN 2636-9346

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Abstract

Introduction: Acne is the most common skin disease among adolescents and has significant psychological distress. Our objective is to assess acne severity, functional disability, and its psychological distress among acne patients. Methods: A cross-sectional study was conducted from November 2021 to May 2022 among 163 acne patients at�tending Dermatology Clinics in the district of Kuantan, Pahang. The severity of acne was graded using the Compre�hensive Acne Severity Scale (CASS). The functional disability index was measured using a Cardiff Acne Disability Index (CADI), while Depression, Anxiety and Stress Scale (DASS-21) questionnaires were used as a screening tool to detect the psychological distress of acne. Data were analysed using a Chi-square test, Fisher’s exact test and multiple logistic regression. Results: The mean age was 23 years, 60.1% were female, 94.5% were Malay, and 68.1% were unemployed. The severity of acne was more prominent in the mild (30.7%) and moderate (28.2%) categories. A total of 20.2%, 11.7%, and 4.9% of the respondents had anxiety, depression, and stress symptoms, respectively. Regard�ing the respondents’ functional disability, 40.5% had mild impairment, 38.0% had moderate impairment, and 13.5% had severe impairment. Acne severity was found to be significantly associated with the functional disability index (P<0.05). The functional disability index was also found to be significantly associated with depression (p=0.019) and anxiety symptoms (p=0.042). Conclusion: Clinical management of acne patients should include not only pharmaco�logical treatment but also consideration of the disease’s functional disability status and psychological distress. Malaysian Journal of Medicine and Health Sciences (2024) 20(1):126-133. doi:10.47836/mjmhs.20.1.17

Item Type:	Article (Journal)
Uncontrolled Keywords:	Acne; CADI; Functional disability index; Psychological Distress, DASS-21
Subjects:	R Medicine > R Medicine (General) R Medicine > RL Dermatology R Medicine > RZ Other systems of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Community Medicine (Effective: 1st January 2011) Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	11 Mar 2024 12:46
Last Modified:	11 Mar 2024 13:01
URI:	http://irep.iium.edu.my/id/eprint/111264

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