Psychological Distress and Its Association with Functional Disability Index Among Acne Patients Attending Dermatology Clinics in the Kuantan Tertiary Hospitals
https://doi.org/10.47836/mjmhs.20.1.17
- Author:
Suhaiza Samsudin
1
;
Zuliyasmin Zulkifli
1
;
Noor Artika Hassan
2
;
Rasimah Ismail
3
;
Rajalingam Ramalingam
4
Author Information
1. Department of Family Medicine, Kulliyah of Medicine, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia
2. Department of Community Medicine, Kulliyah of Medicine, International Islamic University Malaysia, Kuantan, Malaysia
3. Department of Medicine, Sultan Ahmad Shah Medical Centre@IIUM, Kuantan, Malaysia
4. Department of Medicine, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia
- Publication Type:Journal Article
- Keywords:
Acne;
CADI;
Functional disability index;
Psychological Distress, DASS-21
- From:Malaysian Journal of Medicine and Health Sciences
2024;20(No.1):126-133
- CountryMalaysia
- Language:English
-
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 attending Dermatology Clinics in the district of Kuantan, Pahang. The severity of acne was graded using the Comprehensive 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. Regarding 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 pharmacological treatment but also consideration of the disease’s functional disability status and psychological distress.
- Full text:11.2024my1721.pdf
