Abstract：
BACKGROUND: In many patients, emotional stress may exacerbate acne. Psychological problems such as social phobias, low self-esteem, or depression may also occur as a result of acne. The presence of acne may have some negative effect on the quality of life, self-esteem, and mood of the affected patients. While some studies have been undertaken about anxiety, depression, and personality patterns in patients with acne, only a few studies have been done to identify specific personality disorders in patients with acne. Furthermore, there is a dearth of data regarding the effect of personality disorder on the psychological states of the patients which prompted us to undertake the present study.
METHODS: This was a descriptive cross-sectional study, undertaken in a Tertiary Care Teaching Hospital in Eastern India. Consecutive patients suffering from severe (Grade 3 and 4) acne, attending the Dermatology Outpatient Department, aged above 18 years were included to the study.
RESULTS: A total of 65 patients were evaluated with a mean age of 26 years. Personality disorder was present in 29.2% of patients. The diagnosed personality disorders were obsessive compulsive personality disorder (n = 9, 13.8%), anxious (avoidant) personality disorder (n = 6, 9.2%), and borderline personality disorder (n = 2, 3%), mixed personality disorder (n = 2, 3%). All patients with personality disorder had some psychiatric comorbidity. Patients having personality disorder had higher number of anxiety and depressive disorders which were also statistically significant.
CONCLUSIONS: The present study highlights that personality disorders and other psychiatric comorbidities are common in the setting of severe acne.
METHODS: This was a descriptive cross-sectional study, undertaken in a Tertiary Care Teaching Hospital in Eastern India. Consecutive patients suffering from severe (Grade 3 and 4) acne, attending the Dermatology Outpatient Department, aged above 18 years were included to the study.
RESULTS: A total of 65 patients were evaluated with a mean age of 26 years. Personality disorder was present in 29.2% of patients. The diagnosed personality disorders were obsessive compulsive personality disorder (n = 9, 13.8%), anxious (avoidant) personality disorder (n = 6, 9.2%), and borderline personality disorder (n = 2, 3%), mixed personality disorder (n = 2, 3%). All patients with personality disorder had some psychiatric comorbidity. Patients having personality disorder had higher number of anxiety and depressive disorders which were also statistically significant.
CONCLUSIONS: The present study highlights that personality disorders and other psychiatric comorbidities are common in the setting of severe acne.
摘要：
背景：在许多患者中，情绪压力可能会加剧痤疮。心理问题，如社交恐惧症，低自尊,或抑郁也可能是痤疮的结果。痤疮的存在可能会对生活质量产生一些负面影响，自尊,以及受影响患者的情绪。虽然已经进行了一些关于焦虑的研究，抑郁症,痤疮患者的人格模式，只有少数研究已经完成，以确定痤疮患者的特定人格障碍。此外，缺乏有关人格障碍对患者心理状态影响的数据，这促使我们进行本研究。
方法：这是一项描述性横断面研究，在印度东部的三级护理教学医院进行。连续患有严重（3级和4级）痤疮的患者，参加皮肤科门诊，18岁以上的人被纳入研究。
结果：共有65名患者接受了评估，平均年龄为26岁。29.2%的患者存在人格障碍。诊断的人格障碍为强迫性人格障碍（n=9，13.8%），焦虑（回避型）人格障碍（n=6，9.2％），和边缘性人格障碍（n=2，3％），混合性人格障碍（n=2，3%）。所有人格障碍患者均有精神合并症。人格障碍患者的焦虑和抑郁障碍数量更高，这也具有统计学意义。
结论：本研究强调人格障碍和其他精神合并症在严重痤疮中很常见。
方法：这是一项描述性横断面研究，在印度东部的三级护理教学医院进行。连续患有严重（3级和4级）痤疮的患者，参加皮肤科门诊，18岁以上的人被纳入研究。
结果：共有65名患者接受了评估，平均年龄为26岁。29.2%的患者存在人格障碍。诊断的人格障碍为强迫性人格障碍（n=9，13.8%），焦虑（回避型）人格障碍（n=6，9.2％），和边缘性人格障碍（n=2，3％），混合性人格障碍（n=2，3%）。所有人格障碍患者均有精神合并症。人格障碍患者的焦虑和抑郁障碍数量更高，这也具有统计学意义。
结论：本研究强调人格障碍和其他精神合并症在严重痤疮中很常见。
