Page 87 - JCBP-2-1

Journal of Clinical and

Basic Psychosomatics

BRIEF REPORT
Psychological high-risk factors for acne: A

prospective and cohort study

2†
1†
Yidan Zhang , Yi Wang , He Zeng , Yi Zhang , Nan Wu , and Haiping Zhang *
3
1
1
1
1 Department of Dermatology, Xuanwu Hospital, Capital Medical University, Beijing, China
2 Department of Pediatric Intensive Care Unit, Beijing Children’s Hospital, Capital Medical University,
National Center for Children’s Health, Beijing, China
3 Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital
Medical University, National Center for Children’s Health, Beijing, China
Abstract

The present study explored the role of psychological factors and sleep quality in
acne. Participants were recruited to assess the occurrence of acne monthly, and
depression, anxiety, and sleep status were evaluated using the patient health
questionnaire-9, self-rating anxiety scale, and the pittsburgh sleep quality index.
Generalized estimating equations compared the effects of different factors on
the occurrence of acne. Depression and moderate sleep quality were significantly
related to acne (P < 0.05). Meanwhile, depression and sleep quality (moderate and
poor) were significantly associated with inflammatory acne (P < 0.05). In conclusion,
depression and sleep problems may be involved in the pathogenesis of acne,
especially inflammatory acne. We recommend paying more attention to depression
† These authors contributed equally and sleep quality in patients to prevent acne.
to this work
*Corresponding author:
Haiping Zhang Keywords: Acne; Depression; Anxiety; Sleep quality
(zhanghaiping@xwhosp.org)
Citation: Zhang Y, Wang Y, Zeng H,
et al., 2024, Psychological high-risk
factors for acne: A prospective 1. Introduction
and cohort study. J Clin Basic
Psychosom, 2(1): 0944. Acne is a common chronic inflammatory disease involving the sebaceous glands, with
https://doi.org/10.36922/jcbp.0944 a prevalence of up to 73.5% in adolescents . Due to its specific impact on appearance,
[1]
Received: May 12, 2023 acne can cause many negative experiences in the daily life. The typical lesions of acne
include pimples, papules, pustules, nodules, and cysts, of which the appearance of papules,
Accepted: June 26, 2023
pustules, nodules, and cysts is closely related to the local inflammatory response, and
Published Online: July 10, 2023 psychological factors can promote inflammatory skin disease [2-5] . Studies have also shown
[6]
Copyright: © 2023 Author(s). that acne patients have poorer mental health than those without acne and are more likely
This is an Open Access article to experience social anxiety and depression . However, no studies provide substantial
[7]
distributed under the terms of the
Creative Commons Attribution evidence as to whether there is a causal relationship between emotional status and acne
License, permitting distribution, occurrence. This study aimed to investigate the effect of emotional state and sleep quality
and reproduction in any medium, on the occurrence of acne and to provide ideas for acne prevention and treatment.
provided the original work is
properly cited. 2. Materials and methods
Publisher’s Note: AccScience
Publishing remains neutral with 2.1. Participants
regard to jurisdictional claims in
published maps and institutional A total of 169 participants aged 18 – 35 years were recruited through online social
affiliations. software, URL: www.wjx.cn. All participants signed statements of informed consent

Volume 2 Issue 1 (2024) 1 https://doi.org/10.36922/jcbp.0944