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Journal of Clinical and
            Basic Psychosomatics                                                  Psychological high-risk factors for acne





















            Figure 1. Distribution of the number of people with depression.




















            Figure 2. Distribution of the number of people with anxiety.





















            Figure 3. Distribution of the number of people with sleep quality.
            4. Discussion                                      high versus low psychological stress states. They found that
                                                               barrier function decreased during high-pressure periods
            We found that acne is more likely present in individuals
            experiencing  depression  and  reduced  sleep  quality.   and recovered during low-pressure periods, suggesting that
            Depression has been reported in 5.6 – 8.8% of patients   stress-induced epidermal dysfunction is a predisposing
                                                                                                 [10]
            with acne vulgaris , which is 2 – 3  times higher than   factor for inflammatory skin diseases . Moreover,
                           [8]
            that of the general population . Garg  et al. studied the   stress has been found to decrease skin permeability
                                     [9]
                                                                                                 [11]
            relationship  between  psychological  stress  and  epidermal   while increasing sebaceous hyperplasia . Duchaine
            permeability barrier function in 27 students without skin   et al. evaluated the relationship  between  exposure to
            disease and measured their permeability barrier function in   psychosocial stressors at work and the inflammatory
            Volume 2 Issue 1 (2024)                         3                        https://doi.org/10.36922/jcbp.0944
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