Type D personality, anxiety sensitivity, social anxiety, and disability in patients with acne: a cross-sectional controlled study

Abstract

IntroductionAcne has long been associated with many psychiatric comorbidities.AimTo determine anxiety and depression levels, social phobia frequency, social anxiety level, subjective stress perception, anxiety sensitivity, disability, and the frequency of type D personality in patients with acne.Material and methodsIn total, 61 patients with acne aged > 16 years and 61 age, gender, and educationally matched healthy volunteers were included in the study. The patients and healthy controls were evaluated using the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria for social anxiety disorder and completed the Liebowitz Social Anxiety Scale, Sheehan Disability Scale, Anxiety Sensitivity Index, Hospital Anxiety and Depression Scale, Perceived Stress Scale (PSS), and Type D Scale-14.ResultsDepression, anxiety, social anxiety, self-reported stress, anxiety sensitivity, and disability levels were significantly higher in patients with acne than in healthy controls (p < 0.05). Type D personality was more prevalent in patients with acne than in healthy controls (49% vs. 18%, p < 0.001).ConclusionsTo our knowledge, this study is the first reported in which type D personality and anxiety sensitivity, as well as social anxiety disorder according to the DSM-5 criteria, was evaluated in patients with acne compared with healthy controls. This study shows that patients with acne have higher levels of depression, anxiety, social anxiety, self-reported stress, anxiety sensitivity, and disability, and a greater prevalence of type D personality, than healthy controls. Psychiatric evaluation of patients with acne may aid the detection of mental disorders.

Type D Personality as a Marker of Poorer Quality of Life and Mood Status Disturbances in Patients with Skin Diseases: A Systematic Review

“…Regarding the prevalence of this personality and its relationship with disease severity, Chilicka et al ( 2 ) showed higher rates of type D personality in patients with acne vulgaris compared with controls (40.67% vs 15.67%). Similar results were found by Sereflican et al ( 21 ), who also described a lack of correlation between acne severity and type D personality: patients with type D personality and those without type D personality seemed to have similar severity of acne.…”

Type D Personality as a Marker of Poorer Quality of Life and Mood Status Disturbances in Patients with Skin Diseases: A Systematic Review

“…Regarding the prevalence of this personality and its relationship with disease severity, Chilicka et al ( 2 ) showed higher rates of type D personality in patients with acne vulgaris compared with controls (40.67% vs 15.67%). Similar results were found by Sereflican et al ( 21 ), who also described a lack of correlation between acne severity and type D personality: patients with type D personality and those without type D personality seemed to have similar severity of acne.…”

Association between Satisfaction with Life and Personality Types A and D in Young Women with Acne Vulgaris

“…In the present research, the prevalence of Type D personality was approximately 16% among women without acne and 41% in the AV sample, indicating an average of 28% for university students. This result is largely in line with previous research [ 56 , 57 , 85 ]. Sereflican et al [ 85 ] found Type D personality (as a dichotomous classification) among 49% of Turkish patients with acne and in 18% of healthy controls without acne.…”

“…This result is largely in line with previous research [ 56 , 57 , 85 ]. Sereflican et al [ 85 ] found Type D personality (as a dichotomous classification) among 49% of Turkish patients with acne and in 18% of healthy controls without acne. However, in another study, Type D personality was confirmed in 44% of Iranian university students [ 86 ].…”

“…Consistent with hypothesis H2, the present findings indicate that women with acne have higher Type D personality scores than their counterparts without acne. This result is also consistent with a previous study regarding acne [ 85 ] and the extensive scientific literature on the relationship between Type D personality and various somatic diseases and mental problems or disorders [ 62 ]. Moreover, the findings suggest that the relationship between Type D personality and health outcomes may be generalized across different chronic illnesses [ 70 ].…”

Association of clinical features and systemic immune-inflammation index with psychological distress in acne vulgaris

“…Therefore, it may be expected that stress increases in individuals due to the appearance of the disease at a young age and the negative experiences experienced during the disease. In addition, congruently, the duration of illness has been associated with the levels of psychological distress in patients with AV (30).…”

Type D Personality as a Marker of Poorer Quality of Life and Mood Status Disturbances in Patients with Skin Diseases: A Systematic Review

“…Regarding the prevalence of this personality and its relationship with disease severity, Chilicka et al ( 2 ) showed higher rates of type D personality in patients with acne vulgaris compared with controls (40.67% vs 15.67%). Similar results were found by Sereflican et al ( 21 ), who also described a lack of correlation between acne severity and type D personality: patients with type D personality and those without type D personality seemed to have similar severity of acne.…”

Association between Satisfaction with Life and Personality Types A and D in Young Women with Acne Vulgaris

“…In the present research, the prevalence of Type D personality was approximately 16% among women without acne and 41% in the AV sample, indicating an average of 28% for university students. This result is largely in line with previous research [ 56 , 57 , 85 ]. Sereflican et al [ 85 ] found Type D personality (as a dichotomous classification) among 49% of Turkish patients with acne and in 18% of healthy controls without acne.…”

“…This result is largely in line with previous research [ 56 , 57 , 85 ]. Sereflican et al [ 85 ] found Type D personality (as a dichotomous classification) among 49% of Turkish patients with acne and in 18% of healthy controls without acne. However, in another study, Type D personality was confirmed in 44% of Iranian university students [ 86 ].…”

“…Consistent with hypothesis H2, the present findings indicate that women with acne have higher Type D personality scores than their counterparts without acne. This result is also consistent with a previous study regarding acne [ 85 ] and the extensive scientific literature on the relationship between Type D personality and various somatic diseases and mental problems or disorders [ 62 ]. Moreover, the findings suggest that the relationship between Type D personality and health outcomes may be generalized across different chronic illnesses [ 70 ].…”

Association of clinical features and systemic immune-inflammation index with psychological distress in acne vulgaris

“…Therefore, it may be expected that stress increases in individuals due to the appearance of the disease at a young age and the negative experiences experienced during the disease. In addition, congruently, the duration of illness has been associated with the levels of psychological distress in patients with AV (30).…”

Type D Personality as a Marker of Poorer Quality of Life and Mood Status Disturbances in Patients with Skin Diseases: A Systematic Review

“…Regarding the prevalence of this personality and its relationship with disease severity, Chilicka et al ( 2 ) showed higher rates of type D personality in patients with acne vulgaris compared with controls (40.67% vs 15.67%). Similar results were found by Sereflican et al ( 21 ), who also described a lack of correlation between acne severity and type D personality: patients with type D personality and those without type D personality seemed to have similar severity of acne.…”

Association between Satisfaction with Life and Personality Types A and D in Young Women with Acne Vulgaris

“…In the present research, the prevalence of Type D personality was approximately 16% among women without acne and 41% in the AV sample, indicating an average of 28% for university students. This result is largely in line with previous research [ 56 , 57 , 85 ]. Sereflican et al [ 85 ] found Type D personality (as a dichotomous classification) among 49% of Turkish patients with acne and in 18% of healthy controls without acne.…”

“…This result is largely in line with previous research [ 56 , 57 , 85 ]. Sereflican et al [ 85 ] found Type D personality (as a dichotomous classification) among 49% of Turkish patients with acne and in 18% of healthy controls without acne. However, in another study, Type D personality was confirmed in 44% of Iranian university students [ 86 ].…”

“…Consistent with hypothesis H2, the present findings indicate that women with acne have higher Type D personality scores than their counterparts without acne. This result is also consistent with a previous study regarding acne [ 85 ] and the extensive scientific literature on the relationship between Type D personality and various somatic diseases and mental problems or disorders [ 62 ]. Moreover, the findings suggest that the relationship between Type D personality and health outcomes may be generalized across different chronic illnesses [ 70 ].…”

Association of clinical features and systemic immune-inflammation index with psychological distress in acne vulgaris

“…Therefore, it may be expected that stress increases in individuals due to the appearance of the disease at a young age and the negative experiences experienced during the disease. In addition, congruently, the duration of illness has been associated with the levels of psychological distress in patients with AV (30).…”