Acne vulgaris and risk of depression and anxiety: A meta-analytic review

Several studies have shown an association of acne vulgaris with depression and anxiety, but a quantitative review has not yet been conducted. We sought to conduct a systematic review and meta-analysis that elucidates the association of acne vulgaris with depression and anxiety. A systematic review a...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2020-08, Vol.83 (2), p.532-541
Hauptverfasser: Samuels, Danielle V., Rosenthal, Robert, Lin, Rick, Chaudhari, Soham, Natsuaki, Misaki N.
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container_issue 2
container_start_page 532
container_title Journal of the American Academy of Dermatology
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creator Samuels, Danielle V.
Rosenthal, Robert
Lin, Rick
Chaudhari, Soham
Natsuaki, Misaki N.
description Several studies have shown an association of acne vulgaris with depression and anxiety, but a quantitative review has not yet been conducted. We sought to conduct a systematic review and meta-analysis that elucidates the association of acne vulgaris with depression and anxiety. A systematic review and meta-analysis of literature published before October 1, 2019 from the PubMed, PsycINFO, MEDLINE, and Cochrane databases was conducted. We used a metaanalytic approach to perform a random effects analysis comparing individuals with and without acne. Subgroup analyses between studies included age, study setting, and geographic region. Forty-two studies were included. We found a significant association of acne vulgaris with depression (r = 0.22 [95% confidence interval 0.17-0.26, P 
doi_str_mv 10.1016/j.jaad.2020.02.040
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We sought to conduct a systematic review and meta-analysis that elucidates the association of acne vulgaris with depression and anxiety. A systematic review and meta-analysis of literature published before October 1, 2019 from the PubMed, PsycINFO, MEDLINE, and Cochrane databases was conducted. We used a metaanalytic approach to perform a random effects analysis comparing individuals with and without acne. Subgroup analyses between studies included age, study setting, and geographic region. Forty-two studies were included. We found a significant association of acne vulgaris with depression (r = 0.22 [95% confidence interval 0.17-0.26, P &lt; .00001]) and anxiety (r = 0.25 [95% confidence interval 0.19-0.31, P &lt; .00001]). Subgroup analyses and comparisons showed moderating influences based on factors including age, study setting, and geographic region. Inconsistency between publications regarding acne and outcome ascertainment, data reporting, and studies with no control group posed considerable barriers to synthesizing all available published literature. Because of an increased risk for depression and anxiety, clinicians should pursue aggressive treatment of acne and consider psychiatric screening or referrals.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2020.02.040</identifier><identifier>PMID: 32088269</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>acne ; acne vulgaris ; Acne Vulgaris - complications ; Acne Vulgaris - psychology ; Acne Vulgaris - therapy ; adolescence ; Adolescent ; Adult ; Age Factors ; anxiety ; Anxiety - diagnosis ; Anxiety - epidemiology ; Anxiety - etiology ; Anxiety - prevention &amp; control ; depression ; Depression - diagnosis ; Depression - epidemiology ; Depression - etiology ; Depression - prevention &amp; control ; Dermatology - standards ; Humans ; Mass Screening - standards ; meta-analysis ; meta-analytic review ; Practice Guidelines as Topic ; psychiatric morbidity ; Psychiatry - standards ; Psychology, Adolescent ; Referral and Consultation - standards ; Risk Factors ; Self Concept</subject><ispartof>Journal of the American Academy of Dermatology, 2020-08, Vol.83 (2), p.532-541</ispartof><rights>2020 American Academy of Dermatology, Inc.</rights><rights>Copyright © 2020 American Academy of Dermatology, Inc. 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We sought to conduct a systematic review and meta-analysis that elucidates the association of acne vulgaris with depression and anxiety. A systematic review and meta-analysis of literature published before October 1, 2019 from the PubMed, PsycINFO, MEDLINE, and Cochrane databases was conducted. We used a metaanalytic approach to perform a random effects analysis comparing individuals with and without acne. Subgroup analyses between studies included age, study setting, and geographic region. Forty-two studies were included. We found a significant association of acne vulgaris with depression (r = 0.22 [95% confidence interval 0.17-0.26, P &lt; .00001]) and anxiety (r = 0.25 [95% confidence interval 0.19-0.31, P &lt; .00001]). Subgroup analyses and comparisons showed moderating influences based on factors including age, study setting, and geographic region. Inconsistency between publications regarding acne and outcome ascertainment, data reporting, and studies with no control group posed considerable barriers to synthesizing all available published literature. Because of an increased risk for depression and anxiety, clinicians should pursue aggressive treatment of acne and consider psychiatric screening or referrals.</description><subject>acne</subject><subject>acne vulgaris</subject><subject>Acne Vulgaris - complications</subject><subject>Acne Vulgaris - psychology</subject><subject>Acne Vulgaris - therapy</subject><subject>adolescence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>anxiety</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - etiology</subject><subject>Anxiety - prevention &amp; control</subject><subject>depression</subject><subject>Depression - diagnosis</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Depression - prevention &amp; control</subject><subject>Dermatology - standards</subject><subject>Humans</subject><subject>Mass Screening - standards</subject><subject>meta-analysis</subject><subject>meta-analytic review</subject><subject>Practice Guidelines as Topic</subject><subject>psychiatric morbidity</subject><subject>Psychiatry - standards</subject><subject>Psychology, Adolescent</subject><subject>Referral and Consultation - standards</subject><subject>Risk Factors</subject><subject>Self Concept</subject><issn>0190-9622</issn><issn>1097-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kL1OwzAUhS0EoqXwAgwoI0vCtZ3GMWKpKqBIlVhgtlz7BrmkSbGTQt8elxZGpvujc450PkIuKWQUaHGzzJZa24wBgwxYBjkckSEFKdJClOKYDIFKSGXB2ICchbAEAJlzcUoGnEFZskIOyWxiGkw2ff2mvQuJbmwS53vSVonFtccQXNv8vHXz5bDb3iaTZIWdTnWj623nTOJx4_DznJxUug54cZgj8vpw_zKdpfPnx6fpZJ4aPi661EhrRc6EtFRzkAgosKpkJfl4IQ0tBVBW6Dy3khoez8pIXpQL4FRqE3c-Itf73LVvP3oMnVq5YLCudYNtHxTjBYdSjoWMUraXGt-G4LFSa-9W2m8VBbUjqJZqR1DtCCpgKhKMpqtDfr9Yof2z_CKLgru9AGPL2NyrYBw2Bq3zaDplW_df_je4AYCp</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Samuels, Danielle V.</creator><creator>Rosenthal, Robert</creator><creator>Lin, Rick</creator><creator>Chaudhari, Soham</creator><creator>Natsuaki, Misaki N.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202008</creationdate><title>Acne vulgaris and risk of depression and anxiety: A meta-analytic review</title><author>Samuels, Danielle V. ; 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We sought to conduct a systematic review and meta-analysis that elucidates the association of acne vulgaris with depression and anxiety. A systematic review and meta-analysis of literature published before October 1, 2019 from the PubMed, PsycINFO, MEDLINE, and Cochrane databases was conducted. We used a metaanalytic approach to perform a random effects analysis comparing individuals with and without acne. Subgroup analyses between studies included age, study setting, and geographic region. Forty-two studies were included. We found a significant association of acne vulgaris with depression (r = 0.22 [95% confidence interval 0.17-0.26, P &lt; .00001]) and anxiety (r = 0.25 [95% confidence interval 0.19-0.31, P &lt; .00001]). Subgroup analyses and comparisons showed moderating influences based on factors including age, study setting, and geographic region. Inconsistency between publications regarding acne and outcome ascertainment, data reporting, and studies with no control group posed considerable barriers to synthesizing all available published literature. Because of an increased risk for depression and anxiety, clinicians should pursue aggressive treatment of acne and consider psychiatric screening or referrals.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32088269</pmid><doi>10.1016/j.jaad.2020.02.040</doi><tpages>10</tpages></addata></record>
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subjects acne
acne vulgaris
Acne Vulgaris - complications
Acne Vulgaris - psychology
Acne Vulgaris - therapy
adolescence
Adolescent
Adult
Age Factors
anxiety
Anxiety - diagnosis
Anxiety - epidemiology
Anxiety - etiology
Anxiety - prevention & control
depression
Depression - diagnosis
Depression - epidemiology
Depression - etiology
Depression - prevention & control
Dermatology - standards
Humans
Mass Screening - standards
meta-analysis
meta-analytic review
Practice Guidelines as Topic
psychiatric morbidity
Psychiatry - standards
Psychology, Adolescent
Referral and Consultation - standards
Risk Factors
Self Concept
title Acne vulgaris and risk of depression and anxiety: A meta-analytic review
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