Transcript Kelly Ryder
The Physical and Emotional Distress of Acne By Kelly Ryder BS, PA-S Advisor: Bill Grimes, PA-C March 24, 2006 Due to the graphic nature of the this presentation, viewer discretion is advised. What is Acne Vulgaris? Who gets this disease? Locations Types Components involved Three types of Papules A, B, C A pustule What is bad about this disease? Noticeable lesions, redness, and inflammation Different types of scars Response to treatments Emotional distress Common Treatments Avoidance of triggers Balanced nutrition Medicated creams, lotions, soaps Oral medications Accutane (isotretinoin) Microderm abrasion Laser Skin Rejuvenation Accutane (Isotretinoin) Powerful drug last resort Vitamin A derivative Severe birth defects in fetus Liver Functions/elevated triglycerides Cracking and drying skin and mm Currently under a very tight watch by FDA Reported 260 patients depressed and committed suicide Before and After Treatments What haven’t we covered about Acne? How the patient perceives themselves Competitive society where look is everything Healthy skin seen in supermodels, singers, actors/actresses on TV, billboards Alicia Keys Is Acne More Than Just Skin Deep? Many studies say 2000 study of acne patients evaluating the relationship between acne and psychological well-being. 31 patients with Acne Vulgaris to 25 patients with healthy skin Results: acne patients suffered from a significantly lower self-esteem and had a higher rate of depression and trait anxiety. Battle of the Sexes 2000 study 2,657 high school students Severity among males/females Anxiety and depression Results: “adolescent girls are more vulnerable than boys to the negative psychological effect of acne” Is Acne and it’s emotional effects only observed in the US? England study 370 patients age 14-16 Acne severity was assessed Emotional and behavior difficulties were determined Results: patients with acne were nearly twice as likely as those without acne to score in the abnormal/borderline range of the Strengths and Difficulty Questionnaire Interesting findings: Patients knowledge about the cause of acne was low (45%) *Less than a third of participants with definite acne had sought help from a doctor,” How Acne Affects People's Lives "There is no single disease which causes more psychic trauma, more maladjustment between parents and children, more general insecurity and feelings of inferiority and greater sums of psychic suffering than does acne vulgaris." --Sulzberger & Zaldems, 1948 http://www.skincarephysicians.com/acnenet/socimpct.html Emotional distress of acne Those who have acne for many years, well into their 20’s and 30’s often experience… Social withdrawal Decreased self-esteem Reduced self-confidence Poor body image Embarrassment Feelings of depression Anger Preoccupation Frustration Higher rate of unemployment TAKE HOME MESSAGE Early intervention Monitor treatments Patient compliance Routine mental health status Support groups Supportive Psychotherapy Anti-anxiety or depression medications when seen fit *in conjunction with Accutane Stress management Talk To Your Patients England study 2/3 didn’t know to seek help Impaired school or work function Indications of depression or emotional distress Affordable treatment Advise a plan Patient’s advocate Is There a Brighter Future for Potential Acne Sufferers? Oct 25, 2004-- German scientists With this discovery, Dr. Holger Brüggemann aims to, “see if we can block its enzymes that degrade tissues, and also block enzymes that interact with the immune system". Vaccinations may be in the future Were you paying attention Quiz question 1. Name a very powerful medication that is used to treat acne as a last resort. Quiz question 2. Name some severe potential side effects of this drug. Quiz question 3. What are some effects acne can have on a patients’ emotional status. References Aktan, S., Ozmen, E. Anxiety, depression, and nature of acne vulgaris in adolescents. International Journal of Dermatology, Volume 39, Number 5, May 2000, pp. 354-357. AcneNet. The Social Impact of Acne. http://www.skincarephysicians.com/acnenet/socimpct.html ArriveNet Editorials. Could Decoding Genes Spell the End for Acne? http://editorials.arrivenet.com/health/article.php/2555.html Psychology today. A Care-Giver’s Companion. http://health.yahoo.com/centers/stress/68;_ylt=AttOJ3xz_rc2SVK6uoep84S3Gb4F Sayer, K., Ugurad, I., Kural, Y., Acar, B. The Psychometric Assessment of Acne Vulgaris Patients. Dermatology and Psychosomatics 2000;1:62-65. Wolff, Klaus., Johnson, Richard Allen., Fitzpatrick’s Color Atlas & Synopsis of Clinical Dermatology, fifth edition. p. XXV-XXVII. Support group websites:http://health.groups.yahoo.com/group/AcneSupport/ http://asgic.proboards26.com/index.cgi?board=RealLifeSupport http://www.acne.org/messageboard/index.php?showforum=17 [email protected]