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Journal of Health Psychology
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The individual health burden of acne

Appearance-related distress in male and female adolescents and adults with back, chest and facial acne

Judith Hassan

Staffordshire University, UK

Sarah Grogan

Staffordshire University, UK, s.c.grogan{at}staffs.ac.uk

David Clark-Carter

Staffordshire University, UK

Helen Richards

University of Manchester, UK

Victoria M. Yates

Royal Bolton Hospital, UK

This study examined appearance-related distress in patients with acne. One hundred and thirty-two people attending a specialist acne clinic completed questionnaires including the Derriford Appearance Scale and three self-rated acne scales covering more (facial) and less visible (chest, back) acne sites. Women with acne demonstrated greater self-consciousness of appearance and negative self-concept than men. Subjective rating of severity of facial acne was significantly associated with increased social self-consciousness in women, but not in men. Back acne was significantly associated with sexual and bodily self-consciousness of appearance in both men and women. Patients 20 years and above were significantly more likely to suffer appearance-related distress than 16—19-year-olds. Although not a key focus of this study, ethnicity was also implicated in appearance concern arising from acne.

Key Words: acne • age • appearance • gender • self-consciousness

Journal of Health Psychology, Vol. 14, No. 8, 1105-1118 (2009)
DOI: 10.1177/1359105309342470


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