title: Adolescents with skin disease have specific quality of life issues.
abstract: BACKGROUND
  Adolescence is a period of life with its own unique characteristics.
  
  
  OBJECTIVE
  To provide an in-depth understanding of the impact of skin disease on different aspects of adolescents' health-related quality of life (HRQoL).
  
  
  METHODS
  Semi-structured qualitative interviews were conducted with a sample of dermatology patients between 12 and 19 years of age, attending the dermatology outpatient clinic of a secondary referral centre. Participants were invited to talk in detail about all the ways their lives had been affected by their skin disease. Interviews were transcribed verbatim.
  
  
  RESULTS
  Thirty-two adolescents (males = 10, females = 22) with a mean age of 15.7 years (range = 12-18 years) participated in the interviews. Twenty-eight HRQoL themes adversely affected by skin diseases were identified from the interviews which were grouped under 6 main HRQoL domains - psychological impact (91% of patients), physical impact (81%), social impact (81%), impact on lifestyle (63%), need for support (41%) and education and employment (34%). The number of HRQoL themes affected in each individual varied between 1 and 23 (mean = 8.1).
  
  
  CONCLUSIONS
  The results of this study revealed the extent and nature of the impact of skin diseases on adolescents' HRQoL. A number of issues identified were specific to adolescents, highlighting the need for specific HRQoL assessment.
authors.affiliation: Centre for Socioeconomic Research, Welsh School of Pharmacy, Cardiff University, Cardiff CF14 4XN, UK.
authors.forename: C J
authors.initials: CJ
authors.lastname: Golics
authors.forename: M K A
authors.initials: MK
authors.lastname: Basra
authors.forename: A Y
authors.initials: AY
authors.lastname: Finlay
authors.forename: M S
authors.initials: MS
authors.lastname: Salek
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D000297:Psychology, Adolescent; D011788:Quality of Life; D012871:Skin Diseases / Q000523:psychology*; D012944:Social Support; D055815:Young Adult