title: Acne in adolescents: quality of life, self-esteem, mood, and psychological disorders.
abstract: BACKGROUND
  Acne is a significant adolescent problem and may precipitate emotional and psychological effects. The impact of acne on psychological parameters and implications for acne treatment are not fully understood.
  
  
  METHODS
  We performed a MEDLINE search using the terms "acne" and "adolescent" along with "psychological," "depression," or "psychiatric," which yielded 16 reviewed studies.
  
  
  RESULTS
  Qualitative review of the selected articles revealed that the presence of acne has a significant impact on self-esteem and quality of life. Depression and other psychological disorders are more prevalent in acne patients and acne treatment may improve symptoms of these disorders.
  
  
  CONCLUSIONS
  The reviewed studies were semi-quantitative analyses utilizing various standardized surveys or questionnaires. Therefore, quantitative analysis of selected studies was not possible.
  
  
  CONCLUSIONS
  The presence of co-morbid psychological disorders should be considered in the treatment of acne patients and future prospective trials are needed to assess the impact of treatment on psychological outcomes.
authors.affiliation: Department of Dermatology, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
authors.forename: Lauren K
authors.initials: LK
authors.lastname: Dunn
authors.forename: Jenna L
authors.initials: JL
authors.lastname: O'Neill
authors.forename: Steven R
authors.initials: SR
authors.lastname: Feldman
mesh_terms: D000152:Acne Vulgaris / Q000523:psychology*; D000293:Adolescent; D000339:Affect; D003863:Depression / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D010551:Personality; D000297:Psychology, Adolescent; D011788:Quality of Life; D012649:Self Concept; D059020:Suicidal Ideation