title: [Depression in patients with facial acne vulgaris and  the influential factors].
abstract: OBJECTIVE
  To understand the influential factors for depression in patients with facial acne vulgaris and to provide scientific evidence for a comprehensive and systematic treatment for acne vulgaris.
  
  
  METHODS
  A total of 287 outpatients with facial acne vulgaris, who visited the dermatology of the Third Xiangya Hospital, were surveyed by Beck Depression Inventory (BDI). The data was collected by Epidata software (version 3.1) and processed by SPSS software package (version 18.0). The influential factors for the depression of outpatients with facial acne vulgaris were analyzed by multinomial logistic regression.
  
  
  RESULTS
  A total of 181 patients with facial acne vulgaris showed various degrees of depression (BDI score≥5) and the rate was 63.1%. The symptoms for depression included sad and pessimistic attitude as well as the decreased attention to others (social withdrawal). The influential factors for mild, moderate or severe depression were gender, the degree and the course of acne. Female patients were more likely to suffer mild, moderate or severe depression (OR=3.62, 2.63, respectively); the risk of depression in acne patients was increased with the increase in degree of the severity (OR=2.31, 4.51, respectively); the patients with the acne course more than a year were more likely to show mild depression than those with a course less than a year (OR=4.30, 7.44, respectively). The patients with acne course more than 3 years were more likely to show moderate or severe depression compared to those with a course less than a year (OR=3.60).
  
  
  CONCLUSIONS
  Most of facial acne patients show a different degree of depression. The acne course is longer in female patients. The more severe the acne vulgaris is, the more suffering of the depression is. Psychological care should be considered to improve the treatment and quality of life.
authors.affiliation: Department of Dermatology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
authors.forename: Liyang
authors.initials: L
authors.lastname: Kang
authors.affiliation: Department of Endoscopy Center, Third Xiangya Hospital, Central South University, Changsha 410013, China.
authors.forename: Jiaoyan
authors.initials: J
authors.lastname: Liu
authors.affiliation: Teaching and Research Office of Nursing, Third Xiangya Hospital, Central South University, Changsha 410013, China.
authors.forename: Rujun
authors.initials: R
authors.lastname: An
authors.affiliation: Department of Dermatology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
authors.forename: Jinhua
authors.initials: J
authors.lastname: Huang
authors.affiliation: Teaching and Research Office of Nursing, Third Xiangya Hospital, Central South University, Changsha 410013, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Huang
authors.affiliation: Teaching and Research Office of Nursing, Third Xiangya Hospital, Central South University, Changsha 410013, China.
authors.forename: Qifeng
authors.initials: Q
authors.lastname: Yi
mesh_terms: D000152:Acne Vulgaris / Q000453:epidemiology*; D003863:Depression / Q000453:epidemiology*; D005145:Face / Q000473:pathology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D011795:Surveys and Questionnaires