痤疮患者心理健康共病的全球患病率：1961年至2023年趋势分析

Global prevalence of mental health comorbidity in patients with acne: an analysis of trends from 1961 to 2023.

作者信息

Chen Yiran, Sun Suting, Yang Han, Fei Xiaoya, Zhang Ying, Song Jiankun, Ru Yi, Zhao Hang, Luo Ying, Kuai Le, Luo Yue, Li Bin, Xie Mengji, Fan Bin, Ding Xiaojie

机构信息

Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Institute of Dermatology, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Department of Rehabilitation, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

出版信息

Clin Exp Dermatol. 2025 May 23;50(6):1083-1093. doi: 10.1093/ced/llae531.

DOI:10.1093/ced/llae531

PMID:39692772

Abstract

BACKGROUND

Patients with acne increasingly face mental health challenges such as anxiety, depression and suicidal thoughts. However, no global systematic analysis exists on this topic.

OBJECTIVES

To examine the prevalence of mental disorders - specifically, anxiety, depression and suicidal thoughts - among patients with acne.

METHODS

An exhaustive search of six databases was conducted up to May 2023. Data analysis was performed using Python and Stata MP 17, including subgroup evaluations, metaregression and sensitivity analyses.

RESULTS

Forty-three studies were analysed. The findings indicate that depression, anxiety and suicidal thoughts in patients with acne are prevalent at rates of 22%, 29% and 12%, respectively. Rates of depression were highest in Asia at 42%, led by India (53%) and Saudi Arabia (51%). Anxiety was also most common in Asia, at 45%, notably in Singapore (60%) and Iran (58%). Suicidal thoughts were highest in Oceania, specifically New Zealand at 24%. The study is limited by the inclusion of only Chinese- and English-language research, potentially introducing selection bias.

CONCLUSIONS

The results of this study highlight the incidence of mental health disorders coexisting with acne. This study may help to foster greater understanding and awareness among both medical professionals and patients regarding the psychological complexities tied to acne.

摘要

背景

痤疮患者越来越多地面临焦虑、抑郁和自杀念头等心理健康挑战。然而，目前尚无关于该主题的全球系统性分析。

目的

研究痤疮患者中精神障碍——特别是焦虑、抑郁和自杀念头——的患病率。

方法

截至2023年5月，对六个数据库进行了详尽检索。使用Python和Stata MP 17进行数据分析，包括亚组评估、元回归和敏感性分析。

结果

分析了43项研究。结果表明，痤疮患者中抑郁、焦虑和自杀念头的患病率分别为22%、29%和12%。亚洲的抑郁症患病率最高，为42%，以印度（53%）和沙特阿拉伯（51%）为首。焦虑在亚洲也最为常见，为45%，特别是在新加坡（60%）和伊朗（58%）。自杀念头在大洋洲最高，特别是新西兰，为24%。该研究的局限性在于仅纳入了中文和英文研究，可能存在选择偏倚。