The Emotional Effects of Acne

You've been anticipating — and possibly dreading — the "big day" for weeks. The nature of the event isn't important; it may be a first date, an important job interview, or your own birthday party. You try to hide behind hair or heavy make-up. But you can't ignore the face in the mirror.
Sound familiar? For acne sufferers all over the world, these scenarios are all too common. Even routine social interactions — a day at the office, a trip to the market — can be a nightmare of stress and self-loathing. Yet, due to the "merely cosmetic" nature of acne vulgaris, these very real emotions are widely dismissed as oversensitivity. Clear-faced friends and co-workers say, "Really, it looks worse to you."
And they're probably right. But they're missing an important point: Acne is as much about how you feel as how you look. Over the years, the research methods and medical treatments may have changed, but the answers to the question "how does your acne make you feel?" have remained alarmingly constant: Ugly. Angry. Dirty. Depressed. These answers are consistent across gender lines, age barriers and national borders.


What is being done?

Every year, millions of dollars are devoted to the medical study and treatment of acne; millions more are spent on the development and marketing of over-the-counter remedies. Comparatively little energy, however, has been spent determining the psychological and social effects of the condition. Consider the following statement:
There is no single condition which causes more psychic trauma, more maladjustment between parent and children, more general insecurity and feelings of inferiority and greater sums of psychic suffering than does acne vulgaris.
Made by Sulzberger and Zaidems in a 1948 article, this statement rings true today. Despite acne's limited impact on overall patient health, several studies have concluded that it produces a similar degree of emotional stress to skin conditions causing significant physical disability.


The problem of measuring emotion.

The difficulty lies not in validating acne's negative affects, but in quantifying them. For years, researchers have been struggling to find an accurate means of measurement for this particular kind of study. Scientists use psychometrics to measure conditions of the mind, but have yet to develop a scale for evaluating the psychological effects of physical conditions such as acne. And the use of psychometric scales for evaluating acne patients has been largely inconclusive.
Why? Emotional symptoms — depression, anger, low self-esteem — are influenced by an incredible number of variables. So it's difficult to know for sure whether one's depression is caused by acne alone or a combination of factors, ranging from trouble in school to on-the-job stress. At the moment, the best way to understand the psychosocial effects of acne seems surprisingly simple: Listen.