Turkish Archives of Pediatrics
Original Article

The Relationship Between Adolescents’ Perception of Family Emotional Atmosphere and Acne Severity, Self-Esteem, and Quality of Life in Adolescents Diagnosed with Acne Vulgaris


Department of Child and Adolescent Psychiatry, Selçuk University Faculty of Medicine, Konya, Turkey


Department of Dermatology, Uşak University Faculty of Medicine, Uşak, Turkey


Department of Dermatology, Meram State Hospital, Konya, Turkey

Turk Arch Pediatr 2023; 58: 646-652
DOI: 10.5152/TurkArchPediatr.2023.23111
Read: 628 Downloads: 222 Published: 31 October 2023

Objective: Acne vulgaris, a prevalent chronic condition among adolescents, significantly impacts patients’ quality of life and self-esteem. Our aim was to investigate whether how adolescents perceive their family emotional atmosphere has an impact on their acne severity, quality of life, and self-esteem. Materials and

Methods: This study included 118 patients with acne vulgaris who completed various assessments, including a sociodemographic data form, the Acne Quality of Life Scale, the Hospital Anxiety and Depression Scale, the Shortened Level of Expressed Emotion Scale (SLEES) and, the Rosenberg Self-Esteem Scale. The Global Acne Grading System is performed by an experienced dermatologist to determine the severity of acne.

Results: Out of 118 patients, 78 (66.1%) were female and 40 (33.9%) were male. The mean age of patients was 15.2 ± 1.3 years. There was a positive correlation between the severity of acne and the levels of perceived intrusiveness subscores of SLEES (P = .021, r = 0.212). Significant correlations were also observed among quality of life scores, anxiety and depression levels, lack of emotional support (LES) scores, and self-esteem levels. The initial linear regression analysis demonstrated that the level of LES subscores of SLEES and levels of anxiety and depression were predictors of self-esteem. In the second regression analysis, anxiety and depression levels were identified as significant predictors of quality of life.

Conclusion: The perceived family emotional atmosphere may be an important factor in evaluating the severity of acne as well as the self-esteem and quality of life of adolescent patients with acne vulgaris.

Cite this article as: Güler HA, Koç Yıldırım S, Güler D. The relationship between adolescents’ perception of family emotional atmosphere and acne severity, self-esteem, and quality of life in adolescents diagnosed with acne vulgaris. Turk Arch Pediatr. 2023;58(6):646-652.

EISSN 2757-6256