الفهرس 
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Abstract
Acne vulgaris is a common skin condition with substantial cutaneous and psychological burden. Studies suggest that the emotional impact of acne is comparable to that experienced by patients with systemic diseases.
The aim of this work was to assess the psychosocial impact of acne on adolescents and its impact on self-steam of adolescents to improve their quality of life.
It is a cross sectional study through multistage stratified random sampling technique. Quesna district of Menoufia Governorate was selected. All preparatory and secondary schools were selected, the study included student with acne aged between 11 and 19 years. The study was conducted during the period from September 2014 to the February 2016.
All students with acne (470) were asked for their consent. Predesigned questionnaires were then given to these students and 425 completed questionnaires were returned (response rate =90.4%).
The questionnaires were administered to all students with acne, with items being read out verbally to students by the researcher. Questions were explained by easy language for the students to understand and the researcher was sure of their understood to each of questions.
The study results revealed that:
11% of the studied group have acne vulgaris
55.5% of our patients were females and 45.5% were males, the mean age of the studied group was 15.91 years. On comparing the gender and age distribution in patients with mild, moderate and severe acne, it was found that moderate and severe acne were more common in males (25.4%, 7.9% respectively). While, there was no statistical significant difference regarding the age.
Regarding the type of the school, the majority of our patients were from the secondary schools (80.2%). The type of school was comparable in patients with mild, moderate and severe acne.
On assessing the mother and father jobs and level of education, 40.7% of the mothers and 39.6% of the fathers had basic education. 58.6% of our patients their mothers were housewife, and 51.5% of their fathers were governorate worker.
Concerning to number of family members, 83.3% of our patients their family members were more than or equal 5 persons, while 16.7% their family was less than 5 persons. Regarding the residence, 76% of our patients were from rural area, and 24%from urban area.
Moderate and severe acne significantly increased in patients with low family income (44.7% and 65.4% respectively).
On clinical examination, 90.1% had facial acne, 32.9% had acne in the back, 74.8% having closed comedo, 55.3% had open comedo, 18.4% had pustules and Only 8.2% of the studied group having cysts and nodules.
On assessing acne severity, 76% of patients had mild acne, 17.9% had moderate acne and 6.1% had severe acne.
Regarding the signs and symptoms of acne, the majority of patients of the studied group having oily skin (92.7%).
Acne severely affected the patients’ perception, which appeared in the response of the students to the questioner, with bad quality of life especially with increasing degree of acne. The most affected sector in patient perception were dissatisfaction with their appearance, feeling unattractive followed by disturbed self-confidence.
Patients with moderate and severe acne had bad psychological impact and worse quality of life. The most distressing manifestation were being bothered by need to have medication and cover-up available followed by not looking their best.
On assessing the social impact, patients with mild acne significantly showed less social affection than patients with moderate and severe acne. The most affected social activities were interacting with the opposite sex followed by concern about going out in public.
Regarding the symptoms and sign of acne, patient with mild acne showed significant better quality of life (P < 0.05). The most distressing manifestations were concern about scabbing and scarring from facial acne.