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The psychological impact of acne is generally significant and largely underestimated; stress during professional and private life, anxiety and sleep quality, in particular, have a reciprocal relationship with disease susceptibility and severity. It is essential to compare with males. Acne in females often causes greater distress in adults than in adolescents. The impact of disease may therefore be greater for female patients, triggering higher levels of psychosocial anguish and increasing the likelihood of sequelae such as skin picking and the risks of cutaneous superinfection, scarring and PIH and acne recurrence. The management of adult female acne should encompass not just medical treatment of the symptoms, but also a comprehensive, holistic approach to the patient as a whole, her individual lifestyle factors and the impact of acne on her quality of life. Future management of this disease should aim to improve patient adherence to therapy and to develop validated outcomes of treatment regarding overall skin appearance and quality of life.<\/jats:p>","DOI":"10.1111\/ddg.13664","type":"journal-article","created":{"date-parts":[[2018,9,24]],"date-time":"2018-09-24T17:22:48Z","timestamp":1537809768000},"page":"1185-1194","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Female type of adult acne: Physiological and psychological considerations and management"],"prefix":"10.1111","volume":"16","author":[{"given":"Brigitte","family":"Dreno","sequence":"first","affiliation":[{"name":"Department of Dermatology University of Nantes  France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edileia","family":"Bagatin","sequence":"additional","affiliation":[{"name":"Department of Dermatology Federal University of S\u00e3o Paulo \u2013 UNIFESP  S\u00e3o Paulo 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