{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:24:27Z","timestamp":1787012667699,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T00:00:00Z","timestamp":1665705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Stigmatization is defined as a discrediting mark which sets the person from others and hindering interpersonal relationships. Literature data on stigma in acne subjects are scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study was undertaken to assess feelings of stigmatization in adolescents with facial acne.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material\/Methods<\/jats:title><jats:p>The study was performed on 730 high\u2010school students aged 15 to 19\u2009years with the mean age of 17.05\u2009\u00b1\u20091.18\u2009years. Self\u2010reported acne was found in 74.9% of subjects. The severity of acne was self\u2010assessed with the standardized color images based on Investigators Global Assessment (IGA). Stigmatization was studied with 6\u2010Item Stigmatization Scale (6\u2010ISS) and Perceived Stigmatization Questionnaire (PSQ). Additionally, quality of life (QoL) was evaluated with Dermatology Life Quality Index (DLQI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>58% of adolescents with acne presented with feelings of stigmatization. Within the acne population, stigmatization was significantly more common in females than in males (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001). The mean level of stigmatization according to 6\u2010ISS was significantly higher in acne sufferers than in those free from acne (1.68\u2009\u00b1\u20092.42 points and 0.55\u2009\u00b1\u20091.50 points, respectively; <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001). Feelings of stigmatization were significantly more pronounced by females than males (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001). Staring at the skin and the fact that others are not attracted to person due to skin lesions were main problems raised by the study participants with acne. 6\u2010ISS scores correlated with acne severity (<jats:italic>r<\/jats:italic>\u00a0=\u20090.278; <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001) and both 6\u2010ISS and PSQ scores with QoL impairment (<jats:italic>r<\/jats:italic>\u00a0=\u20090.530; <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001 and <jats:italic>r<\/jats:italic>\u00a0=\u20090.341; <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Facial acne is a highly stigmatized skin disease and requires a holistic therapeutic approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.15268","type":"journal-article","created":{"date-parts":[[2022,7,23]],"date-time":"2022-07-23T09:23:13Z","timestamp":1658568193000},"page":"6815-6821","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Facial acne causes stigmatization among adolescents: A\u00a0cross\u2010sectional study"],"prefix":"10.1111","volume":"21","author":[{"given":"Marta","family":"Szepietowska","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicja","family":"D\u0105browska","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadetta","family":"Nowak","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Skinderowicz","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bartosz","family":"Wilczy\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4722-8531","authenticated-orcid":false,"given":"Piotr K.","family":"Krajewski","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Jankowska\u2010Konsur","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0010.6879"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327019eb0904_5"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548500600594908"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.045377"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000067817"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0759-5-11"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.14719"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.2014.530"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14151"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14540"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.7860\/jcdr\/2016\/16291.8150"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0205009"},{"key":"e_1_2_11_14_1","doi-asserted-by":"crossref","unstructured":"LiasidesJ ApergiF\u2010S.Cognitive \u2010 Social and Behavioural Sciences \u2013 icCSBs 2015 January. Predictors of QOL for adults with acne: The Contribution of perceived stigma.2015:145\u2013155.","DOI":"10.15405\/epsbs.2015.01.17"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.2310\/7750.2010.09053"},{"key":"e_1_2_11_16_1","first-page":"978","article-title":"Psychological sequelae of acne vulgaris: results of a qualitative study","volume":"52","author":"Magin P","year":"2006","journal-title":"Can Fam Physician"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"e_1_2_11_18_1","unstructured":"Eusebio\u2010AlpaparaK.Acne severity scale: how bad is your acne?. Available at:www.thankyourskin.com\/acne\u2010severity\u2010scale\/. Accessed November 26 2021"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2147\/ccid.S266320"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1159\/000073991"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.18.1.106"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.5114\/ada.2018.80271"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1193"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-0866"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2008.01618.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1994.tb01167.x"},{"issue":"12","key":"e_1_2_11_27_1","first-page":"30","article-title":"Skin 1: the structure and functions of the skin","volume":"115","author":"Lawton S","year":"2019","journal-title":"Nursing Times"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1159\/000496923"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.02.035"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0190-9622(89)70007-4"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0010.5607"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.5406\/visuartsrese.37.1.0030"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2021.715839"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.15268","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.15268","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.15268","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T10:27:33Z","timestamp":1706783253000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.15268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,14]]},"references-count":32,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1111\/jocd.15268"],"URL":"https:\/\/doi.org\/10.1111\/jocd.15268","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,14]]},"assertion":[{"value":"2022-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}