Abstract
INTRODUCTION: Acne, a common inflammatory skin disorder, is influenced by factors like hormones, age, and stress. Sleep also affects acne, as poor sleep quality can exacerbate skin issues. OBJECTIVE: This review aimed to explore the relationship between acne and sleep quality, examining the mechanisms, extent, and implications of this connection. METHODS: A systematic review of 18 studies was conducted to assess the link. Studies were retrieved from PubMed using predefined search criteria and evaluated for relevance. RESULTS: The findings indicate a bidirectional relationship between acne and sleep. Acne is associated with poor sleep quality, insomnia, and increased stress, while sleep deprivation exacerbates acne through hormonal imbalances, inflammation, and immune dysregulation. CONCLUSION: There is a complex, bidirectional link between acne and sleep, requiring further research. Standardized metrics and behavioral interventions such as cognitive-behavioral therapy for insomnia could improve acne and sleep outcomes.