Abstract
INTRODUCTION: Acne vulgaris (AV) affects over 85% of adolescents and often persists into adulthood. AIM: This study aimed to evaluate the impact of mild to moderate acne on body image, self-esteem, depression, and potential body dysmorphic disorder (BDD) in adolescents. MATERIAL AND METHODS: 170 acne patients and 79 healthy controls, aged 12-17, were recruited. Acne severity was assessed using the Global Acne Grading System (GAGS) and Visual Analogue Scale (VAS). Participants completed the Children's Depression Inventory (CDI), Body Image Questionnaire (BIQ), Rosenberg Self-Esteem Scale (RSES), and Turkish Acne Quality of Life Index (TAQoLI). RESULTS: Significant negative correlations were found between acne severity and both quality of life (r = -0.372, p < 0.05) and body image scores (r = -0.586, p < 0.05). Depression scores were higher in the patient group (13.36 ±7.30, p < 0.001), showing a positive correlation with acne severity (r = 0.560). Social appearance anxiety emerged as the strongest predictor of quality of life. No significant differences in self-esteem were noted between groups. CONCLUSIONS: Mild to moderate acne negatively impacts psychological well-being in adolescents, emphasising the importance of addressing not only physical symptoms but also psychosocial effects. Multidisciplinary approaches integrating dermatological and psychological care are recommended.