Aspects of comprehensive treatment for adolescents with acne vulgaris from the perspective of psychological counseling

Cover Page
Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access


This article discusses the manifestations of the adolescence crisis in patients with acne vulgaris, using a four-level personality model (biological, psychological, social, and spiritual levels). On the one hand, the adolescence crisis can trigger acne vulgaris in case of a genetic predisposition; on the other hand, acne can aggravate the process of experiencing the adolescence crisis. The authors suggest the use of psychological counseling (relaxation techniques, methods of rational psychotherapy, etc.) within the dermatological care for adolescent patients with mild and moderate acne vulgaris. The authors present the results of a study of the efficacy of comprehensive therapy (including psychological counseling) in adolescent patients with mild-to-moderate acne vulgaris, compared with traditional dermatotropic therapy. Statistically significant differences between two groups were revealed in the changes in the indicators of the mental condition presentation (r = -0.90; p < 0.05), the dermatological index of acne (DIA) (r = -0.34; p < 0.05), and indicators of quality of life (r = -0.72 and r = -0.68. according to the questionnaires of the Dermatology Life Quality Index and Skindex-29, resp.; p < 0.05). Simultaneous improvement in the psychoemotional status was correlated with positive cutaneous changes, as evidenced by the direct rather than pronounced statistically significant relationship between the indices of the experience scale and the ADI index (r = 0.52; p <  0.05). The obtained results show that the use of psychological counseling in the comprehensive treatment for adolescents with mild-to-moderate acne vulgaris is more effective compared with the traditional dermatotropic therapy.

Full Text

Restricted Access

About the authors

N. N. Nikolayeva

Irkutsk State Medical University

Author for correspondence.

Réunion, Irkutsk, 664003

Department of Dermatovenerology and Cosmetology


  1. Olisova O.Yu. The efficacy of systemic retinoids in acne. Russian Medical Journal. Dermatology (Russkii Medicinskii Zhurnal). 2016; 24(10): 602-6. (in Russian)
  2. Snarskaya E.S. Antibacterial therapy of vulgar acne. Bulletin of Dermatology and Venereology. Russian Journal (Vestnik Dermatologii i Venerologii). 2019; 95(5): 58-67. (in Russian)
  3. Nikolaeva N.N. Ineffectiveness of external therapy in patients with acne: modern solutions. Cosmetics and Medicine. Russian Journal. 2019; (1): 8-13. (in Russian)
  4. Albanova V.I., Zabnenkova O.V. Acne. Moscow: GEOTAR-
  5. Media; 2013. (in Russian)
  6. Sysoeva T.A. Algorithm of examination and examination of patients with juvenile acne. Bulletin of Postgraduate Medical Education. Russian Journal (Vestnik poslediplomnogo medicinskogo obrazovaniya). 2003 ;(3-4): 74-5. (in Russian)
  7. Albanova V.I., Sazykina L.N., Golchenko V.A. Results of postmarketing studies on the effecacy of therapy of vulgar and late-onset acne with the use of erythromycin/zinc acetate for topical application and the influence of this disease and its treatment on the psychological status of the patients. Clinical Dermatology and Venereology. Russian Journal (Klinicheskaya Dermatologiya i Venerologiya). 2012; 10(3): 83-91.
  8. (in Russian)
  9. Aripova M.L., Khardikova S.A. Psychoemotional state of the patients with severe acneassociated with isotretinoin therapy. Bulletin of Dermatology and Venereology. Russian Journal (Vestnik Dermatologii i Venerologii). 2015; 88(5): 122-7. (in Russian)
  10. Dalgard F., Gieler U., Hoim J.O., Bjertness E., Hauser S. Self-esteem and body satisfaction among late adolescents with acne: results from a population survey. J Am Acad Dermatol. 2008; 59(5): 746-51.
  11. Ritvo E., Del Rosso J.Q., Stillman M.A., La Riche C. Psychosocial judgements and perceptions of adolescents with acne vulgaris: A blinded, controlled comparison of adult and peer evaluations. Biopsychosoc Med. 2011; 5(1): 11.
  12. Magin P., Adams J., Heading G., Pond D., Smith W. Psychological sequelae of acne vulgaris: Results of a qualitative study. Can Fam Physician. 2006; 52(8): 978-9.
  13. Nikolaeva N.N. Psychological aspects in the practice of cosmetologist. Irkutsk: Irkutsk state medical University; 2018.
  14. (in Russian)
  15. Bozhovich L.I. Selected psychological works: the problem of personality formation. Moscow: Pedagogy; 1995. (in Russian)
  16. Vygotsky L.S. Collected works. Moscow: Pedagogy; 1982.
  17. vol. 1. (in Russian)
  18. Erikson E.H. Identity: youth and crisis. New York: Norton Company; 1968.
  19. Stathakis V., Kilkenny M., Marks R. Descriptive epidemiology of acne vulgaris in the community. Australas J Dermatol. 1997; 38(3): 115-23.
  20. Hjelle L., Ziegler D. Personality Theories: Basic Assumptions, Research, and Applications. McGrow-Hill: 1992.
  21. Ivlev Yu.V. Logika. Moscow: Logos; 2001. (in Russian)
  22. Butler-Bowdon T. 50 Psychology Classics. Bookwell; 2007.
  23. Yaurova A.S. The relationship of hardiness and self-attitude in adolescents with acne. Pediatrician. Russian Journal (Pediatr). 2017; 8(5): 110-6. (in Russian)
  24. Ponomareva Zh.V. Psychological accompaniment of treatment of adolescents with acne rash. Russian Pediatric Journal. (Rossijskii pediatricheskii zhurnal). 2011; (1): 53-6. (in Russian)
  25. Bozko S.A., Sherina T.F. The use of non-drug methods in treatment of acne vulgaris in experiment. Bulletin of new medical technologies. Russian Electronic Journal (Vestnik novykh meditsinskikh tekhnologii). 2015; (4): publ.7-2. [Available at: Accessed April 20, 2020] (in Russian)
  26. Linde N.D. Psychological counseling. Theory and practice. Moscow: Aspect Press; 2011. (in Russian)
  27. Sorokina T.S. History of medicine. Moscow: Academy; 2009.
  28. (in Russian)
  29. Kochergin N.G., Samgin M.A., Monakhov S.A., Ignatiev D.V. Dermatological index of acne. Aesthetic medicine. Russian Journal (Esteticheskaya meditsina). 2004; 3(1): 62-5. (in Russian)
  30. Federal clinical guidelines. Dermatology, 2015: diseases of the skin. Sexually transmitted infections. Moscow: Delovoy Express; 2016. (in Russian)
  31. Prokhorov A.O. Psychology of non-equilibrium States. Moscow: IPRAN; 1998. (in Russian)
  32. Adaskevich V.P. Diagnostic indices in dermatology, Moscow: BINOM; 2014. (in Russian)
  33. Adaskevich V.P. Diagnostic indices in dermatology. Moscow: Medical Book; 2004. (in Russian)
  34. Hendrix S. Neuroimmune communication in skin: far from
  35. peripheral. J Invest Dermatol. 2008; 128(2): 260-1.
  36. Pavlovic S, Daniltchenko M, Tobin DJ, Hagen E, Hunt SP, Klapp BF, et al. Further exploring the brain-skin connection: stress worsens dermatitis via substance P-dependent neurogenic
  37. inflammation in mice. J Invest Dermatol. 2008; 128(2): 434-46.
  38. Baumann L. Cosmetic Dermatology. Principles and Practice. McGraw-Hill Companies; 2009.
  39. Antoine de Saint-Exupery. Collected works. In 3 vol. Riga: Polaris; 1997. Vol. 3.

Supplementary files

There are no supplementary files to display.



Abstract - 144

PDF (Russian) - 0


Article Metrics

Metrics Loading ...



Copyright (c) 2020 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies