Stigmatization Level and Related Factors in Patients With Acne Scar: A Comprehensive Study in a Skin Hospital Publisher



Dehghani A ; Karimzadeh M ; Daneshpazhooh M ; Balighi K ; Sadeghinia A ; Jan D ; Mahmoudi L ; Mahmoudi H
Source: Iranian Journal of Dermatology Published:2026

Abstract

Background: Acne vulgaris is one of the most common skin conditions associated with psychiatric disorders. Stigma is defined as an unfavorable attitude toward oneself resulting from the perception of being different from the general population. In this study, we have examined the extent of stigma and its associated variables in patients with acne scars. Method: This cross-sectional study examined 224 cases of acne scarring referred to Razi Hospital in Tehran, Iran. Patients were asked to respond to questions regarding demographic and clinical variables. Moreover, the Stigmatizing Feelings Questionnaire (FSQ) was used to assess patients’ experience of stigmatization. Results: Among patients with acne scars, the prevalence of moderate and severe stigma was 58.9% and 14.3%, respectively. Patients who were older, married, had extensive acne scarring, had previously used topical and oral therapies, or had a history of depressive disorders were significantly more likely to experience stigma. Mixed scars, predominately consisting of ice pick scars, and acne scars located on the right cheek were also associated with a higher levels of stigma. Conclusion: Seventy-three percent of patients with acne scars reported experiencing moderate to severe stigma related to their age, marital status, the type, location, and severity of their scars, their treatment method, and a history of depression. © Iranian Journal of Dermatology.