
It is unlikely that stress induces the formation of acne lesions. However, acne itself induces stress, and 'picking' of the spots will aggravate the appearance.This is particularly obvious in young females who present with acne excoriée.Acne patients experience shame (70%), embarrassment and anxiety (63%), lack of confidence (67%), impaired social contact (57%) and a significant problem with unemployment.Severe acne may be related to increased anger and anxiety.

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