This study examined links between anxiety pertaining to having one's skin evaluated by others and intention to participate in sport/exercise, general self-esteem and dermatological quality of life. Data assessing dermatological-related social anxiety, perceived acne severity, intention to participate in sport/exercise, self-esteem and dermatological quality of life were obtained from 50 acne patients. Results showed dermatological-related social anxiety to be negatively associated with intention to participate in sport/exercise, self-esteem and dermatological quality of life. The relationship between patient-rated acne severity and outcome variables was found to be partially mediated by reported levels of dermatological-related social anxiety. The current findings suggest that how one perceives their skin to be evaluated by others has implications for self-perceptions and may act as a barrier to sport/exercise participation.
Baldwin, M.K., & Courneya, K.S. (1997). Exercise and self-esteem in breast cancer survivors: An application of the exercise and self-esteem model. Journal of Sport and Exercise Psychology, 19, 347—358.
2.
Baron, R.M., & Kenny, D.A. (1986). The moderator— mediator variable distinction in social psychology research: Conceptual, strategic, and statistical considerations . Journal of Personality and Social Psychology, 51, 1173—1182.
3.
Biddle, S.J.H., & Mutrie, N. (2001). Psychology of physical activity: Determinants, wellbeing and interventions. London: Routledge.
4.
Chamlin, S.L., & Chren, M.M. (2000). Quality of life issues in paediatric dermatology . Current Problems in Dermatology, 12, 123—125.
5.
Chatzisarantis, N.L.D., Biddle, S.J.H., & Meek, G.A. (1997). A self-determination theory approach to the study of intentions and the intention—behaviour relationship in children's physical activity. British Journal of Health Psychology, 2, 343—360.
6.
Cotterill, J., & Cunliffe, W. (1997). Suicide in dermatological patients. British Journal of Dermatology, 137, 246—250.
7.
Crawford, S., & Eklund, R.C. (1994). Social physique anxiety, reasons for exercise, and attitudes toward exercise settings. Journal of Sport and Exercise Psychology, 16, 70—82.
8.
Cronbach, L.J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297—334.
9.
Culos-Reed, S.N., Brawley, L.R., Martin, K.A., & Leary, M.R. (2002). Self-presentation concerns and health behaviors among cosmetic surgery patients. Journal of Applied Social Psychology, 32, 560—569.
10.
Curbow, B., & Somerfield, M. (1991). Use of the Rosenberg Esteem Scale with adult cancer patients. Journal of Psychosocial Oncology, 9, 113—131.
11.
Finlay, A.Y., & Khan, G.K. (1994). Dermatology Life Quality Index (DLQI): A simple practical measure for routine clinical use. Clinical and Experimental Dermatology, 19, 210—216.
12.
Fox, K.R. (2000). Self-esteem, self-perceptions and exercise. International Journal of Sport Psychology, 31, 228—240.
13.
Gammage, K.L., Hall, C.R., & Martin Ginis, K.A. (2004). Self-presentation in exercise contexts: Differences between high and low frequency exercisers. Journal of Applied Social Psychology, 34, 1638—1651.
14.
Gupta, M.A., & Gupta, A.K. (1996). Psychodermatology: An update. Journal of the American Academy ofDermatology, 34, 1030—1046.
15.
Hagger, M.S., Chatzisarantis, N.L.D., Barkoukis, V., Wang, C.K.J., & Baranowski, J. (2005). Perceived autonomy support in physical education and leisure-time physical activity: A cross-cultural evaluation of the trans-contextual model. Journal of Educational Psychology, 97, 376—390.
16.
Hagger, M.S., Chatzisarantis, N.L.D., Culverhouse, T., & Biddle, S.J.H. (2003). The processes by which perceived autonomy support in physical education promotes leisure-time physical activity intentions and behaviour: A trans-contextual model. Journal of Educational Psychology, 95, 784—795.
17.
Harper, J.C. (2004). An update on the pathogenesis and management of acne vulgaris. Journal of the American Academy ofDermatology , 51, S36—S38.
18.
Kenny, D.A., Kashy, D.A., & Bolger, N. (1998). Data analysis in social psychology. In D. Gilbert, S. Fiske , & G. Lindzey (Eds.), The handbook of social psychology (4th ed, vol. 1, pp. 233—265). Boston, MA: McGraw-Hill.
19.
Koo, J. (1995). The psychosocial impact of acne: Patients' perceptions. Journal of the American Academy ofDermatology, 32, S26—S30.
20.
Krowchuk, D.P., Stancin, T., Keskinen, R., Walker, R., Bass, J., & Anglin, T.M. (1991). The psychosocial effects of acne on adolescents . Pediatric Dermatology, 8, 332—338.
21.
Lasek, R.J., & Chren, M.M. (1998). The effects of acne vulgaris on the quality of life of adult dermatology patients. Archives ofDermatology , 134, 454—458.
22.
Lennox, R.D., & Leahy, M.J. (2004). Validation of the Dermatology Life Quality Index as an outcome measure for urticaria-realted quality of life. Annals of Allergy , Asthma and Immunology, 93, 142—146.
23.
Mallon, E., Newton, J.N., Klassen, A., Stewart-Brown, S.L., Ryan, T.J., & Finlay, A.Y. (1999). The quality of life in acne: A comparison with general medical conditions using generic questionnaires. British Journal of Dermatology, 140, 672—676.
24.
Martin, A.R., Lookingbill, D.P., Botek, A., Light, J., Thiboutot, D., & Girman, C.J. (2001). Health-related quality of life among patients with facial acne: Assessment of new-specific questionnaire. Clinical and Experimental Dermatology, 26, 380—385.
25.
Martin, K.A., Rejeski, W.J., Leary, M.R., McAuley, E., & Bane, S. (1997). Is the social physique anxiety scale really multidimensional? Conceptual and statistical arguments for a unidimensional model. Journal of Sport and Exercise Psychology, 19, 359—367.
26.
McAuley, E., Bane, S.M., Rudolph, D., & Lox, C.L. (1995). Physique anxiety and exercise in middle-aged adults . Journal of Gerontology, 50B, 229—235.
27.
Motley, R.J., & Finlay, A.Y. (1989). How much disability is caused by acne?Clinical and Experimental Dermatology, 14, 194—198.
28.
Newton, J.N., Mallon, E., Klassen, A., Ryan, T.J., & Finlay, A.Y. (1997). The effectiveness of acne treatment: An assessment by patients of the outcome of therapy. British Journal of Dermatology, 137, 563—567.
29.
Pate, R.R., Pratt, M., Blair, S.N., Haskell, W.L., Macera, C.A., Bouchard, C. et al. (1995). Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Journal of theAmerican Medical Association, 273, 402—407.
30.
Phillips, K.A., McElroy, S.L., Keck, P.E., Pope, H.G., & Hudson, J.I. (1993). Body dysmorphic disorder: 30 cases of imagined ugliness. American Journal of Psychiatry,150, 302—308.
31.
Rapp, D.A., Brenes, G.A., Feldman, S.R., Fleischer, A.B., Graham, G.F., Dailey, M., & Rapp, S.R. (2004). Anger and acne: Implications for quality of life, patient satisfaction and clinical care. British Journal of Dermatology, 151, 183—189.
32.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press .
33.
Rubinow, D.R., Peck, G.L., Squillace, K.M., & Gantt, G.G. (1987). Reduced anxiety and depression in cystic acne patients after successful treatment with oral isotretinoin. Journal of the American Academy ofDermatology, 17, 25—32.
34.
Smithard, A., Glazebrook, C., & Williams, H.C. (2001). Acne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: A community-based study. British Journal of Dermatology, 145, 274—279.
35.
Woodgate, J., Martin Ginis, K.A., & Sinden, A.R. (2003). Physical activity and social physique anxiety in older women: The moderating effects of self-presentation efficacy. Journal of Applied Biobehavioral Research, 8, 116—127.
36.
Wu, S.F., Kinder, B.N., Trunnell, T.N., & Fulton, J.E. (1988). Role of anxiety and anger in acne patients: A relationship with the severity of the disorder. Journal of the American Academy ofDermatology, 18, 325—333.
