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Keerthana Thatavarthi 3rd year M.B.B.S Manipal University India
STRESS, SELF-ESTEEM AND GENDER CONSCIOUSNESS IN LATE ADOLESCENTS AND EARLY ADULTS WITH ACNE AND HAIR FALL – AN EXPLORATORY STUDY Keerthana Thatavarthi 3rd year M.B.B.S Manipal University India Guided by- Ms. Seemanthini T S M.Phil PhD Assistant Professor Department of Psychiatry Manipal University
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Self-esteem represents judgement of self-worthiness.
INTRODUCTION Stress is the nonspecific ‘wear and tear’ response of the body challenging homeostasis. Gender consciousness is being aware of one’s gender role that has been affected by particular social expectation Self-esteem represents judgement of self-worthiness.
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The interplay between dermatology and psychiatry is of considerable importance.
No confirmed thesis to know if dermatological issues lead to psychological distress or vice versa Hope to give new insights into the understanding of these psychological components in people with hair-fall and Acne.
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OBJECTIVES 1. To explore the levels of Stress, Gender consciousness and self-esteem, in late adolescents and early adults with Acne and Hair fall . 2. To understand the correlation of Stress, Gender -consciousness and self-esteem among the late adolescents and Early adults with Acne and Hair fall. 3. To compare the level of stress, self esteem and gender consciousness between the clinical and normal control in Mangalore .
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METHODOLOGY Study setting :
Kasturba Medical College, Mangalore and KMC Attavar Hospital Study design : Cross sectional study
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Study group: 168 Female/male students in late adolescence or early adulthood with and without acne and hair-fall. Study duration 3 months from 14th July to 14th September 2014.
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TOOLS : COMPONENT SCALE AUTHORS The Holmes and Rahe Stress –scale.
Dr. Thomas Holmes and Dr. Richard Rahe 2. The Self-Esteem Scale Dr. Rosenberg 3. The Multidimensional Gender Consciousness Questionnaire Dr. William E. Snell, Jr. and Dr. Georgette Johnson
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Statistical analysis:
Data analyzed using SPSS version 17.0 Pearson co-efficient technique was used to study the correlation and Chi-square test for association. ‘p’ value < 0.05 : statistically significant Ethical considerations: The study was approved by Institutional Ethics Committee
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RESULTS
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Distribution of Hair fall and Acne in the population
Figure 1: Depicts the distribution of hair fall and acne in the study population
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Reasons perceived by study population for hair-fall and acne:
Figure 2: Depicts the perceived reasons of study population
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Stress levels in study population with and without hair fall/acne: (N=168 )
Figure 3: Depicts the stress levels in study population
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Self esteem levels in study population with and without hair fall/acne : ( N=168)
Figure 4: Depicts the perceived reasons of study population
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Gender-consciousness levels in study population with and without hair fall/acne : (N =168)
Figure 5: Depicts the Gender consciousness levels of study population
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Correlation between stress, gender-consciousness and self-esteem levels: ( N= 168)
Pearson co-efficient 1 0.013 0.004 p value 0.870 0.959 0.266** 0.000 Gender consciousness Pearson co-efficient
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CONCLUSION A significant relation between hair-fall and stress levels was found . About three-quarters of the study sample without Abnormal hair-fall have low stress levels. More than half of them positive for both acne and hair fall were assessed to have moderate to high stress levels
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More than half of the population with abnormal hair-fall/Acne/both were found to have a low self-esteem level which meets the hypothesis. A significant positive correlation was found between the levels of stress and gender consciousness
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DISCUSSION Relationship with stress, self-esteem and the gender consciousness have shown the requirement of better treatment model which addresses the psychological bearing on the acne and hair fall. The integration of stress-coping strategies into the management of hair loss and acne disorders is also important. There were high number of subjects with unsafe sputum disposal practices. Also awareness about the causation, spread and control measures was low. This demands a culturally sensitive method to increase awareness among people and provide increased access to safer methods of sputum disposal.
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There was limited coverage, since study was conducted in just one college.
Compounding factors such as participants’ current emotional state or personality may be present.
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SCOPE IN FUTURE 1. Need for audit and research.
2. Some health care professionals lack awareness of the psychosocial impact of appearance concerns. 3. Model of treatment package which includes psychotherapy.
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FUNDING Short Term Studentship, Indian Council of Medical Research, New Delhi, India. Grant ref. no :
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THANK YOU !
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6. Olsen, J. M. ; Breckler, S. J. ; Wiggins, E. C
6. Olsen, J. M.; Breckler, S. J.; Wiggins, E. C. .Social Psychology Alive . Toronto: Thomson Nelson.2008 ; (1) 7. Baumeister, R. F.; Campbell, J. D.; Krueger, J. I.; Vohs, K. D. Does High Self-Esteem Cause Better Performance, Interpersonal Success, Happiness, or Healthier Lifestyles?. Psychological Science in the Public Interest ; (1): 1– AbouserieR.. Sources and levels of stress in relation to locus of control and self-esteem in university students [Electronic version].Educational Psychology.1994; 14: Susan C. Herring, James A. Marken.Implications of Gender Consciousness for Students in Information Technology : 1-3
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10. Fenigstein, Allan, Michael F. Scheier and ArnoldA. Buss (1975), "Public and PrivateSelfconsciousness: Assessment and Theory," Joumal of Consulting and Clinical Psychology, 43 , 11. Cash TF, Price VH, Savin RC. Psychological effects of androgenetic alopecia on women: comparisons with balding men and with female control subjects.J Am AcadDermatol ;29(4): Kuruvila M, Gahalaut P, Zacharia A. A study of skin disorders in patients with primary psychiatric conditions. Indian J.DermatolvenereolLeprol ;70: Maxine S. Thompson and Verna M. KeithThe Blacker the Berry: Gender, Skin Tone, SelfEsteem, and Self-Efficacy.Gender and Society.2001; 15(3):
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14. Holmes TH, Rahe RH (1967). The Social Readjustment Rating Scale
14. Holmes TH, Rahe RH (1967). The Social Readjustment Rating Scale. J PsychosomRes (2): 213– Rosenberg, M. Society and the adolescent self-image Princeton, NJ: Princeton University Press. 16. Snell, W. E, Jr, Johnson, G. Development and validation of the Multidimensional Gender Consciousness Questionnaire: A measure of gender awareness [unpublished research]
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