痤瘡患者的身體意象、社會比較對自尊及憂鬱的影響

目的: 痤瘡一直都是青少年及成年早期一個普遍存在的皮膚問題，然而過去痤瘡的研究大多偏醫學取向，甚少著重探討心理社會問題，而由文獻已知嚴重痤瘡患者會出現低自尊及憂鬱問題，且身體意象及社會比較扮演重要角色影響其心理適應。故本研究旨在探討身體意象及社會比較對痤瘡經驗患者之自尊與憂鬱情緒的中介效果。方法:本研究以910位青少年及成年早期個案為主要研究對象，採用問卷調查法探討人口學變項、疾病變項、身體意象外表評價、身體意象外表取向、社會比較狀態、社會比較傾向、憂鬱及自尊量表中文版之間的關係。在完成問卷填答的資料收集後，以描述性統計、t 檢定、相關分析、迴歸分析、驗證性因素分析以及拔靴法分析數據。結果:（1）身體意象評價對於目前痤瘡嚴重程度到憂鬱具有中介預測效果。（2）身體意象評價對於對痤瘡的關注程度到憂鬱具有中介預測效果。 (3)社會比較狀態對於目前痤瘡嚴重程度到憂鬱具有中介預測效果。(4) 社會比較狀態以及社會比較傾向對於對痤瘡的關注程度到憂鬱具有中介預測效果。（5）身體意象評價對於目前痤瘡嚴重程度到自尊具有中介預測效果。（6）社會比較狀態對於目前痤瘡嚴重程度到自尊具有中介預測效果。討論：根據結果顯示部分身體意象和社會比較因素可以中介痤瘡經驗與憂鬱和自尊之間的關係。這顯現出痤瘡患者的認知對他們的心理健康的重要性，未來我們可以基於這些研究結果發展出一個針對痤瘡患者的心理健康預防計劃。

Objective: The aim of this study was to explore the mediating effects of social comparison and body image on acne patients’ depression and self-esteem. Methods: 910 adolescents and young adults with acne experience were surveyed to collect the data of acne severity, attention to acne, body image evaluation, body image investment, social comparison status, social comparison tendency, self esteem, and depression. T-test, correlational analysis, regression analysis, confirmatory factor analysis and bootstrapping method were used to analyze the data. Results:(1) Body image evaluation mediates the relationship between acne severity and depression. (2) Body image evaluation mediates the relationship between acne attention to acne and depression. (3) Social comparison status mediates the relationship between acne severity and depression.(4) Social comparison status and social comparison tendency mediates the relationship between attention to acne and depression.(5) Body image evaluation mediates the relationship between acne severity and self esteem.(6) Social comparison status mediates the relationship between acne severity and self esteem.Conclusion: The results suggest that some body image and social comparison factors could mediate the relationship between acne experience and depression and self-esteem. It implies the importance of acne patients’ perception on their mental health. Based on the results, mental health intervention program for acne patients could be developed in the future.