Higher GHQ scores indicated higher levels of psychological distress, and higher RSES scores indicated lower levels of self-esteem.18 Criteria from the Consensus Conference on Acne Classification20 was used in the objective evaluation of acne severity (prevalence, 63.6% [350/550]). Eighty-three percent (469/563) of participants subjectively reported having acne, with 76.9% (433/563) reporting mild to moderate severity. Acne that was subjectively evaluated at higher degrees of severity was associated with higher GHQ and RSES scores (P.001 and P.01, respectively).