Rosacea has significant impact on quality of life, an observation that has been validated by a number of qualitative and quantitative studies using disease severity instruments such as the Dermatology Life Quality Index (DLQI) and Willingness-to-pay model (Patients, especially women, with rosacea indicate a strong desire or willingness to pay for treatments to cure their disease.). Rosacea has been associated with decreased self-esteem and avoidance of social situations in some studies.
The impact of rosacea on quality of life stems from both physical discomfort as well as psychological impact resulting from persistent erythema or flushing. Key factors include
Age/ age of onset, gender (female), presence of flushing, need for ongoing treatment, side effects of rosacea treatments have been cited as factors contributing to poor quality of life in rosacea.
Studies have demonstrated that the quality of life impact is not always correlated the clinical severity of the disease; it is imperative for clinicians to ask about the impact of disease as it may not be accurately indicated by the degree of cutaneous signs.