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Quality of Life

Cardiff Acne Disability Index (CADI)

Background information

The Cardiff Acne Disability Index (CADI) (Motley and Finlay, 1992) is a short 5 item questionnaire derived from the longer Acne Disability Index (Motley and Finlay, 1989).

The Cardiff Acne Disability Index is designed for use in teenagers and young adults with acne. It is self explanatory and can be simply handed to the patient who is asked to complete it without the need for detailed explanation. It is usually completed in one minute.


The Cardiff Acne Disability Index

Click here to download Microsoft Word version

1. As a result of having acne, during the last month have you been aggressive, frustrated or embarrassed?

(a) Very much indeed
(b) A lot
(c) A little
(d) Not at all


2. Do you think that having acne during the last month interfered with your daily social life, social events or relationships with members of the opposite sex?*

(a) Severely, affecting all activities
(b) Moderately, in most activities
(c) Occasionally or in only some activities
(d) Not at all


3. During the last month have you avoided public changing facilities or wearing swimming costumes because of your acne?

(a) All of the time
(b) Most of the time
(c) Occasionally
(d) Not at all


4. How would you describe your feelings about the appearance of your skin over the last month?

(a) Very depressed and miserable
(b) Usually concerned
(c) Occasionally concerned
(d) Not bothered


5. Please indicate how bad you think your acne is now:

(a) The worst it could possibly be
(b) A major problem
(c) A minor problem
(d) Not a problem


© Cardiff Acne Disability Index. R J Motley, A Y Finlay 1992

*Where appropriate Question 2 can be worded alternatively: "Question 2. Do you think that having acne during the last month interfered with your daily social life, social events or with close personal relationships?​"

 

Instructions for scoring

The scoring of each answer is as follows:
(a) 3
(b) 2
(c) 1
(d) 0

The CADI score is calculated by summing the score of each question resulting in a possible maximum of 15 and a minimum of 0. The higher the score, the more the quality of life is impaired.

We would recommend that if one item is not answered, that item should be scored zero and the score for that completion would be the sum of the scores of the other four items (not adjusted). If more than one item is not scored, the questionnaire cannot be scored and the entire score should be set to "missing".



Translations

The CADI is available to download in the following languages:

Arabic - Adobe PDF version
Cantonese - Microsoft Word version (Translation Info)
Czech (PDF) (Translation Info)
Dutch - Microsoft Word version (Translation Info - PDF)
Filipino - Microsoft Word version
French - Microsoft Word version
Hindi - Adobe PDF Version (Translation Info)
Persian - Microsoft Word version
Portugese - Adobe PDF version (Translation Info)
Serbian - Adobe PDF version (Translation Info)
Ukranian - Microsoft Word version (Translation Info)


Charges

There is no charge for the use of the Cardiff Acne Disability Index

 

Copyright

Please note that the Cardiff Acne Disability Index (CADI) is protected under copyright. However, permission is usually given for the CADI to be used for research purposes.

The copyright statement:

© Cardiff Acne Disability Index. R J Motley, A Y Finlay 1992

This statement must always be reproduced at the end of every copy of the CADI

The CADI may be used for routine clinical use by clinicians in order to assist the clinical consultation, evaluation and clinical decision making process. There is no need to seek specific permission for this and there is no charge for the use of the CADI. However it is a requirement that every copy of the CADI, in whatever language, should always reprint the copyright statement at the end of the CADI.


Further information

Please contact:
Professor Andrew Y Finlay
Department of Dermatology
Cardiff University School of Medicine
Heath Park, CARDIFF CF14 4XN
Wales, United Kingdom

Telephone: + 44 (0)29 20742884
Fax: + 44 (0)29 20744312
e-mail: finlayay@cf.ac.uk


Original publication

Motley RJ, Finlay AY. Practical use of a disability index in the routine management of acne. Clinical and Experimental Dermatology 1992; 17: 1-3.


Publications relevant to CADI

1989

Motley RJ, Finlay AY. How much disability is caused by acne? Clin Exp Dermatol, 1989; 14: 194-198.

1991

Lim C-CL, Tan T-C. Personality, disability and acne in college students. Clin & Exp Dermatol 1991; 16: 371-373.

1992

Motley RJ, Finlay AY. Practical use of a disability index in the routine management of acne. Clinical and Experimental Dermatology 1992; 17: 1-3.

Motley RJ, Finlay AY. Practical use of a disability index in the routine management of acne. Clin Exp Dermatol, 1992; 17: 1-3.

1996

Oakley A M M. The Acne Disability Index: usefulness confirmed. Australasian J Dermatol 1996; 37: 37-39.

Salek MS, Khan GK, Finlay AY. Questionnaire techniques in assessing acne handicap: reliability and validity study. Quality of Life Research, 1996; 5: 131-138

1998

Kilkenny M, Merlin K, Plunkett A, Marks R. The prevalence of common skin conditions in Australian school students: 3. acne vulgaris. Br J Dermatol 1998; 139(5): 840-845.

2000

Dreno B. Effect of Dianéal® in the prevention of acne scarring and pigmentation: a double blind study including quality of life evaluation. JEADV 2003; 17 (Suppl 3): 431.

Finlay A Y, Dreno B, Nocera T, Verriere F, Myon E, Taieb C. The French version of the Cardiff Acne Disability Index. JEADV 2003; 17 (Suppl 3): 62.

Marks R, Plunkett A, Merlin K, Jenner N. Atlas of Common Skin Diseases in Australia. University of Melbourne, Melbourne 2000: p9, 15, 19.

2004
Dréno B, Finlay A Y, Nocera T et al. CADI cultural and linguist validation into French of an acne disability index. Dermatology 2004; 208: 104-108.

Scherdin U, Treder-Conrad C, Berger B, Micic S, Rippke F. Medical skin care significantly improves quality of life in subjects with mild ACNE vulgaris. JADV 2004; 18 (Suppl 2) 202.

2006

Aghaei S, Mazharinia N, Jafari P, Abbasfard Z. The Persian version of the Cardiff Acne Disability Index (CADI): reliability and validity study. Saudi Med J 2006; 27(1): 80-82.

Dréno B.
Assessing quality of life in patients with acne vulgaris: implications for treatment.
Am J Clin Dermatol. 2006;7(2):99-106. Review

Walker N, Lewis-Jones M S. Quality of life and acne in Scottish adolescent schoolchildren: use of the Children's Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI). J Eur Acad Dermatol Venereol 2006; 20: 45-50.

2007

Clayton C H, Clark S M, Britton J, Pavol S, Radeve S. A comparative study of the Children's Dermatology Life Quality Index (CDLQI) in paediatric dermatology clinics in the UK and Bulgaria. JEADV 2007; 21: 1413-1450.

Dreno B, Alirezai M, Auffret N, Beylot C, Chivot M, Daniel F, Faure M, Lambert D, Poli F, Merial-Kieny C, Nocera T.
[Clinical and psychological correlation in acne: use of the ECLA and CADI scales].
Ann Dermatol Venereol. 2007 May;134(5 Pt 1):451-5. French.

Pawin H, Chivot M, Beylot C, Faure M, Poli F, Revuz J, Dréno B. Living with acne. Dermatology 2007; 215: 3080314.

2009

Hanisah A, Omar K, Shah SA.
Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia.
J Prim Health Care. 2009 Mar;1(1):20-5.

Law MP, Chuh AA, Lee A.
Validation of a Chinese version of the Cardiff Acne Disability Index.
Hong Kong Med J. 2009 Feb;15(1):12-7.

2010

Kokandi A.
Evaluation of acne quality of life and clinical severity in acne female adults.
Dermatol Res Pract. 2010;2010. doi:pii: 410809. 10.1155/2010/410809. Epub 2010 Jul 27.

Law MP, Chuh AA, Lee A, Molinari N.
Acne prevalence and beyond: acne disability and its predictive factors among Chinese late adolescents in Hong Kong.
Clin Exp Dermatol. 2010 Jan;35(1):16-21.

2011

Choudhury S, Chatterjee S, Sarkar DK, Dutta RN.
Efficacy and safety of topical nadifloxacin and benzoyl peroxide versus clindamycin and benzoyl peroxide in acne vulgaris: A randomized controlled trial.
Indian J Pharmacol. 2011 Nov;43(6):628-31.

Kluger N, Letois F, Picot MC, Guillot B, Bessis D.
How much disability is caused by fibrofolliculomas during Birt-Hogg-Dubé Syndrome?
J Eur Acad Dermatol Venereol. 2011 Aug;25(8):940-4.

Shahzad N, Nasir J, Ikram U, Asmaa-ul-Haque, Qadir A, Sohail MA.
Frequency and psychosocial impact of acne on university and college students.
J Coll Physicians Surg Pak. 2011 Jul;21(7):442-3.

2012

Chernyshov PV.
[Creation and validation of the Ukrainian version of the Cardiff Acne Disability Index].
Lik Sprava. 2012 Jul-Sep;(5):139-43. Ukrainian.

Ismail KH, Mohammed-Ali KB.
Quality of life in patients with acne in Erbil city.
Health Qual Life Outcomes. 2012 Jun 6;10:60.

Jankovic S, Vukicevic J, Djordjevic S, Jankovic J, Marinkovic J.
Quality of life among schoolchildren with acne: results of a cross-sectional study.
Indian J Dermatol Venereol Leprol. 2012 Jul-Aug;78(4):454-8.

Safizadeh H, Shamsi-Meymandy S, Naeimi A.
Quality of life in Iranian patients with acne.
Dermatol Res Pract. 2012;2012:571516.

Tan J, O'Toole A, Zhang X, Dreno B, Poulin Y.
Quality of life in patients with acne in Erbil city. Cultural and linguistic validation of acne-QoL in French.
J Eur Acad Dermatol Venereol. 2012 Oct;26(10):1310-4.

Yap FB.
Cardiff acne disability index in Sarawak, Malaysia.
Ann Dermatol. 2012 May;24(2):158-61.

2013

Ianosi S, Neagoe D, Calbureanu M, Ianosi G.
Placebo Controlled Randomized Compared Study, Blind Investigator Between Combined Vacuum and Intense Pulsed Light versus Intense Pulsed Light devices in Both Comedonal and Papular-Pustulous Acne.
J Cosmet Laser Ther. 2013 Jun 21. [Epub ahead of print]

Jankovic S, Vukicevic J, Djordjevic S, Jankovic J, Marinkovic J, Basra MK.
The Cardiff Acne Disability Index (CADI): linguistic and cultural validation in Serbian.
Qual Life Res. 2013 Feb;22(1):161-6.

Zaraa I, Belghith I, Ben Alaya N, Trojjet S, Mokni M, Ben Osman A.
Severity of acne and its impact on quality of life.
Skinmed. 2013 May-Jun;11(3):148-53.