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.
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
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".
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
Persian - Microsoft Word version
Portugese - Adobe PDF version (Translation Info)
Serbian - Adobe PDF version (Translation Info)
Ukranian - Microsoft Word version (Translation Info)
There is no charge for the use of the Cardiff Acne Disability Index
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.
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
Motley RJ, Finlay AY. Practical use of a disability index in the routine management of acne. Clinical and Experimental Dermatology 1992; 17: 1-3.
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