@article { , title = {Anxiety and depression in adolescents with a visible difference: A systematic review and meta-analysis}, abstract = {Living with a visible difference can entail challenging social situations, associated with psychosocial symptoms. However, it is not clear whether adolescents with a visible difference experience more anxiety and depression than unaffected peers. We aim to determine whether adolescents with a visible difference experience more symptoms of anxiety and depression than unaffected peers. A literature search was conducted in Embase, Medline Ovid, Web of Science, Cochrane CENTRAL, PsycINFO Ovid, and Google Scholar. Meta-analyses were done using random-effects models to calculate a standardised mean difference. Analyses for subgroups were used to study causes of visible difference. Eleven studies were identified (n = 1075, weighted mean age = 15.80). Compared to unaffected peers, adolescents with a visible difference experience more symptoms of anxiety (SMD = 0.253, 95 \% CI [0.024, 0.482], p = .030), but not depression (SMD = 0.236, 95 \% CI [−0.126, 0.599], p = .202). Adolescents with a skin condition did not experience more symptoms of anxiety (SMD = 0.149, 95 \% CI [−0.070, 0.369], p = .182) or depression (SMD = 0.090, 95 \% CI [−0.082, 0.262], p = .305) when compared to unaffected peers. Overall, more symptoms of anxiety are found in adolescents with a visible difference compared to peers. No differences in anxiety or depression were found for skin differences. Screening for anxiety is recommended.}, doi = {10.1016/j.bodyim.2020.02.006}, issn = {1740-1445}, journal = {Body Image}, note = {ANXIETY AND DEPRESSION IN VISIBLE DIFFERENCE 1 18 disorder/social phobia. 19 ANXIETY AND DEPRESSION IN VISIBLE DIFFERENCE 2}, pages = {38-46}, publicationstatus = {Published}, publisher = {Elsevier}, url = {https://uwe-repository.worktribe.com/output/5352230}, volume = {33}, keyword = {Formerly Health & Social Sciences, Anxiety/Anxiety disorders, Depression, Visible differences, SAD/social anxiety}, year = {2020}, author = {van Dalen, Marije and Dierckx, Bram and Parsmans, Suzanne and Aendekerk, E. W. C. and Mathijssen, Irene and Koudstaal, Maarten Jan and Timman, Reinier and Williamson, Heidi and Hillegers, Manon and Utens, Elisabeth and Okkerse, Jolanda} }