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Well stress is linked to worsening acne as far as I know. I know I tend to break out more if I'm stressed - especially around exam time - but it's hard to say for sure that those breakouts are caused by the stress alone and not a combination of things such as lack of sleep.
So I would say that stress does play a role in acne - I doubt it would be the sole cause of anyone's acne but it might be a contributing factor.