Hair loss perception and symptoms of depression in female outpatients attending a general dermatology clinic

Schmitt, Juliano Vilaverde; Ribeiro, Camila Ferrari; Souza, Fernanda de Mello de Homem; Siqueira, Elisa Beatriz Dalledone; Bebber, Fernanda Regina Lemos

doi:10.1590/s0365-05962012000300010

Cited by 37 publications

(42 citation statements)

References 12 publications

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“…This concurs with related research regarding the psychosocial impact of hair loss in women, whether from illness or medication side effects, most notably in breast cancer (Freedman, 1994;Seawell & Danoff-Burg, 2005). Hair loss for women, even in women who are not ill, is also associated with symptoms of depression (Schmitt, Ribeiro, Souza, Siqueira, & Bebber, 2012). Because hair loss is a significant side effect of medical treatments, it is critical to assess the extent to which hair loss may be symbolic of illness, dramatic shifts in body self-image, and norms for women.…”

Section: Discussionsupporting

confidence: 90%

Women Coping With Chronic Disease: The Psychosocial Impact of Lupus

Auerbach

Beckerman

Blanco

2013

Journal of Social Service Research

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The purpose of this cross-sectional study (n = 92) was the further identification of the unique psychosocial challenges facing those living with lupus. Specifically, the study aim was to clarify which particular lupus symptomatology may result in which emotional states. The authors review relevant literature, discuss findings, and provide evidence-based recommendations for social workers providing services to patients with lupus. Key findings include the following: Frequent flareups resulted in the highest need for assistance with feelings of depression, anxiety, and socioeconomic challenges. Hair loss had the most significant impact on depression, anxiety, and socioeconomic coping. Being hospitalized in the past year for lupus also significantly impacted depression, anxiety, and socioeconomic coping. And, finally, the participants reported that having friends to rely on reduced their reported depression and anxiety. Fatigue from lupus was seen as the highest correlate of anxiety.

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Section: Discussionsupporting

confidence: 90%

Women Coping With Chronic Disease: The Psychosocial Impact of Lupus

Auerbach

Beckerman

Blanco

2013

Journal of Social Service Research

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“…A variety of psychiatric conditions including depression, anxiety, and borderline personality disorder have been associated with years-long trait-like reactions to loss of something valued including a loved one (Turvey et al, 1999), pregnancy (Gong et al, 2013), an attachment relationship including marriage (Distel et al, 2011; Stalker and Davies, 1995), a job (Mandal et al, 2011), a capability such as vision (Zhang et al, 2013) or hearing (McDonnall, 2009), resources (Luyster et al, 2006), hair (Schmitt et al, 2012), or an expected reward (Huston et al, 2013). Repetitive thinking about what was lost, and about associated negative feelings has been identified with the transformation of loss into profound and often very negative outcomes (Nolen-Hoeksema et al, 1994).…”

Section: Introductionmentioning

confidence: 99%

Prolonged physiological reactivity and loss: Association of pupillary reactivity with negative thinking and feelings

Siegle

D’Andrea

Jones

et al. 2015

International Journal of Psychophysiology

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Prolonged psychophysiological reactions to negative information have long been associated with negative thinking and feeling. This association is operationalized in the RDoC negative affect construct of loss, which is nominally indexed by prolonged physiological reactivity, cognitive loss-related constructs such as rumination and guilt, and more feeling-related constructs such as sadness, crying, and anhedonia. These associations have not been tested explicitly. If thinking and feeling aspects of loss reflect different physiological mechanisms, as might be suggested by their putative neurobiology, different intervention pathways might be suggested. Here we examined the extent to which self-reported negative thinking and feeling constructs were associated with prolonged pupillary reactivity following negative words and a subsequent cognitive distractor in a diverse heterogeneously diagnosed sample of N = 84 participants. We also considered indices of abuse and variables associated with borderline personality disorder as possible moderators. Consistently, feeling-related negative affect constructs were related to prolonged pupillary reactivity during the distractor after a negative stimulus whereas thinking-related constructs were not. These data suggest that people who have sustained physiological reactions to emotional stimuli may be more strongly characterized by non-linguistic negative feelings than explicit cognitions related to loss. Sustained physiological reactions could reflect efforts to regulate feeling states. In contrast to cognitive and affective variables, abuse was associated with decreased physiological reactivity, consistent with decreased neural engagement. Interventions that target mechanisms underlying feelings and their regulation may be more mechanistically specific to sustained reactivity than those which directly address cognitions.

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“…Some have focused on stress causing hair fall, while others have looked for hair fall causing stress. One such study that focuses on hair fall causing stress was conducted in a public dermatological clinic, showing that out of 157 women interviewed, 54% reported hair loss and 29% reported at least two major symptoms of depression [14]. They concluded that complaints of hair loss were common and were associated with depression among adult female outpatients [14].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Hair Loss and Stress as the Cause; A Cross-Sectional Study.

Shaikh¹,

Shaikh²,

Shaikh³

et al. 2016

IJAR

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Background: Limited research has been undertaken on the Prevalence of hair lossand its relationship to stress in Pakistan. This cross-sectional study attempts at knowing the prevalence of hair loss among general population and to determine the relationship between stress and hair loss. Methods: We conducted a cross-sectional study. A randomized sample of both male and female of all ages from different communities were offered to participate in the study. All the participants were assessed for level of stress using 14-item Sheldon Cohen "Perceived Stress Scale (PSS-14)" and tested by "Hair Pull Test" for hair loss. PSS scores for low stress were set ranging from 0-18, scores ranging from 19-36 wereconsidered moderate stress and scores ranging from 37-56 corresponded to high stress. Results: A total of 456 individuals were invited and 424 [including both male (236) and female (188)] of them participated in the study, with a response rate of 92.9%. As per study criteria, the results of stress test showed that 67 (15.8%) individuals had low stress, 279 (65.8%) had moderate stress while 78 (18.3%) had high stress. A total of 42 (9.9%) individuals fulfilled the criteria of excessive hair loss (more prevalent among males in general; 30 out of 236 males (12.7%):(6.3%) 12 out of 188 females). In Males, hair loss was seen in 7.5% individuals with low stress, 9.8% individuals with moderate stress and 32% individuals with high stress. While in Females, hair loss was seen in 3.7% individuals with low stress, 5.9% individuals with moderate stress and 9.0% individuals with high stress). Conclusion:Hair loss is more prevalent in the male population (males show 2 times more hair loss than females) and there is a strong relationship between stress and hair loss.

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Hair loss perception and symptoms of depression in female outpatients attending a general dermatology clinic

Cited by 37 publications

References 12 publications

Women Coping With Chronic Disease: The Psychosocial Impact of Lupus

Women Coping With Chronic Disease: The Psychosocial Impact of Lupus

Prolonged physiological reactivity and loss: Association of pupillary reactivity with negative thinking and feelings

Prevalence of Hair Loss and Stress as the Cause; A Cross-Sectional Study.

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