Development of a disease-specific instrument to measure quality of life in patients with alopecia areata

Endo, Yuichiro; Arakawa, Akiko

doi:10.1684/ejd.2012.1752

Cited by 23 publications

(50 citation statements)

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“…Personality traits contribute significantly to predicting hair loss impact on HrQoL, while illness severity, as evidenced by other studies, was not relevant for the discrimination between patients with low vs. high HrQoL. The lack of correlation between objective disease severity and subjective evaluation of its impact on quality of life was previously observed in cultures profoundly different from ours . Our findings further show that, regardless of clinically defined illness severity and alopecia type, patients reporting higher impact of hair loss on quality of life are characterized by anxiety‐related traits and low ability in managing emotions.…”

Section: Discussionsupporting

confidence: 72%

“…Hair loss can significantly affect patient health‐related quality of life (HrQoL) . Although a benign condition, the psychosocial impact makes the suffering and burden of hair loss comparable with severe or life‐threatening diseases . Common alopecia types, like alopecia areata (AA), androgenetic alopecia (AGA), telogen effluvium (TE) have different clinical features and prognosis, but are associated with high levels of psychological distress .…”

Section: Introductionmentioning

confidence: 99%

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HrQoL in hair loss‐affected patients with alopecia areata, androgenetic alopecia and telogen effluvium: the role of personality traits and psychosocial anxiety

Russo

Fino

Mancini

et al. 2018

Acad Dermatol Venereol

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Background Illness impact on HrQoL has been widely studied in hair loss‐affected patients, yet no study has addressed whether individual differences modulate HrQoL in patients with alopecia areata (AA), androgenetic alopecia (AGA) and telogen effluvium (TE). Objective To identify the personality dimensions most predictive of the impact of disease on HrQoL. Method A single‐site cross‐sectional study was carried out in the Dermatology Unit of Sant'Orsola‐Malpighi Hospital, Bologna between September 2016 and September 2017. The study included 143 patients (105 females, ages 18–60 years) diagnosed with AA (n = 27), AGA (n = 80) and TE (n = 36). Illness severity, alopecia type, age, gender, education and civil status were documented. Health‐related quality of life (HrQoL), personality traits, trait anxiety, emotional intelligence, social anxiety and social phobia were also measured. Results AA, AGA and TE groups differed significantly for illness severity with most severe patients falling in AA type. For HrQoL, Gender × Group interaction resulted significant with AGA females reporting a higher impact of hair loss on quality of life than males, while TE males were more impacted by hair loss than AA and AGA males. Lower scores were obtained by AGA females than males on emotional intelligence while no significant differences were evidenced on other groups. A significant Gender × Group interaction was also found for trait anxiety, social phobia and social anxiety: consistently, AGA females reported higher scores than AGA males in all three measures. Finally, discriminant analysis evidenced that anxiety‐related traits can contribute to reliably predict hair loss impact on HrQoL, regardless of illness severity and alopecia type. Conclusions We recommend that gender and individual differences in anxiety‐related dimensions be considered as key factors in gaining a deeper understanding of hair loss impact on quality of life as well as in reducing the burden of illness in alopecia‐affected patients.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

HrQoL in hair loss‐affected patients with alopecia areata, androgenetic alopecia and telogen effluvium: the role of personality traits and psychosocial anxiety

Russo

Fino

Mancini

et al. 2018

Acad Dermatol Venereol

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“…18,19 Another limitation of the study was the difference in educational level between controls and patients with hair disease, probably due to the fact that controls were part of the hospital staff. This may be partly due to the fact that the research centres were general hospitals and not hair diseases specialized centres.…”

Section: Discussionmentioning

confidence: 99%

‘The psychosocial burden of alopecia areata and androgenetica’: a cross‐sectional multicentre study among dermatological out‐patients in 13 European countries

Titeca

Goudetsidis

Francq

et al. 2019

Acad Dermatol Venereol

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Background Hair diseases play an important burden on patients’ lives, causing significant emotional and psychosocial distress. However, the impairment due to different hair conditions, such as alopecia areata (AA) and androgenetic alopecia (AGA), has rarely been compared. Objective The aim of this study was to assess the psychological burden of subgroups of patients with different hair diseases and to compare them to a healthy population. Methods In this study, we analysed a subgroup of patients with hair diseases from patients of a large multicentre study including 3635 dermatological patients and 1359 controls from 13 European countries. In the subgroup of patients with hair diseases, we analysed the socio‐demographic characteristics, the stress level, and the impact of hair diseases on quality of life (QoL), anxiety, and depression and we compared them among patients with AA, AGA and healthy controls. Results The study population included 115 patients (77% women, 23% men) with hair diseases, 37 of whom with AA and 20 with AGA. Patients with hair diseases had a lower education level than healthy controls (medium educational level: 43% vs. 28%). Overall, 41% of the patients reported stressful life events during the last 6 months compared with 31% of the controls. Patients with the same age, sex, depression level and comorbidities had a worse QoL when suffering from AA than from AGA (Mean Dermatology Life Quality Index score: 5.8 vs. 2.5). Conclusion Patients with hair diseases are more anxious, depressed and have a lower QoL than controls.

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“…S1; see Supporting Information). The studies originated from 12 countries: the U.S.A. ( n = 4), Turkey ( n = 3), Belgium ( n = 3), Japan ( n = 2), Italy ( n = 2), France ( n = 2), China ( n = 1), Brazil ( n = 1), Kuwait ( n = 1), Korea ( n = 1), Iran ( n = 1) and Tunisia ( n = 1) …”

Section: Resultsmentioning

confidence: 99%

“…Most studies had a cross‐sectional design ( n = 12), including 11 questionnaire‐based studies and a registry‐based analysis . There were five case–control studies, a prospective cohort study, a retrospective cohort study, a randomized controlled trial (RCT) and a non‐RCT .…”

Section: Resultsmentioning

confidence: 99%

Alopecia areata and health-related quality of life: a systematic review and meta-analysis

et al. 2016

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Development of a disease-specific instrument to measure quality of life in patients with alopecia areata

Cited by 23 publications

References 0 publications

HrQoL in hair loss‐affected patients with alopecia areata, androgenetic alopecia and telogen effluvium: the role of personality traits and psychosocial anxiety

HrQoL in hair loss‐affected patients with alopecia areata, androgenetic alopecia and telogen effluvium: the role of personality traits and psychosocial anxiety

‘The psychosocial burden of alopecia areata and androgenetica’: a cross‐sectional multicentre study among dermatological out‐patients in 13 European countries

Alopecia areata and health-related quality of life: a systematic review and meta-analysis

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