Psychological Aspects of Hair Disorders: Consideration for Dermatologists, Cosmetologists, Aesthetic, and Plastic Surgeons

Moattari, Cameron R.; Jafferany, Mohammad

doi:10.1159/000519817

Cited by 12 publications

(13 citation statements)

References 58 publications

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“…Unlike TE, intense loss is observed rapidly. It is also called chemotherapy alopecia because it often occurs after chemotherapy treatment [41]. Chemotherapy-induced alopecia (CIA) has various psychosocial effects that adversely affect quality of life such as anxiety, depression, low self-esteem and low self-image.…”

Section: Anagen Effluvium/chemotherapy Induced Alopeciamentioning

confidence: 99%

Psychological Aspect of Alopecia

Hocaoğlu¹

2023

Alopecia Management - An Update

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Hair is one of the most important components of the individual’s appearance and self-perception, as an organ that has an important role in social and sexual communication in humans. Therefore, hair loss can have negative effects on self-confidence, body image and self-esteem. Trichopsychodermatology is a special field of psychodermatology that deals with the psychosocial causes and consequences of hair loss and hair diseases. Alopecia patients suffer from various mental disorders, especially anxiety and depression. Psychological stress and emotional difficulties act as triggers and accelerators in both trichotillomania, which is within the scope of primary psychiatric diseases, and hair diseases with different etiopathogenesis such as alopecia areata, telogen effluvium, cicatricial alopecia, androgenetic alopecia, anagen alopecia. Providing psychiatric diagnosis and treatment in a patient presenting with alopecia may also have a positive effect on the course of alopecia. In this section, the psychiatric approach to patients with alopecia is discussed. This situation, which is frequently observed by dermatologists in clinical practice, has actually been little studied in the literature.

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Section: Anagen Effluvium/chemotherapy Induced Alopeciamentioning

confidence: 99%

Psychological Aspect of Alopecia

Hocaoğlu¹

2023

Alopecia Management - An Update

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“…Hair and scalp concerns are common problems, and their psychological impact can be devastating. 1 Although present amongst all ethnicities, scalp discomfort complaints may be more prevalent among women with afro-textured hair. Whether this is due to pathological conditions, specific haircare practices, or both, is not clear and data linking scalp assessment with scalp routines are scarce.…”

Section: Introductionmentioning

confidence: 99%

“…Hair and scalp concerns are common problems, and their psychological impact can be devastating 1 . Although present amongst all ethnicities, scalp discomfort complaints may be more prevalent among women with afro‐textured hair.…”

Section: Introductionmentioning

confidence: 99%

Weekly hair washing: The recommended solution for women with afro‐textured hair to alleviate dandruff and scalp discomfort

Fajuyigbe,

Sewraj,

Connétable

et al. 2024

The Journal of Dermatology

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Dandruff and scalp discomfort are common concerns for women and men in Africa. Moreover, women with afro‐textured hair are prone to scalp discomfort owing to irregular hair washing, frequent use of oil‐based products on their scalp, and harsh chemical treatments. Current literature does not, however, provide data on the pathophysiological mechanisms of these conditions in this population. In this study, we investigated the mechanisms behind scalp discomfort and dandruff in women of African descent before and after hair washing. We conducted the in Durban, South Africa, over a 3‐week period with 60 women of African descent aged 20–40 years. The respondents were equally divided into a “dandruff” and a “no dandruff” group, based on clinical grading of adherent dandruff by a dermatologist. Malassezia spp. and bacterial loads were quantified by quantitative polymerase chain reaction. Evaluations of scalp condition and sample collection were performed at five time points during the 3 weeks. Data on discomfort symptoms were collected via a self‐assessment questionnaire. We observed that the dandruff severity peaked at the end of the first week after hair washing and plateaued from thereon in both groups. Dandruff was associated with higher Malassezia and bacterial load counts and there was a direct correlation between the Malassezia spp. load and dandruff score. Via self‐assessment questionnaire responses submitted by participants, we observed that itching was the most pronounced scalp discomfort, compared with the sensation of tingling and burning at baseline, while an improvement of the scalp symptoms of dandruff and itch was observed in both groups after one hair wash. The study also showed that higher colonization with Malassezia spp. and bacteria is associated with dandruff independently of the time point, confirming a scalp microbiome contribution to the dandruff pathophysiology in the study population. The benefits of washing were, however, not sustained after 1 week and we thus recommend weekly hair washing for long‐term management of dandruff and scalp itchiness in this population.

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“…The distress associated with hair loss or visible scalp disorders can lead to decreased self‐esteem, anxiety, and in severe cases, social withdrawal or depression. The complexity of these disorders, often presenting with overlapping symptoms, causes a significant challenge in dermatology 2 . Traditionally, the diagnosis of hair and scalp disorders has relied heavily on clinical examination, patient history, and a range of diagnostic tools 3 .…”

Section: Introductionmentioning

confidence: 99%

“…The complexity of these disorders, often presenting with overlapping symptoms, causes a significant challenge in dermatology. 2 Traditionally, the diagnosis of hair and scalp disorders has relied heavily on clinical examination, patient history, and a range of diagnostic tools. 3 Dermoscopy, for instance, has been a staple in dermatological diagnostics, offering a non‐invasive method to examine the microstructures of the scalp and hair.…”

Section: Introductionmentioning

confidence: 99%

Leveraging deep neural networks to uncover unprecedented levels of precision in the diagnosis of hair and scalp disorders

Chowdhury,

Sultan,

Jahan

et al. 2024

Skin Research and Technology

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BackgroundHair and scalp disorders present a significant challenge in dermatology due to their clinical diversity and overlapping symptoms, often leading to misdiagnoses. Traditional diagnostic methods rely heavily on clinical expertise and are limited by subjectivity and accessibility, necessitating more advanced and accessible diagnostic tools. Artificial intelligence (AI) and deep learning offer a promising solution for more accurate and efficient diagnosis.MethodsThe research employs a modified Xception model incorporating ReLU activation, dense layers, global average pooling, regularization and dropout layers. This deep learning approach is evaluated against existing models like VGG19, Inception, ResNet, and DenseNet for its efficacy in accurately diagnosing various hair and scalp disorders.ResultsThe model achieved a 92% accuracy rate, significantly outperforming the comparative models, with accuracies ranging from 50% to 80%. Explainable AI techniques like Gradient‐weighted Class Activation Mapping (Grad‐CAM) and Saliency Map provided deeper insights into the model's decision‐making process.ConclusionThis study emphasizes the potential of AI in dermatology, particularly in accurately diagnosing hair and scalp disorders. The superior accuracy and interpretability of the model represents a significant advancement in dermatological diagnostics, promising more reliable and accessible diagnostic methods.

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Psychological Aspects of Hair Disorders: Consideration for Dermatologists, Cosmetologists, Aesthetic, and Plastic Surgeons

Cited by 12 publications

References 58 publications

Psychological Aspect of Alopecia

Psychological Aspect of Alopecia

Weekly hair washing: The recommended solution for women with afro‐textured hair to alleviate dandruff and scalp discomfort

Leveraging deep neural networks to uncover unprecedented levels of precision in the diagnosis of hair and scalp disorders

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