Psychological Status of Patients with Alopecia Areata

Alfani, Stefania; Antinone, Valeria; Mozzetta, A.; Pietro, Cristina Di; Mazzanti, Cinzia; Stella, Piero; Raskovich, Desanka; Abeni, Damiano

doi:10.2340/00015555-1239

Cited by 56 publications

(66 citation statements)

References 14 publications

(12 reference statements)

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“…Approximately 66% of AA patients are diagnosed before the age of 30 years [2]. AA is associated with a high psychological burden [3,4]. In order to better understand the emotional well-being, mental health, and social functioning of patients with alopecia, researchers have begun using a new quality of life scale: the Alopecia Areata Symptom Impact Scale (AASIS) [5,6].…”

Section: Tablementioning

confidence: 99%

Bullying and Quality of Life in Pediatric Alopecia Areata

Christensen

Yang

Castelo‐Soccio

2017

Skin Appendage Disord

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Alopecia areata (AA) is a clinically heterogeneous disease that is characterized by nonscarring hair loss, nail changes, and increased risk of other autoimmune disease. During clinical visits, children with AA often report bullying. We report survey results that highlight the prevalence of bullying and surrounding emotional impact of AA in pediatric patients. We found that bullying was common overall and additional psychological impact, including impairment of social and home life, was even more common. Children of all ages experienced bullying. Boys reported increased physical bullying. Interestingly, those with more severe disease and longer duration of disease experienced less bullying than those with less severe disease.

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Section: Tablementioning

confidence: 99%

Bullying and Quality of Life in Pediatric Alopecia Areata

Christensen

Yang

Castelo‐Soccio

2017

Skin Appendage Disord

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“…Symptoms include being overwhelmed by depression, feelings of anxiety, social phobia, adjustment and paranoid disorders, having more neurotic tendencies, and experiences of conflict with their societal environment, more often than the general population (Alfani et al, 2012;Picardi et al, 2000;Ruiz-Doblado, Carrizosa, & Garcia-Hernandez, 2003). The objectives of the present study were (a) to determine whether men who have taken finasteride for AGA report high levels of anxiety and depression and (b) to examine correlates among preexisting mental health diagnoses (depression and anxiety), and the personality trait, neuroticism.…”

Section: Introductionmentioning

confidence: 99%

Emotional Consequences of Finasteride: Fool’s Gold

Ganzer

Jacobs

2016

Am J Mens Health

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Androgenetic alopecia, the gradual, progressive loss of hair frequently results in psychological despair, in part related to changes in self-image. Current androgenetic alopecia treatments are limited to hair transplantation and medications that inhibit dihydrotestosterone, a potent androgen associated with follicular micronization. Users of finasteride, which prevents dihydrotestosterone production, report serious physical and emotional adverse effects, collectively known as post-finasteride syndrome. Psychiatric illnesses and personality traits, specifically neuroticism influence emotional well-being. Limited research exists exploring the psychological corollaries of post-finasteride syndrome and preexisting Axis I and Axis II mental health conditions. The aim of this study was to explore how having a preexisting personal and/or familial history of a psychiatric diagnosis and certain personality traits may influence anxiety and depression among finasteride users. Participants in this online survey completed the Beck Depression Inventory, the Beck Anxiety Inventory, and Ten-Item Personality Inventory. An important finding in this study was that almost 57% ( n = 97) of men reported a psychiatric diagnosis and 28% ( n = 27) had a first-degree relative with a mental health disorder, of this group 17 only had a family history. Nearly 50% of the men surveyed reported clinically significant depression as evidenced by Beck Depression Inventory score and 34% experienced anxiety on the Beck Anxiety Inventory. There were no statistically significant trends in personality traits reported. Results provide evidence on the need to screen for psychiatric history and counseling patients about the potential psychological consequences of finasteride. Prescribing clinicians should carefully weigh the risk/benefit ratio with these patients.

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“…Psikososyal tetikleyici olayların içeriği posttravmatik stres bozukluğuna yol açabilecek kadar şiddet-li veya toplumsal olaylardan çok aile içi sorunlar başta olmak üzere kişilerarası ilişkilerdeki zorlukları kapsıyordu. Yazında öncelik sırası değişmekle birlikte, aile problemleri, iş/okul problemleri, yas veya ayrılık gibi yaşam olayları çalışmamızla uyumlu olarak en sık görülen yaşam olaylarıdır (11,23,24) . Stresörün genel anlamda şiddetinden çok kişinin atfettiği anlam, baş etme becerileri ve bunlar için gerekli aile desteği önemli olabilir.…”

Section: Discussionunclassified

“…Genetik yatkınlık (6) , immünolojik süreçler (7) yanı sıra enfeksiyon veya psikolojik faktörler gibi çevresel tetikleyicilerle de ilgili olduğu tahmin edilmektedir (8)(9)(10) . Psikiyatrik sorunlar ile AA arasındaki ilişkiyi araştıran çalışma-larda; başlangıç yaşı, hastalık ciddiyeti, psikososyal stresörlerin tetikleyici rolü gibi etkenlere ilişkin sonuçlar çelişkilidir ve genelde tüm yaş gruplarını kapsayan veya erişkin yaş grubuna odaklanan çalış-malardır (9,11,12) . Erken başlangıç yaşı, uzun hastalık süresi, aile öyküsü, tırnak tutulumu, totalis ve universalis olması ve diğer otoimmün hastalıkların varlığı kötü prognostik göstergelerdir.…”

Section: Introductionunclassified

Family functioning, psychopathology and quality of life in children and adolescents with alopecia areata

Kutlu¹,

Kundak²

2016

BUCH

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ÖZAmaç: Alopesi areata (AA) tanılı çocuk ve ergenlerde aile işlevselliği, psikopatoloji ve yaşam kalitesini belirlemek sosyodemografik ve hastalık ile ilgili değişkenlerle ilişkisini araştırmaktır. Yöntem: İki-18 yaş arasındaki 45 hasta retrospektif olarak incelendi. Aile Değerlendirme Ölçeği (ADÖ), Çocuklar ve Gençler İçin Yaşam Kalitesi Ölçeği (ÇYKÖ), Çocuklar için Depresyon Ölçeği (ÇDÖ) ile Sosyodemografik veri formu kullanılmıştır. İstatistiksel analizde SPSS 18.0 programı kullanılmıştır. Bulgular: Çalışma grubunun yaş ortalaması 9.22±3.79 yıldır ve %55.6'sı kadındır. Tüm olgu grubunda ADÖ gereken ilgiyi gösterme ve davranış kontrolü alt ölçeklerinde sorun olduğu belirlenmiştir (>2). Olguların %42.2'si en az bir psikiyatrik tanı almıştır. Psikiyatrik komorbidite varlığı; depresyon, ADÖ genel işlevler, Ebeveyn yaşam kalitesi psikososyal sağlık, çocuk yaşam kalitesinde de tüm alanlarda bozulmaya neden olmuştur. Olguların %51.1'inde psikososyal tetikleyici olay tespit edilmiştir. Ama tetikleyici olay saptanmayan olgularda ÇDÖ ve ÇYKÖ tüm alanlarda anlamlı düzeyde bozulmuştur (p<0.05). Lezyon yaygınlığı yalnızca, atak sayısı ve hastalık süresi ile pozitif yönde ilişkili bulunmuştur. Sonuç: AA hastalarında aile işlevselliği gereken ilgiyi gösterme ve davranış kontrolü alanlarında bozuktur. Psikososyal tetikleyici olaylar AA'da sık olmasına rağmen psikopatoloji, yaşam kalitesi ve aile işlevselliği ile ilişkili olmayabilir. Psikiyatrik komorbidite yaşam kalitesini en fazla bozan faktör olmuştur.Anahtar kelimeler: Alopesi areata, aile işlevselliği, yaşam kalitesi, psikopatoloji, çocuk ve ergen ABSTRACT Objective: To examine family functioning, psychopathology, quality of life in children and adolescents diagnosed with alopecia areata (AA), and to investigate the relationship between sociodemographic and disease-related variables. Method: 45 patients from 2 to 18 years of age were examined retrospectively. The Family Assessment Device (FAD), the Pediatric Quality of Life Inventory (PedsQL), the Children Depression Inventory (CDI) and the sociodemographic data sheet were used. Statistical analyses were performed using SPSS 18.0 software. Results: Of the subjects assessed, the mean age was 9.22±3.79 and 55.6% were female. The FAD affective involvement and behaviour control subscales demonstrated impairment in the entire case group (>2). 42.2% of the cases received at least one psychiatric diagnosis. Presence of psychiatric comorbidity caused impairment in all the subscales of depression, FAD general functioning, parental quality of life psychosocial health, and pediatric quality of life. A psychosocial trigger incident was detected in 51.1% of the cases. In cases, however, where no trigger incident was detected, CDI and PedsQL showed significant impairment in all the subscales (p<0.05). Lesion intensity was found positively associated only with the number of attacks and duration of the disease. Conclusion: Family functioning in AA patients is impaired in the subscales of affective involvement and behaviour control. Alt...

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Psychological Status of Patients with Alopecia Areata

Cited by 56 publications

References 14 publications

Bullying and Quality of Life in Pediatric Alopecia Areata

Bullying and Quality of Life in Pediatric Alopecia Areata

Emotional Consequences of Finasteride: Fool’s Gold

Family functioning, psychopathology and quality of life in children and adolescents with alopecia areata

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