Types of Stress within Child Alopecia

Andreoli, Elisabetta; Mozzetta, A.; Provini, Alessia; Cacciaguerra, M. G.; Paradisi, Mauro; Bonda, P.G. Foglio

doi:10.1159/000051360

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…The mean prevalence of depressive disorders was 9% (95% CI, 6%-12%) (Figure 2 [16][17][18][19][21][22][23][24][25]51,52 ), with a wide heterogeneity in results (I 2 = 97.4%). Prevalence varied according to the assessment tool used: 20% (95% CI, 9%-31%) for interviewbased studies and 4% (95% CI, 1%-6%) for studies using medical records (Table ).…”

Section: Depressive Disordersmentioning

confidence: 99%

Prevalence and Odds of Depressive and Anxiety Disorders and Symptoms in Children and Adults With Alopecia Areata

et al. 2023

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ImportanceTwo recent meta-analyses reported a high prevalence of both anxiety and depression in patients with alopecia areata (AA), as well as a positive association of AA with anxiety and depression, without distinguishing between disorders and symptoms. Yet, depression and anxiety can manifest either as symptoms identified in questionnaires or as specific diagnoses defined by Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) or International Statistical Classification of Diseases and Related Health Problems, Tenth Revision criteria.ObjectiveTo perform a large meta-analysis separating the prevalence of depressive and anxiety disorders from that of depressive and anxiety symptoms in patients with AA.Data SourcesPubMed, ScienceDirect, the Cochrane Library, Embase, and PsycINFO databases were searched from inception through August 1, 2020.Study SelectionStudies that contained data on the prevalence of depressive or anxiety disorders or symptoms were included.Data Extraction and SynthesisThe Meta-analysis of Observational Studies in Epidemiology (MOOSE) reporting guidelines were used. Pooled prevalence was calculated with a random effects model meta-analysis that took into account between- and within-study variability. Meta-regressions were used to study the association between variations in prevalence and study characteristics.Main Outcomes and MeasuresThe prevalence of depressive and anxiety disorders and symptoms in patients with AA.ResultsThirty-seven articles (29 on depression and 26 on anxiety) that met the inclusion criteria were identified. By distinguishing between disorders and symptoms, the prevalence of both depressive disorders (9%) and unspecified anxiety disorders (13%) in patients with AA was shown to be greater than that in the general population. The prevalence and odds ratio (OR) of depressive disorders (prevalence, 9%; OR, 1.38) and anxiety disorders of which each category had been specifically studied (prevalence, 7%-17%; OR, 1.51-1.69) were markedly lower than that of depressive symptoms (prevalence, 37%; OR, 2.70) and anxiety symptoms (prevalence, 34%; OR, 3.07). Meta-regressions showed that variations in prevalence were mainly associated with methodological differences between studies.Conclusions and RelevanceIn this systematic review and meta-analysis, the separate analyses showed that 7% to 17% of patients with AA had depressive or anxiety disorders that require psychiatric care, including specific medication. Additionally, more than one-third of patients had symptoms that are warning signs and that need monitoring because they can develop into disorders.

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Section: Depressive Disordersmentioning

confidence: 99%

Prevalence and Odds of Depressive and Anxiety Disorders and Symptoms in Children and Adults With Alopecia Areata

et al. 2023

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“…A small number of studies related to the pediatric cases have shown the presence of stressful life events before the onset of AA as a potential trigger of the disease at a rate of 9.5% to 81%. [31][32][33][34] In studies conducted with children with vitiligo, a history of stressful life events before the onset of the disease was reported at the rates of 48.8% 15 and 77%. 17 In our study, 61% of children with AA and 86.2% of children with vitiligo had a history of stressful life events in the year prior to the onset of the disease.…”

Section: Ta B L Ementioning

confidence: 99%

Anxiety and depression in pediatric patients with vitiligo and alopecia areata and their parents: A cross‐sectional controlled study

Erdoğan

Gür

Doğan

2020

J of Cosmetic Dermatology

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Background: Alopecia areata (AA) and vitiligo are associated with various psychiatric comorbidities, and the care of a child with AA or vitiligo may be associated with higher anxiety and depression than healthy children. Aims:We aimed to identify psychiatric findings in children and adolescent groups with AA and vitiligo and to evaluate the levels of anxiety and depression in their parents.Methods: This study included 31 patients with AA and 29 patients with vitiligo, aged seven to 17 years, and their parents. Age-and gender-matched 30 controls and their parents were included. The patients and controls completed the Revised Child Anxiety and Depression Scales-Child version (RCADS-C), and their parents completed the parent version (RCADS-P). The parents also completed the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). In addition, the stressful event history of all cases was noted.Results: Stressful event history was higher in the vitiligo group compared to the AA group, and it was higher in the AA and vitiligo groups compared to the control group. Separation anxiety, generalized anxiety, social phobia, and major depressive disorder (MDD) scores were higher in the AA group than controls according to the RCADS-C. According to the RCADS-P, panic disorder (PD), MDD, and total anxiety scores were higher in the AA group. Only the PD and MDD scores were higher in the vitiligo group than those of the controls based on the RCADS-P. Lastly, no significant difference was observed between the three groups concerning the parents' BAI and BDI scores.Conclusions: Stressful events were more common in pediatric patients with vitiligo than those with AA. Anxiety symptoms were more prevalent in patients with AA than those with vitiligo. K E Y W O R D S alopecia, psychological aspects, quality of life, vitiligo | 2233 Savaş ERDOĞaN Et al.How to cite this article: Erdoğan SS, Gür TF, Doğan B. Anxiety and depression in pediatric patients with vitiligo and alopecia areata and their parents: A cross-sectional controlled study. J

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“…In the few studies regarding children, stress was described as a potential trigger factor in alopecia areata starting from 9.5% of cases 1 up to 80% 2 . Liakopolou et al 3 .…”

Section: Number and Types Of Stressful Events In Alopecia Areata Gromentioning

confidence: 99%

“…The study of Andreoli 2 proposed as potential stressful events: separations (from people/pets/habits/things/familiar environment) in 37% of cases, relational problems (family/school/with friends) in 32% of cases, but also the difficulties for the child to fulfil the parents’ expectations (especially in school activity) in 24% of cases.…”

Section: Number and Types Of Stressful Events In Alopecia Areata Gromentioning

confidence: 99%

Alopecia areata and relationship with stressful events in children

Manolache¹,

Petrescu-Seceleanu²,

Benea³

2008

Acad Dermatol Venereol

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Types of Stress within Child Alopecia

Cited by 9 publications

References 14 publications

Prevalence and Odds of Depressive and Anxiety Disorders and Symptoms in Children and Adults With Alopecia Areata

Prevalence and Odds of Depressive and Anxiety Disorders and Symptoms in Children and Adults With Alopecia Areata

Anxiety and depression in pediatric patients with vitiligo and alopecia areata and their parents: A cross‐sectional controlled study

Alopecia areata and relationship with stressful events in children

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