Psychological Profile and Quality of Life of Patients with Alopecia Areata

Vélez-Muñiz, Rosalía Del Carmen; Peralta‐Pedrero, María Luisa; Cruz, Fermín Jurado-Santa; Morales‐Sánchez, Martha Alejandra

doi:10.1159/000497166

Cited by 52 publications

(85 citation statements)

References 24 publications

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“…Like these studies, we also found higher prevalence of depression (66.7%) and anxiety (73.3%) in our patients. Comparable were the findings in another study where either depression or anxiety was present in 65.9% of adults with AA [ 17 ]. However, unlike our findings, Karia et al had reported very low anxiety (4%) and depression (18%) in AA patients [ 18 ].…”

Section: Discussionsupporting

confidence: 65%

Psychological Impact of Alopecia Areata

Marahatta

Agrawal

Adhikari

2020

Dermatology Research and Practice

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Introduction. Alopecia areata is one of the commonest causes of nonscarring alopecia. Since hair is a vital part with very high cosmetic concern, hair loss might have a significant negative impact on patient’s life. Hence, we aimed this to investigate depression and anxiety in patients with alopecia areata. Methods. In this cross-sectional study, a total of 75 consecutive eligible patients of alopecia areata were interviewed over one-year period in the dermatology outpatient department. We recorded the relevant history and examination details in the present proforma. Nepali versions of Beck Depression Inventory and Beck Anxiety Inventory were used for the assessment of depression and anxiety, respectively. Data analysis was done with Statistical Package for the Social Sciences version 11.5. Results. Among 75 patients, the prevalence of depression and anxiety were 66.7% and 73.3%, respectively, with median depression score = 5 (IQR = 0.0–10.0) and median anxiety score = 5 (IQR = 0.0–11.0). Out of all depressed patients, 82.0% had minimal and 18.0% had moderate depression. However, none of them had severe depression. Likewise, out of all patients with anxiety, 89.0% had mild and 11.0% had moderate anxiety, but none of them had severe anxiety. Conclusion. Anxiety and depression are common psychological problems in patients with alopecia areata. Because of their direct impact on treatment outcome, we, treating dermatologist, must be aware of them, and we should counsel our patients for consultation with the psychiatrist on time for their maximum benefit.

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Section: Discussionsupporting

confidence: 65%

Psychological Impact of Alopecia Areata

Marahatta

Agrawal

Adhikari

2020

Dermatology Research and Practice

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“…On the other hand, the DLQI is a 10‐item questionnaire to measure QoL related to skin health, covering the following aspects: life, symptoms, feelings, leisure activities, work, personal relationships, and treatment 27 . DLQI is a tool easy to apply, and it has been validated in Mexican patients with diverse skin 31‐33 . Interestingly, IQoL‐32 and DLQI show a positive correlation (rs = 0.68) and could present similar results 30 .…”

Section: Discussionmentioning

confidence: 99%

Increased risk of depression and impairment in quality of life in patients with lamellar ichthyosis

Cortés

Rojas-Márquez

Reyes-Hernández

et al. 2020

Dermatologic Therapy

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Lamellar ichthyosis (LI) is a genetic skin disorder characterized by dark brown scales, palmoplantar hyperkeratosis, pain, and itching. LI severity could have implications in psychological aspects, causing depression and impairment in the quality of life (QoL) of patients. In this study, we used the Congenital Ichthyosis Severity Index, the Depression Beck Inventory‐II (DBI‐II), and the Dermatologic Life Quality Index (DLQI) to assess severity, level of depression, and impairment in QoL in a group of patients with LI. We observed that the majority of the patients presented a high severity level concerning the presence of scales (57.7%), while for erythema and alopecia, the severity was less 80% of the analyzed patients presented depression, while only 20.8% of individuals of the control group presented it (P < .001, OR = 15.2). While for QoL, only 4.3% of the patients did not exhibit any impairment. Finally, the increase in the score obtained in DBI‐II was correlated with the DLQI score (rs = 0.663, P = .0014). Our results suggest that patients with LI have an increased risk of suffering depression and impairment in their QoL; thus, the management of their disease should be performed from a multidisciplinary perspective to improve the global aspects of their lives.

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“…Patient orientation about clinical and treatment features of AA could improve adherence to treatment and prognosis [14]. Besides, we have reported that depression, anxiety, and suicide affect the quality of life and prognosis of patients with AA [15]. We propose that a good orientation, treatment adaptability according to patients’ occupations, and listening to their requirements in dermatologic consultation could increase the probability to reach remission.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Factors in Mexican Patients with Patchy and Other Types of Alopecia Areata

Jiménez-Herrera

Rios-Garza

Peralta‐Pedrero

et al. 2020

Skin Appendage Disord

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Introduction: Some clinical features have been associated with the progression and remission of alopecia areata (AA). We aim to determine possible prognostic factors in Mexican patients with AA. Methods: This prospective study of a 1-year follow-up included Mexican patients with a clinical diagnosis of AA. We evaluated disease activity with the SALT score at the first visit and 1-year follow-up; progression, no progression, and remission were defined according to score changes. We used multiple linear regression model to detect factors associated with progression and remission. Results: One hundred and four patients concluded the study. Ninety-seven patients (93.3%) had patchy AA. Fifteen patients showed disease progression and 89 no progression, of which 35 patients had remission. Body hair involvement was related to disease progression and adherence to treatment with disease remission and progression. Conclusions: Body hair involvement is related to poor prognosis. Adherence to treatment is a modifiable prognostic factor associated with the course of AA in Mexican patients.

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Psychological Profile and Quality of Life of Patients with Alopecia Areata

Cited by 52 publications

References 24 publications

Psychological Impact of Alopecia Areata

Psychological Impact of Alopecia Areata

Increased risk of depression and impairment in quality of life in patients with lamellar ichthyosis

Prognostic Factors in Mexican Patients with Patchy and Other Types of Alopecia Areata

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