Trichological problems at the intersection of dermatology and psychiatry: analysis of opportunities and ways of development
Abstract
In recent decades of significant development in the world, a new perspective direction of integration of psychosomatic medicine and psychiatry/medical psychology, which is focused on the study of interaction between psyche and skin, is psychodermatology. Among topical psychodermatological problems, special attention is paid to the peculiarities of the psycho-emotional sphere in different types of alopecia, because, even in the light of socio-cultural features, in most societies, hair is an important component of attractiveness, and its pathology can have serious psychological and even psychiatric.
Analysis of the state of the problem in this field has proved that the presence of alopecia is a powerful factor that has a negative impact on the mental state and quality of life of the patient. The presence of alopecia is associated with high levels of depression and anxiety, as well as with worse social functioning and lower quality of life.
This requires additional research and development of personalized therapeutic and rehabilitation measures for eliminate the negative
psychiatric consequences of alopecia
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Kranz D., Nadarevic L., Erdfelder E. Bald and Bad? // Exp Psychol. 2019. 66(5). 331‐345. doi: 10.1027/1618-3169/a000457.
Williamson D., Gonzalez M., Finlay A.Y. The effect of hair loss on quality of life // J Eur Acad Dermatol Venerol. 2001. 15(2). 137‐139. doi: 10.1046/j.1468-3083.2001.00229.x.
Cartwright T., Endean N., Porter A. Illness perceptions, coping and quality of life in patients with alopecia // The British Journal of Dermatology. 2009. 160(5). 1034‐1039. doi: 10.1111/j.1365-2133.2008.09014.x.
Lee H.J., Ha S.J., Kim D., Kim H.O., Kim J.W. Perception of men with androgenetic alopecia by women and nonbalding men in Korea: how the nonbald regard the bald // Int J Dermatol. 2002. 41(12). 867‐869. doi: 10.1046/j.1365-4362.2002.01446.x.
Davey L, Clarke V, Jenkinson E. Living with alopecia areata: an online qualitative survey study // Br J Dermatol. 2019. 180(6). 1377–1389. doi: 10.1111/bjd.17463.
Aldhouse N.V.J., Kitchen H., Knight S. et al. You lose your hair, what's the big deal? I was so embarrassed, I was so self-conscious, I was so depressed: a qualitative interview study to understand the psychosocial burden of alopecia areata // J Patient Rep Outcomes. 2020. 4(1). 76. doi: 10.1186/s41687-020-00240-7.
Dhami L. Psychology of Hair Loss Patients and Importance of Counseling // Indian J Plast Surg. 2021. 54(4). 411-415. doi: 10.1055/s-0041-1741037.
Aukerman E.L., Jafferany M. The psychological consequences of androgenetic alopecia: A systematic review // J Cosmet Dermatol. 2023. 22(1). 89-95. doi: 10.1111/jocd.14983.
Cash T.F. The psychological effects of androgenetic alopecia in men // J Am Acad Dermatol. 1992. 26. 926‐931. doi: 10.1016/0190-9622(92)70134-2.
Cash T.F., Price V.H., Savin R.C. Psychological effects of androgenetic alopecia on women: comparisons with balding men and with female control subjects // J Am Acad Dermatol. 1993. 29. 568. doi: 10.1016/0190-9622(93)70223-g.
Schmidt S., Fischer T.W., Chren M.M., Strauss B.M., Elsner P. Strategies of coping and quality of life in women with alopecia // Br J Dermatol. 2001. 144(5). 1038‐1043. doi: 10.1046/j.1365-2133.2001.04195.x.
Camacho F.M., García‐Hernández M. Psychological features of androgenetic alopecia // J Eur Acad Dermatol Venerol. 2002. 16(5). 476‐480. doi: 10.1046/j.1468-3083.2002.00475.x.
Gupta S., Goyal I., Mahendra A. Quality of life assessment in patients with androgenetic alopecia // Int J Trichology. 2019. 11(4). 147‐152. doi: 10.4103/ijt.ijt_6_19.
Titeca G., Goudetsidis L., Francq B. et al. The psychosocial burden of alopecia areata and androgenetica: a cross-sectional multicentre study among dermatological out-patients in 13 European countries // J Eur Acad Dermatol Venereol. 2020. 34(2). 406-411. doi: 10.1111/jdv.15927.
Mesinkovska N., King B., Mirmirani P., Ko J., Cassella J. Burden of illness in alopecia areata: a cross-sectional online survey study // J Investig Dermatol Symp Proc. 2020. 20(1). S62–S68. doi: 10.1016/j.jisp.2020.05.007.
Marahatta S., Agrawal S., Adhikari B.R. Psychological Impact of Alopecia Areata // Dermatol Res Pract. 2020. 24. 8879343. doi: 10.1155/2020/8879343.
Huang C., Fu Y., Chi C. Health‐related quality of life, depression, and self‐esteem in patients with androgenetic alopecia: a systematic review and meta‐analysis // JAMA Dermatol. 2021. 157(8). 963‐970.
doi: 10.1001/jamadermatol.2021.2196.
Zac R.I., da Costa A. Patient satisfaction and quality of life among adult women with androgenetic alopecia using 5% topical minoxidil // J Clin Aesthet Dermatol. 2021. 14(5). 26‐30. PMID: 34188746; PMCID: PMC8211325.
Torales J., Castaldelli-Maia J.M., Ventriglio A. et al. Alopecia areata: A psychodermatological perspective // J Cosmet Dermatol. 2022. 21(6). 2318-2323. doi: 10.1111/jocd.14416.
Toussi A., Barton V.R., Le S.T., Agbai O.N., Kiuru M. Psychosocial and psychiatric comorbidities and health-related quality of life in alopecia areata: a systematic review // J Am Acad Dermatol. 2021. 85(1). 162–175. doi: 10.1016/j.jaad.2020.06.047.
Tzur Bitan D., Berzin D., Kridin K., Cohen A. The association between alopecia areata and anxiety, depression, schizophrenia, and bipolar disorder: a population-based study // Arch Dermatol Res. 2022. 314(5). 463-468. doi: 10.1007/s00403-021-02247-6.
Macbeth A.E., Holmes S., Harries M. et al. The associated burden of mental health conditions in alopecia areata: a population-based study in UK primary care // Br J Dermatol. 2022. 187. 73–81. doi: 10.1111/bjd.21055
Senna M., Ko J., Glashofer M. et al. Predictors of quality of life in patients with alopecia areata // J Invest Dermatol. 2022. doi: 10.1016/j.jid.2022.02.019.
Gelhorn H.L., Cutts K., Edson-Heredia E. et al. The relationship between patient-reported severity of hair loss and health-related quality of life and treatment patterns among patients with alopecia areata // Dermatol Ther. 2022. 12(4. 989–997. doi: 10.1007/s13555-022-00702-4.
Mesinkovska N., Craiglow B., Ball S.G., Morrow P., Smith S.G., Pierce E., Shapiro J. The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata // Dermatol Ther (Heidelb). 2023. 13(7). 1503-1515. doi: 10.1007/s13555-023-00941-z.
King B.A., Senna M.M., Ohyama M. et al. Defining severity in alopecia areata: current perspectives and a multidimensional framework // Dermatol Ther. 2022. 12(4). 825–834. doi: 10.1007/s13555-022-00711-3.
King B.A., Mesinkovska N.A., Craiglow B. et al. Development of the alopecia areata scale for clinical use: results of an academic-industry collaborative effort // J Am Acad Dermatol. 2022. 86(2). 359–364. doi: 10.1016/j.jaad.2021.08.043.
Kim A.B., Cheng B.T., Hassan S. Association of mental health outcomes and lower patient satisfaction among adults with alopecia: A cross-sectional population-based study // JAAD Int. 2022. 8. 82–88.
