The Quality of Life and Psychosocial Impact on Female Pattern Hair Loss
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Alopecia, a benign dermatologic condition affecting both genders, particularly harms female patients due to psychosocial effects. Female pattern hair loss (FPHL), the primar y cause of hair loss in women, lacks sufficient Korean epidemiological studies examining its psychosocial aspects. Objective: This study aimed to explore FPHL’s psychosocial impacts, including quality of life (QoL), depression, anxiety, medical consumption, and hair loss factors in Korean women. Methods: A total of 202 patients with FPHL were inter viewed using a validated questionnaire to assess the QoL, psychological impact, and pattern of medical consumption. The severity of hair loss was evaluated using the “basic and specific (BASP) classification” by dermatologists. The Hair-Specific Skindex-29 (HSS29) was used to assess the QoL and Beck depression inventor y (BDI), Beck anxiety inventor y (BAI) to evaluate psychological aspects, and medical expenses and the number of clinic visits to determine medical consumption. Results: The global HSS29 score of FPHL was 40.97±18.92, indicating a notable impact on QoL. The mean BDI and BAI scores were 14.47 and 10.06, respectively. In multivariable regression analysis, HSS29, BDI, and BAI scores were most affected by the severity of hair loss (p<0.001). Conclusion: FPHL damages the psychosocial aspects of patients, such as QoL, depression, and medical consumption, according to the severity of hair loss.
Abstract
Background: Alopecia, a benign dermatologic condition affecting both genders, particularly harms female patients due to psychosocial effects. Female pattern hair loss (FPHL), the primar y cause of hair loss in women, lacks sufficient Korean epidemiological studies examining its psychosocial aspects. Objective: This study aimed to explore FPHL’s psychosocial impacts, including quality of life (QoL), depression, anxiety, medical consumption, and hair loss factors in Korean women. Methods: A total of 202 patients with FPHL were inter viewed using a validated questionnaire to assess the QoL, psychological impact, and pattern of medical consumption. The severity of hair loss was evaluated using the “basic and specific (BASP) classification” by dermatologists. The Hair-Specific Skindex-29 (HSS29) was used to assess the QoL and Beck depression inventor y (BDI), Beck anxiety inventor y (BAI) to evaluate psychological aspects, and medical expenses and the number of clinic visits to determine medical consumption. Results: The global HSS29 score of FPHL was 40.97±18.92, indicating a notable impact on QoL. The mean BDI and BAI scores were 14.47 and 10.06, respectively. In multivariable regression analysis, HSS29, BDI, and BAI scores were most affected by the severity of hair loss (p<0.001). Conclusion: FPHL damages the psychosocial aspects of patients, such as QoL, depression, and medical consumption, according to the severity of hair loss.
참고문헌 (36)
- Cash TF, "The psychology of hair loss and its implications for patient care", Clin Dermatol, 19, pp.161~166 (2001)
- Biondo S, "Quality of life in Australian women with female pattern hair loss", Open Dermatol J, 4, pp.90~94 (2010)
- Kligman AM, "History of baldness. From magic to medicine", Clin Dermatol, 6, pp.83~88 (1988)
- Reid EE, "Clinical severity does not reliably predict quality of life in wom¬en with alopecia areata, telogen effluvium, or androgenic alopecia", J Am Acad Dermatol, 66, pp.e97~e102 (2012)
- Prinsen CA, "Health-related quality of life assessment in dermatology : interpretation of Skindex-29 scores using patient-based anchors", J Invest Dermatol, 130, pp.1318~1322 (2010)
- Camacho-Martínez FM, "Hair loss in women", Semin Cutan Med Surg, 28, pp.19~32 (2009)
- van der Donk J, "Psychological characteristics of women with androgenetic alopecia : a controlled study", Br J Dermatol, 125, pp.248~252 (1991)
- Zhuang XS, "Quality of life in women with female pattern hair loss and the impact of topical minoxidil treatment on quality of life in these patients", Exp Ther Med, 6, pp.542~546 (2013)
- Davis DS, "Review of quality of life studies in women with alopecia", Int J Womens Dermatol, 4, pp.18~22 (2018)
- Guerra-Tapia A, "Validation of a cross-cultural adaptation of the Hair Specific Skindex-29 Scale to Spanish", Actas Dermosifiliogr(Engl Ed), 109, pp.424~431 (2018)
- Ring J, "Quality of life-an essential parameter for dermatology", J Eur Acad Dermatol Venereol, 31, pp.573~ (2017)
- Chren MM, "Skindex, a quality-of-life measure for patients with skin disease: reliability, validity, and responsiveness", J Invest Dermatol, 107, pp.707~713 (1996)
- Chernyshov PV, "The evolution of quality of life assessment and use in dermatology", Dermatology, 235, pp.167~174 (2019)
- Fernandez-Peñas P, "Comparison of Skindex-29, Dermatology Life Quality Index, Psoriasis Disability Index and Medical Outcome Study Short Form 36 in patients with mild to severe psoriasis", Br J Dermatol, 166, pp.884~887 (2012)
- Han SH, "Quality of life assessment in male patients with androgenetic alopecia: result of a prospective, multicenter study", Ann Dermatol, 24, pp.311~318 (2012)
- Huang CH, "Health-Related quality of life, depression, and self-esteem in patients with androgenetic alopecia : a systematic review and meta-analysis", JAMA Dermatol, 157, pp.963~970 (2021)
- Sadiq S, "Using Skindex-29 Scale to assess the impact of androgenetic", patterned hair loss on quality of life of patients in Pakistan, 2022, pp.72, 42~46
- Lee WS, "A new classification of pattern hair loss that is universal for men and women : basic and specific(BASP)classification", J Am Acad Dermatol, 57, pp.37~46 (2007)
- Yayli S, "The role of stress in alopecia areata and comparison of life quality of patients with androgenetic alopecia and healthy controls", Turkderm-Turk Arch Dermatol Venereol, 46, pp.134~137 (2012)
- Gupta S, "Quality of life assessment in patients with androgenetic alopecia", Int J Trichology, 11, pp.147~152 (2019)
- Jun M, "Quality of life with alopecia areata versus androgenetic alopecia assessed using Hair Specific Skindex-29", Ann Dermatol, 30, pp.388~391 (2018)
- Guerra-Tapia A, "Final phase in the validation of the cross-cultural adaptation of the Hair-Specific Skindex-29 questionnaire into Spanish: Sensitivity to change and correlation with the 12-Item Short-Form Health Survey", Actas Dermosifiliogr(Engl Ed), 110, pp.819~829 (2019)
- Sanclemente G, "The impact of skin diseases on quality of life : a multicenter study", Actas Dermosifiliogr, 108, pp.244~252 (2017)
- Tas B, "The tendency towards the development of psychosexual disorders in androgenetic alopecia according to the different stages of hair loss : a cross-sectional study", An Bras Dermatol, 93, pp.185~190 (2018)
- Cash TF, "Psychological effects of androgenetic alopecia on women : comparisons with balding men and with female control subjects", J Am Acad Dermatol, 29, pp.568~575 (1993)
- Cash TF, "The psychosocial consequences of androgenetic alopecia : a review of the research literature", Br J Dermatol, 141, pp.398~405 (1999)
- Picardo M, "The humanistic burden of vitiligo : a systematic literature review of quality-of-life outcomes", J Eur Acad Dermatol Venereol, 36, pp.1507~1523 (2022)
- Lee SH, "Quality of life of acne patients", Korean J Dermatol, 44, pp.688~695 (2006)
- Ryu JH, "Quality of life in patient with psoriasis", Korean J Dermatol, 42, pp.264~271 (2004)
- Carvalho D, "Quality of life and characterization of patients with atopic dermatitis in Portugal : the QUADEP study", J Investig Allergol Clin Immunol, 30, pp.430~438 (2020)
- Savaş Erdoğan S, "Anxiety and depression in pediatric patients with vitiligo and alopecia areata and their parents : a cross-sectional controlled study", J Cosmet Dermatol, 20, pp.2232~2239 (2021)
- Pietrzak D, "Depressiveness, measured with Beck Depression Inventory, in patients with psoriasis", J Affect Disord, 209, pp.229~234 (2017)
- Venning VA, "Patterned androgenic alopecia in women", J Am Acad Dermatol, 18, pp.1073~1077 (1988)
- Kim HJ, "Assessment of the characteristics of illness behavior and quality of life in patients with androgenetic alopecia", Korean J Dermatol, 39, pp.1094~1099 (2001)
- Kim DY, "Quality of life and economic burden assessment in Korean patients with male and female pattern hair loss", Korean J Dermatol, 53, pp.700~707 (2015)
- Choi JW, "Impact of pediatric alopecia areata on quality of life of patients and their family members : a nationwide multicenter questionnaire study", Ann Dermatol, 34, pp.237~244 (2022)