Psychosomatic aspects of alopecia areata

The document from 2018 examines the psychosomatic aspects of alopecia areata (AA), highlighting the condition's significant psychological and social impact on patients. It points out that AA, which has an autoimmune etiology, can be triggered by stressful life events and psychiatric disorders, and in turn, can worsen psychological issues. The paper notes high incidences of neurotic personality, depression, anxiety, and poor stress coping mechanisms among AA patients and stresses the importance of recognizing those in need of psychological support, particularly women, young patients, and those with extensive AA or a history of psychiatric disorders. It also mentions the use of various tools to assess psychiatric damage in AA patients and the commonality of psychiatric morbidities such as depression and anxiety. The efficacy of treatments like antidepressants, psychotherapy, and hypnotherapy for AA has not been thoroughly evaluated in clinical trials. The document concludes by emphasizing the need for dermatologists to be aware of the psychological factors associated with AA to ensure successful treatment outcomes, and the benefits of support groups for emotional support and treatment compliance.