Quality of Life and Psychosocial Impact of Scarring and Non-Scarring Alopecia in Women

    Alexandros Katoulis, Christos Christodoulou, Aikaterini I. Liakou, Anargyros Kouris, Παναγιώτα Κορκολιάκου, Eythymia Kaloudi, Αντώνιος Κανελλέας, Charalabos Papageorgiou, Dimitrios Rigopoulos
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    TLDR Women with scarring alopecia have a lower quality of life and more anxiety and depression than those with non-scarring alopecia.
    The study from 2015 investigated the effects of scarring and non-scarring alopecia on the quality of life and psychological well-being in 44 Greek women aged 18-70. Using the Dermatology Life Quality Index (DLQI), Hospital Anxiety and Depression Scale (HADS), Rosenberg Self-esteem Scale (RSES), and UCLA Loneliness Scale (UCLA-LS), it was found that women with scarring alopecia (n = 19) experienced a significantly lower quality of life and higher levels of anxiety and depression than those with non-scarring alopecia (n = 25). However, there were no significant differences in loneliness and self-esteem between the two groups. The study concluded that scarring alopecia, which is more prevalent in older, postmenopausal women, often on hormone replacement therapy, imposes a greater psychological burden due to its poorer prognosis. The research highlighted the need for psychological support and suggested the creation of a patient registry to better understand the condition. Despite its small sample size and lack of a control group, the study emphasized the importance of addressing psychotrichological disorders with comprehensive care, including psychosomatic support, coping strategies, and psychopharmacotherapy when needed.
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