A Mixed Methods Survey of Social Anxiety, Anxiety, Depression, and Wig Use in Alopecia

The study, which surveyed 338 individuals with alopecia, found that a significant number of participants experienced clinically significant levels of social anxiety (47.5%), anxiety (35.5%), and depression (29%). The majority of respondents were female (97.3%), Caucasian (93.5%), and aged between 35 and 54 years (49.4%), with alopecia areata being the most common diagnosis (82.6%). Those who were concerned about being seen without a wig reported significantly higher levels of depression, anxiety, and social anxiety. While wearing wigs was associated with increased social confidence and reduced fear of negative evaluation, it also perpetuated anxiety for some. About 46% of participants felt that wearing a wig positively impacted their daily lives, although concerns about the wig being noticed caused negative experiences. The study suggests that psychological support should accompany wig provision for individuals with alopecia.