May 2026 in “Acta Dermato Venereologica” This study found that 54% of alopecia areata patients attributed their condition to stress, which was linked to higher perceived personal control and significant emotional impacts.
April 2023 in “Journal of Investigative Dermatology” Alopecia areata significantly affects emotional well-being and quality of life, especially in younger adults.
16 citations
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July 2012 in “The New England Journal of Medicine” This case report describes a 27-year-old man hospitalized with fatigue, myalgias, weakness, profound weight loss, and abnormal liver function, leading to a diagnosis after chest imaging revealed pneumomediastinum.
January 2001 in “대한피부과학회지” This study confirmed that androgenetic alopecia significantly affects the quality of life in male patients, particularly impacting their social experiences and self-perception.
5 citations
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May 2024 in “Australasian Journal of Dermatology” This study found that alopecia areata significantly impacts both emotional and psychosocial well-being, leading to impaired productivity in adults and adolescents, especially those experiencing more extensive hair loss.
74 citations
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January 1998 in “Dermatology” This study reported that men with more significant hair loss experience greater negative psychosocial effects, particularly noticeable in younger age groups.
19 citations
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September 2004 in “PubMed” This review examines the psychological effects of chronic hair diseases, noting significant impacts on self-confidence and quality of life, particularly in women with androgenetic alopecia and patients undergoing chemotherapy.
January 2013 in “Digital Repository (National Repository of Grey Literature)” This study explores the social and cultural impacts of hair loss, highlighting that it is perceived as a negative or stigmatizing experience by both women undergoing chemotherapy and men with androgenic alopecia.
This study found that depressed individuals had higher levels of sodium and potassium in their hair and lower antidiuretic hormone levels, similar to changes observed in weightless conditions experienced by astronauts.
20 citations
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August 2015 in “Behaviour change” This study identified six belief themes that may contribute to hairpulling behavior in women with trichotillomania, suggesting an important role for cognitions in this disorder's phenomenology.
April 2024 in “JOURNAL OF Mental Health Concerns” This study observed that self-affirmation therapy significantly reduced anxiety levels in students before they carried out structured presentation tasks, as indicated by statistical analysis showing a p-value of 0.000.
40 citations
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June 2023 in “Dermatology and Therapy” This study found that the emotional impact of alopecia areata is significant, but it may not correlate directly with the extent of hair loss since some individuals adapt to the condition.
January 2021 in “Brazilian Journal of Development” This study found that women with androgenic alopecia in Patos, Brazil, experienced significant psychological and social impacts, including feelings of frustration, low self-esteem, and social withdrawal.
April 2025 in “PharmacoEconomics - Open” This study observed that patients with AA showed a high willingness to trade off lifespan for better disease-specific quality of life, indicating a significant disease burden.
1 citations
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June 2020 in “British Journal of Dermatology” This article reviews the psychological impact of alopecia areata on patients, including lower self-esteem and poorer quality of life, and reports no new clinical results.
July 2022 in “Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria” This study found that androgenetic alopecia significantly impairs quality of life among Nigerian patients, especially in areas like emotions, stigmatization, and self-confidence, highlighting the importance of psychosocial support.
September 1997 in “JEADV. Journal of the European Academy of Dermatology and Venereology/Journal of the European Academy of Dermatology and Venereology” Psychological factors play a significant role in developing alopecia areata.
192 citations
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June 1992 in “Journal of The American Academy of Dermatology” Hair loss can cause low self-esteem, anxiety, and depression in men.
March 2026 in “Konuralp Tıp Dergisi” This study found that participants with normal hemoglobin but low ferritin experienced significantly more symptoms like restless leg syndrome, dizziness, and shortness of breath compared to those with normal ferritin.
43 citations
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January 2016 in “International Journal of Andrology” This study found that men experiencing long-term symptoms after finasteride use for androgenetic alopecia frequently reported loss of penis sensitivity and anhedonia, among other effects, indicating potential post-finasteride syndrome.
June 2025 in “Annals of the Rheumatic Diseases” In this study, researchers found that systemic lupus erythematosus significantly affects the self-image of many men, impacting their sense of masculinity and self-worth due to physical and psychosocial challenges, while a minority felt no effect.
July 2024 in “Journal of Investigative Dermatology” Alopecia areata causes negative emotions and stress due to hair loss and emotional triggers.
9 citations
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December 2012 in “The Journal of Dermatology” Wearing wigs or hairpieces improves self-esteem, adaptability, and competence in women with alopecia areata.
January 2017 in “Digital Commons - University of South Florida (University of South Florida)” This study found that ovarian and uterine cancer patients experience significant distress from chemotherapy-induced alopecia, negatively affecting their quality of life and social roles.
67 citations
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March 2021 in “Dermatology and Therapy” This review discusses the substantial impact of alopecia areata on patients' health-related quality of life, highlighting issues such as personality changes, emotional and social difficulties, and a common occurrence of alexithymia, and emphasizes the need for more specific assessment tools.
8 citations
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June 2023 in “British Journal of Dermatology” This study developed and initially validated the Scale of Alopecia Areata Distress (SAAD), a 41-item tool designed to measure psychosocial distress among US adults with alopecia areata.
February 2023 in “Zenodo (CERN European Organization for Nuclear Research)” This abstract discusses the lack of understanding and sympathy for women experiencing alopecia but reports no new research findings.
4 citations
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March 2024 in “Quality of Life Research” In this study, health state utility values revealed a significant impact on quality of life for patients with alopecia areata, particularly those with more extensive hair loss.
4 citations
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June 2005 in “British Journal of Dermatology” People often underestimate hair loss severity, with fewer seeking treatment, and it's more distressing for women.
September 2026 in “SKIN The Journal of Cutaneous Medicine” This review discusses the psychological and social challenges of chemotherapy-induced alopecia and reports no clinical results; the authors suggest that hair loss concerns can significantly impact patient treatment decisions.