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The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata
INTRODUCTION: The physical impact of alopecia areata (AA) is visible, but the psychological and social consequences and emotional burden are often underrecognized. METHODS: In this cross-sectional study, 547 participants recruited via the National Alopecia Areata Foundation completed a survey encomp...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Healthcare
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10307747/ https://www.ncbi.nlm.nih.gov/pubmed/37289409 http://dx.doi.org/10.1007/s13555-023-00941-z |
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author | Mesinkovska, Natasha Craiglow, Brittany Ball, Susan G. Morrow, Paula Smith, Sarah G. Pierce, Evangeline Shapiro, Jerry |
author_facet | Mesinkovska, Natasha Craiglow, Brittany Ball, Susan G. Morrow, Paula Smith, Sarah G. Pierce, Evangeline Shapiro, Jerry |
author_sort | Mesinkovska, Natasha |
collection | PubMed |
description | INTRODUCTION: The physical impact of alopecia areata (AA) is visible, but the psychological and social consequences and emotional burden are often underrecognized. METHODS: In this cross-sectional study, 547 participants recruited via the National Alopecia Areata Foundation completed a survey encompassing demographics; AA illness characteristics; and five patient-reported outcome measures on anxiety and depression, perceived stress, psychological illness impact, stigma, and quality of life (QoL). Differences in disease severity subgroups were assessed via analysis of variance (ANOVA) and t tests. RESULTS: Mean age was 44.6 years, and 76.6% were female. Participants with more severe hair loss tended to report longer duration of experiencing AA symptoms (P < 0.001). Overall, participants reported negative psychological impact, emotional burden, and poor QoL due to AA. Participants with 21–49% or 50–94% scalp hair loss reported greater psychological impact and poorer QoL than those with 95–100% scalp hair loss (most parameters P < 0.05). Similar results were observed for eyebrow/eyelash involvement subgroups. CONCLUSIONS: These results suggest that participants with AA experience emotional burden, negative self-perception, and stigma, but the impact of AA is not dependent solely on the amount of hair loss. Lower impact among participants with 95–100% scalp hair loss may indicate that they have adapted to living with AA. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13555-023-00941-z. |
format | Online Article Text |
id | pubmed-10307747 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-103077472023-06-30 The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata Mesinkovska, Natasha Craiglow, Brittany Ball, Susan G. Morrow, Paula Smith, Sarah G. Pierce, Evangeline Shapiro, Jerry Dermatol Ther (Heidelb) Original Research INTRODUCTION: The physical impact of alopecia areata (AA) is visible, but the psychological and social consequences and emotional burden are often underrecognized. METHODS: In this cross-sectional study, 547 participants recruited via the National Alopecia Areata Foundation completed a survey encompassing demographics; AA illness characteristics; and five patient-reported outcome measures on anxiety and depression, perceived stress, psychological illness impact, stigma, and quality of life (QoL). Differences in disease severity subgroups were assessed via analysis of variance (ANOVA) and t tests. RESULTS: Mean age was 44.6 years, and 76.6% were female. Participants with more severe hair loss tended to report longer duration of experiencing AA symptoms (P < 0.001). Overall, participants reported negative psychological impact, emotional burden, and poor QoL due to AA. Participants with 21–49% or 50–94% scalp hair loss reported greater psychological impact and poorer QoL than those with 95–100% scalp hair loss (most parameters P < 0.05). Similar results were observed for eyebrow/eyelash involvement subgroups. CONCLUSIONS: These results suggest that participants with AA experience emotional burden, negative self-perception, and stigma, but the impact of AA is not dependent solely on the amount of hair loss. Lower impact among participants with 95–100% scalp hair loss may indicate that they have adapted to living with AA. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13555-023-00941-z. Springer Healthcare 2023-06-08 /pmc/articles/PMC10307747/ /pubmed/37289409 http://dx.doi.org/10.1007/s13555-023-00941-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Mesinkovska, Natasha Craiglow, Brittany Ball, Susan G. Morrow, Paula Smith, Sarah G. Pierce, Evangeline Shapiro, Jerry The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata |
title | The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata |
title_full | The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata |
title_fullStr | The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata |
title_full_unstemmed | The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata |
title_short | The Invisible Impact of a Visible Disease: Psychosocial Impact of Alopecia Areata |
title_sort | invisible impact of a visible disease: psychosocial impact of alopecia areata |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10307747/ https://www.ncbi.nlm.nih.gov/pubmed/37289409 http://dx.doi.org/10.1007/s13555-023-00941-z |
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