Psychosocial and psychiatric comorbidities and health-related quality of life in alopecia areata: A systematic review
| Autor: | Oma N. Agbai, Atrin Toussi, Virginia R. Barton, Stephanie T. Le, Maija Ht Kiuru |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
psychosocial
medicine.medical_specialty Alopecia Areata Clinical Sciences Psychological intervention Child Behavior Disorders Comorbidity Dermatology Anxiety wigs Article law.invention 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Behavioral and Social Science medicine Humans Child Psychiatry Depression business.industry Dermatology & Venereal Diseases Mental Disorders Rehabilitation Evidence-based medicine Dermatology Life Quality Index psychiatry Suicide Mental Health Good Health and Well Being Systematic review quality of life personality 030220 oncology & carcinogenesis Quality of Life hypnosis medicine.symptom business Psychosocial |
| Zdroj: | J Am Acad Dermatol Journal of the American Academy of Dermatology, vol 85, iss 1 |
| ISSN: | 0190-9622 |
| Popis: | Background Alopecia areata (AA) is an immune-mediated disease resulting in nonscarring hair loss. Systematic reviews on the psychosocial and psychiatric comorbidities, health-related quality of life, and interventions targeting psychosocial well-being are limited. Objective To conduct a systematic review of the psychosocial comorbidities, health-related quality of life, and treatment options targeting psychosocial well-being in adult and pediatric AA patients. Methods A systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines within the PubMed database. Specific search terms included, but were not limited to, alopecia areata, psychosocial, psychiatry, and quality of life. Studies were then evaluated for their design and categorized into corresponding levels of evidence according to the guidelines adapted from the Oxford Center for Evidence Based Medicine. Findings Seventy-three reports met inclusion criteria, involving approximately 414,319 unique participants. AA patients were found to have psychiatric comorbidities, particularly anxiety and depression. Health-related quality of life is reduced in AA patients, but data on pediatric AA quality of life are limited. Psychotherapy is often recommended as adjuvant treatment. Conclusion AA has substantial psychosocial impact on patients and results in reduced health-related quality of life. Addressing this should be an active part of treatment. |
| Databáze: | OpenAIRE |
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