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Psychological Status of Patients with Alopecia Areata
Alopecia areata is not painful or life-threatening, but its aesthetic repercussions can lead to profound changes in patients’ psychological status and relationships. The psychological status and personality traits of 73 patients and 73 controls were evaluated with the Minnesota Multiphasic Personality Inventory (MMPI-2). Analysis of the MMPI-2 profile showed that scores for some scales (i.e. Depression, Anxiety, Family relationships) were higher
for patients with alopecia areata than for controls. Patients with alopecia appeared to experience more depressive, hysterical and anxiety feelings, have more hypochondriac tendencies, and to be more in conflict with their social environment. In order to provide more effective management, the psychological status of patients with alopecia areata should be evaluated in dermatological settings.
Stefania Alfani, Valeria Antinone, Aurelia Mozzetta, Cristina Di Pietro, Cinzia Mazzanti, Piero Stella, Desanka Raskovich, Damiano Abeni
Delamere FM, Sladden MJ, Dobbins HM, Leonardi-Bee J. Interventions for alopecia areata. Cochrane Database Syst Rev 2008; 16: CD004413.
Manolache L, Benea V. Stress in patients with alopecia areata and vitiligo. J Eur Acad Dermatol Venereol 2007; 21: 921–928.
Picardi A, Abeni D. Stressful life events and skin diseases: disentangling evidence from myth. Psychoter Psychosom 2001; 70: 118–136.
Picardi A, Pasquini P, Cattaruzza MS, Gaetano P, Baliva G, Melchi CF, et al. Psychosomatic factors in first-onset of alopecia areata. Psychosom 2003; 44: 374–381.
Ruiz-Doblado S, Carrizosa A, Garcia-Hernandez MJ. Alopecia areata: psychiatric comorbidity and adjustment to illness. Int J Dermatol 2003; 42: 434–437.
Manolache L, Oprea C, Benea V. Stress and anxiety involved in alopecia areata. Dermatol Psychosom 2003; 4: 112–113.
Picardi A, Abeni D, Melchi CF, Puddu P, Pasquini P. Psychiatric morbidity in dermatological outpatients: an issue to be recognized. Br J Dermatol 2000; 143: 983–991.
Koo JY, Shellow WV, Hallmann CP, Edwards JE. Alopecia areata and increased prevalence of psychiatric disorders. Int J Dermatol 1994; 33: 849–850.
Carrizosa A, Estepa-Zabala B, Feràndez-Abascal B, Garcia-Hernandez MJ, Ruiz-Doblado S. Alopecia areata: a specific personality. Int J Dermatol 2005; 44: 437–438.
Baranda L, Layseca-Espinosa E, Abud-Mendoza C, Gonzàlez-Amaro R. Severe and unresponsive HIV-associated alopecia areata successfully treated with thalidomide. Acta Derm Venereol 2005; 85: 277–278.
Tan E, Tay YK, Goh CL, Chin Giam Y. The pattern and profile of alopecia areata in Singapore – a study of 219 Asians. Int J Dermatol 2002; 41: 748–753.
Firooz A, Firoozabadi MR, Ghazisaidi B, Dowlati Y. Concepts of patients with alopecia areata about their disease. BMC Dermatol 2005; 5: 1.
Hataway SR, McKinley JC. MMPI-2, Minnesota Multiphasic Personality Inventory-2-Manuale. Firenze: OS, Organizzazioni Speciali, 1995.
Picardi A, Adler DA, Abeni D, Chang H, Pasquini P, Rogers WH, Bungay KM. Screening for depressive disorders in patients with skin diseases: a comparison of three screeners. Acta Derm Venereol 2005; 85: 414–419.
Picardi A, Abeni D, Mazzotti E, Fassone G, Lega I, Ramieri L, et al. Screening for psychiatric disorders in patients with skin diseases: a performance study of the 12-item General Health Questionnaire. J Psychosom Res 2004; 57: 219–223.
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Volume 92, Issue 3
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