Table of Content

Current Issue

Spring 2021, Vol. 29 No. 1

Hong Kong J. Dermatol. Venereol. (2021) 29, 13-22


Original Article

Quality of life, anxiety and depression in patients with androgenetic alopecia

雄性禿患者的生活質量、焦慮和抑鬱

C Bilaç Z Kutlubay, S Öztürkcan, S Serdaroğlu, MT Şahin, A Yaşar, G Dinç

Abstract

Background: Androgenetic alopecia (AGA) is a common form of hair loss, which can result in body image disorder and negative social feelings. Aim: The aim of this study was to evaluate the quality of life (QoL) and the risk of anxiety and depression in AGA patients. Method: Sociodemographic data of the patients and clinical severity of the disease were recorded. The QoL score of patient and controls was evaluated with DLQI and SF-36 instruments, their anxiety and depression risks were evaluated with HAD (HAD-A and HAD-D) instruments. Results: Sixty-eight patients with AGA were included in our study. Young male AGA patients' quality of life levels were found to be low according to role limitations due to emotional problems, emotional well-being and emotional scores of SF-36 scale and younger female AGA patients quality of life levels were also found to be low according to role limitations due to emotional problems, and emotional scores of SF-36 scale. The DLQI scores of patients of both sex were found to be significantly higher compared to control group. According to anxiety and depression risk assessment with HAD scale, it was found that 28.6% and 73.5% of patients were prone to suffer from anxiety and depression respectively. Conclusion: Apart from managing alopecia, practitioners should be aware of the possible psychosocial distress of AGA patients and manage accordingly.

背景:雄性禿是脫髮的一種常見類型,可能導致身體形象紊亂和負面的社交感覺。目的:本研究的目的是評估雄性禿患者的生活質量以及其焦慮和抑鬱的風險。方法:記錄患者的社會人口學資料和疾病的臨床嚴重程度。使用了皮膚學生活品質量表(DLQI)和健康調查簡表(SF-36)工具來評估患者和對照組的生活質量評分,另使用醫院焦慮抑鬱量表(HAD-A和HAD-D)工具評估其焦慮和抑鬱風險。結果:本研究納入了68例雄性禿患者。發現年輕男性雄性禿患者的生活質量水平較低,是關係於情緒問題、情緒健康和SF-36量表的情緒評分相關的角色限制;而年輕女性雄性禿患者的生活質量水平也較低,則受限於情緒問題以及SF-36量表的情緒評分。發現兩性患者的皮膚學生活品質量表得分均顯著高於對照組。根據使用醫院焦慮憂鬱量表進行的焦慮和抑鬱風險評估,發現分別有28.6%和73.5%的患者容易患焦慮和抑鬱。結論:除處理脫髮外,醫護還應留意到雄性禿患者可能產生的心理困擾,並進行相應治理。

Keywords: Androgenetic, alopecia, anxiety, depression, quality of life

關鍵詞: 雄性徵的、脫髮、焦慮、抑鬱、生活質量