Ghanizadeh Ahmad
Department of Psychiatry, Shiraz University of Medical Sciences, Hafez Hospital, Shiraz, Iran.
Int J Dermatol. 2008 Nov;47(11):1118-20. doi: 10.1111/j.1365-4632.2008.03743.x.
This study reports the comorbidity of lifetime psychiatric disorders in children and adolescents with alopecia areata (AA) in a child and adolescent psychiatry clinical sample.
Fourteen patients with AA were interviewed using the Diagnostic and Statistical Manual of Mental Disorders-Fourth edition (DSM-IV) criteria and the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime-Farsi Version (KSADS-PL-Farsi Version).
The rate of at least one psychiatric disorder was 78%. The rate of major depressive disorder was 50%, and the most common anxiety disorder was obsessive-compulsive disorder (OCD) (35.7%).
There is a very high rate of psychiatric disorders in children and adolescents with AA. This high rate of OCD has not been reported previously. There seems to be a clinical association between OCD and AA in children and adolescents.
本研究报告了儿童和青少年精神病学临床样本中患有斑秃（AA）的儿童和青少年终生精神障碍的共病情况。
使用《精神障碍诊断与统计手册》第四版（DSM-IV）标准和《儿童情感障碍和精神分裂症量表 - 当前及终生 - 波斯语版》（KSADS-PL-波斯语版）对14名斑秃患者进行访谈。
至少有一种精神障碍的发生率为78%。重度抑郁症的发生率为50%，最常见的焦虑症是强迫症（OCD）（35.7%）。
患有斑秃的儿童和青少年中精神障碍的发生率非常高。此前尚未报道过如此高的强迫症发生率。儿童和青少年中强迫症与斑秃之间似乎存在临床关联。
