Masmoudi Jawaher, Sellami Rim, Ouali Uta, Mnif Leila, Feki Ines, Amouri Mariam, Turki Hamida, Jaoua Abdellaziz
Department of Psychiatry A, Hédi Chaker University Hospital, Sfax, Tunisia.
Dermatol Res Pract. 2013;2013:983804. doi: 10.1155/2013/983804. Epub 2013 Jul 18.
Background. Alopecia areata (AA) has a significant impact on the quality of life and social interaction of those suffering from it. Our aim was to assess the impact of AA on the quality of life. Methods. Fifty patients diagnosed with AA seen in the Department of Dermatology of Hedi Chaker University Hospital, between March 2010 and July 2010, were included. Quality of life was measured by SF 36; severity of AA was measured by SALT. Results. Eighty percent had patchy alopecia with less than 50% involvement, 12% had patchy alopecia with 50-99% involvement, and 8% had alopecia totalis. Compared with the general population, AA patients presented a significantly altered quality of life, found in the global score and in five subscores of the SF-36: mental health, role emotional, social functioning, vitality, and general health. Gender, age, marital status, and severity of alopecia areata had a significant influence on patients' quality of life. Conclusions. This study indicates that patients with AA experience a poor quality of life, which impacts their overall health. We suggest screening for psychiatric distress. Studies of interventions such as counseling, psychoeducation, and psychotherapeutic interventions to reduce the impact of the disease may be warranted.
背景。斑秃（AA）对患者的生活质量和社交互动有重大影响。我们的目的是评估斑秃对生活质量的影响。方法。纳入2010年3月至2010年7月在赫迪·查克大学医院皮肤科就诊的50例诊断为斑秃的患者。生活质量采用SF-36量表测量；斑秃严重程度采用SALT测量。结果。80%的患者为局限性斑秃，受累面积小于50%，12%的患者为局限性斑秃，受累面积为50%-99%，8%的患者为全秃。与一般人群相比，斑秃患者的生活质量在SF-36的总体评分以及五个子评分中均有显著改变：心理健康、角色情感、社会功能、活力和总体健康。性别、年龄、婚姻状况和斑秃严重程度对患者的生活质量有显著影响。结论。本研究表明，斑秃患者生活质量较差，这会影响他们的整体健康。我们建议对精神困扰进行筛查。可能有必要开展如咨询、心理教育和心理治疗干预等研究，以减少该疾病的影响。
