Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel.
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel.
Int J Environ Res Public Health. 2020 Oct 10;17(20):7388. doi: 10.3390/ijerph17207388.
Hair loss resulting from childhood irradiation for tinea capitis has been linked to mental health effects in women. However, the association of hair loss severity with mental health in this population is unknown. To address this gap, this study examined the association between hair loss severity and mental health outcomes in women irradiated for tinea capitis in childhood as well as the factors that contribute to these outcomes. Medical records, held at the archives of the Israel National Center for Compensation of Scalp Ringworm Victims, were retrospectively reviewed for 2509 women who received compensation for full or partial alopecia resulting from irradiation for tinea capitis. Mental health outcomes were determined by the number of mental health conditions reported. The results show that among women with more hair loss, risk was increased for a range of mental health problems, especially social anxiety (RR 2.44, 95% CI 2.09-2.87). Hair loss severity emerged as a significant predictor of mental health, adding to the effects of other predictors such as family, social and physical health problems (β = 0.13, 95% CI 0.27, 0.56). The effects of hair loss severity on mental health outcomes were mediated by women's negative social experiences (indirect = 0.72, 95% bias-corrected confidence interval, 0.53-1.08). Healthcare professionals supporting women with hair loss after irradiation for childhood tinea capitis should be alert to a history of severe levels of hair loss.
因头癣接受儿童期照射而导致脱发与女性心理健康问题有关。然而，该人群中脱发严重程度与心理健康之间的关联尚不清楚。为了弥补这一空白，本研究调查了儿童期头癣照射后脱发严重程度与女性心理健康结果之间的关联，以及导致这些结果的因素。对因头癣照射而接受全额或部分脱发补偿的 2509 名妇女的医疗记录进行了回顾性审查，这些记录保存于以色列国家头皮癣赔偿受害者中心的档案中。心理健康结果通过报告的心理健康状况数量来确定。结果表明，脱发较多的女性发生一系列心理健康问题的风险增加，尤其是社交焦虑症（RR 2.44，95%CI 2.09-2.87）。脱发严重程度是心理健康的一个重要预测指标，它增加了家庭、社会和身体健康问题等其他预测因素的影响（β=0.13，95%CI 0.27，0.56）。脱发严重程度对心理健康结果的影响是通过女性的负面社会经历来介导的（间接=0.72，95%偏倚校正置信区间，0.53-1.08）。支持因儿童期头癣照射后脱发的女性的医疗保健专业人员应注意严重程度的脱发史。
