Li Sara J, Reyes-Hadsall Sophia, Drake Lara, Huang Kathie, Mostaghimi Arash
Tufts University School of Medicine, Boston, MA, USA.
Brigham and Women's Hospital, Department of Dermatology, Boston, MA, USA.
Skin Appendage Disord. 2023 Aug;9(4):258-261. doi: 10.1159/000529924. Epub 2023 Apr 27.
Alopecia areata (AA) is an immune-mediated hair loss condition with substantial psychosocial impact. The impact of AA on social interactions at work has not been established.
We administered the Negative Acts Questionnaire-Revised Scale to the National Alopecia Areata Foundation database to evaluate workplace bullying in patients with AA.
Ultimately, 673/1,120 individuals who met inclusion criteria completed the survey. Most respondents were female ( = 537, 79.8%), Caucasian ( = 508, 75.5%), with an average age of 46.8 ± 14, and employed full-time ( = 427, 63.4%). Our results demonstrate 21.7% ( = 146) of respondents experienced workplace bullying. Participants most frequently faced having their opinions ignored (53.8%, = 362), being excluded (47.7%, = 321), and having gossip spread about them (44.0%, = 296). Notably, 75.0% ( = 120/160) of individuals who self-reported bullying addressed the behavior; however, 30.8% of participants noted the bully continued (30.8%, = 37). Stress associated with filing a complaint (43.5%, = 293) and effect on future career options (36.1%, = 243) were common barriers to report bullying.
This study expands our understanding of the psychosocial impact of AA by confirming individuals with AA experience workplace bullying. Stigma against patients may play a role in this phenomenon. Future work is warranted to identify strategies to reduce bullying against patients with AA.
斑秃（AA）是一种免疫介导的脱发疾病，会对心理社会产生重大影响。AA对工作中社交互动的影响尚未明确。
我们将修订版消极行为问卷量表应用于全国斑秃基金会数据库，以评估AA患者在工作场所遭受的欺凌情况。
最终，1120名符合纳入标准的个体中有673人完成了调查。大多数受访者为女性（n = 537，79.8%），白人（n = 508，75.5%），平均年龄46.8±14岁，且为全职工作（n = 427，63.4%）。我们的结果显示，21.7%（n = 146）的受访者曾在工作场所遭受欺凌。参与者最常面临的情况是他们的意见被忽视（53.8%，n = 362）、被排斥（47.7%，n = 321）以及有人传播关于他们的流言蜚语（44.0%，n = 296）。值得注意的是，在自我报告遭受欺凌的个体中，75.0%（n = 120/160）的人对这种行为采取了应对措施；然而，30.8%的参与者指出欺凌行为仍在继续（30.8%，n = 37）。与投诉相关的压力（43.5%，n = 293）以及对未来职业选择的影响（36.1%，n = 243）是报告欺凌行为的常见障碍。
本研究通过证实AA患者会经历工作场所欺凌，扩展了我们对AA心理社会影响的理解。对患者的污名化可能在这一现象中起作用。有必要开展进一步研究以确定减少针对AA患者欺凌行为的策略。
