Department of Obstetrics and Gynecology, Institute of Science Tokyo, Tokyo, Japan.
Department of Women's Health, Institute of Science Tokyo, Tokyo, Japan.
J Obstet Gynaecol Res. 2024 Dec;50(12):2239-2245. doi: 10.1111/jog.16130. Epub 2024 Oct 27.
This study examined the relationship between postpartum hair loss and psychological symptoms.
This questionnaire-based, cross-sectional study included postpartum women who had delivered at two facilities and completed the questionnaire 10-18 months after delivery. Study protocols were sent by mail in two parts. Baseline characteristics and information regarding the pregnancy, delivery, childcare, and postpartum hair loss were obtained via a questionnaire. Psychological symptoms were assessed via the Whooley Questions, Generalized Anxiety Disorder 2-item, and Edinburgh Postnatal Depression Scale. Participants were divided into two groups based on psychological symptoms. Multivariate analyses were performed.
In total, 331 responses were analyzed. Women with very much hair loss felt significantly more anxious than those with no postpartum hair loss, as reported on the Generalized Anxiety Disorder 2-item anxiety subscale (odds ratio: 4.47). Multiple logistic regression analysis revealed that primiparity, greater amount of postpartum hair loss, and higher Athens Insomnia Scale scores were predictors of Generalized Anxiety Disorder 2-item anxiety. Adjusted odds ratio of having anxiety among those with very much postpartum hair loss was 4.58 (95% confidence interval, 1.18-17.74) compared to those with no postpartum hair loss.
A greater amount of postpartum hair loss was independently associated with postpartum anxiety on the Generalized Anxiety Disorder 2-item.
本研究旨在探讨产后脱发与心理症状之间的关系。
本研究采用问卷调查的方法,选取在两家医疗机构分娩且在产后 10-18 个月完成问卷的产后女性。研究方案分两部分通过邮件发送。通过问卷获取基本特征、妊娠、分娩、育儿和产后脱发的信息。采用 Whooley 问题、广泛性焦虑障碍 2 项和爱丁堡产后抑郁量表评估心理症状。根据心理症状将参与者分为两组,并进行多变量分析。
共分析了 331 份回复。与无产后脱发的女性相比,严重脱发的女性在广泛性焦虑障碍 2 项焦虑子量表上的焦虑感更为明显(优势比:4.47)。多因素逻辑回归分析显示,初产妇、产后脱发量较大和 Athens 失眠量表评分较高是广泛性焦虑障碍 2 项焦虑的预测因素。与无产后脱发的女性相比,严重产后脱发的女性发生焦虑的调整优势比为 4.58(95%置信区间:1.18-17.74)。
产后脱发量较大与广泛性焦虑障碍 2 项的产后焦虑独立相关。