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KMID : 0032220240360010044
Annals of Dermatology
2024 Volume.36 No. 1 p.44 ~ p.52
The Quality of Life and Psychosocial Impact on Female Pattern Hair Loss
Hwang Hye-Won

Ryou Sun-Min
Jeong Jun-Hyeong
Lee Jae-Won
Lee Kyung-Ju
Lee Seon-Bok
Shin Hyun-Tae
Byun Ji-Won
Shin Jeong-Hyun
Choi Gwang-Seong
Abstract
Background: Alopecia, a benign dermatologic condition affecting both genders, particularly harms female patients due to psychosocial effects. Female pattern hair loss (FPHL), the primar y cause of hair loss in women, lacks sufficient Korean epidemiological studies examining its psychosocial aspects.

Objective: This study aimed to explore FPHL¡¯s psychosocial impacts, including quality of life (QoL), depression, anxiety, medical consumption, and hair loss factors in Korean women.

Methods: A total of 202 patients with FPHL were inter viewed using a validated questionnaire to assess the QoL, psychological impact, and pattern of medical consumption. The severity of hair loss was evaluated using the ¡°basic and specific (BASP) classification¡± by dermatologists.
The Hair-Specific Skindex-29 (HSS29) was used to assess the QoL and Beck depression inventor y (BDI), Beck anxiety inventor y (BAI) to evaluate psychological aspects, and medical expenses and the number of clinic visits to determine medical consumption.

Results: The global HSS29 score of FPHL was 40.97¡¾18.92, indicating a notable impact on QoL.
The mean BDI and BAI scores were 14.47 and 10.06, respectively. In multivariable regression analysis, HSS29, BDI, and BAI scores were most affected by the severity of hair loss (p<0.001).

Conclusion: FPHL damages the psychosocial aspects of patients, such as QoL, depression, and medical consumption, according to the severity of hair loss.
KEYWORD
Alopecia, Anxiety, Depression, Quality of life
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