Mohammad KA Basra; Muhammad Shahrukh


Expert Rev Pharmacoeconomics Outcomes Res. 2009;9(3):271-283. 

In This Article

Hair Disorders

Hair plays an important role in the definition of individuality and appearance and, therefore, any kind of hair loss has the potential to negatively influence an individual's self-esteem and may cause significant psychological trauma as well as loss of self and societal failure.[150]

Androgenetic alopecia is (AGA) the most common form of alopecia and may be found, to some extent, in as many as 50% of adult men and perhaps as many women.[151] Compared with the general population, individuals with AGA have higher prevalence of personality disorders.[152] Well et al. demonstrated that there was very low self-esteem in men with increasing hair loss regardless of their age.[153] In total, 88% of women with mild-to-moderate alopecia have reported change in daily activities and 72% have reported loss of self-esteem.[154] Understandably, AGA is more disturbing for women compared with men with higher levels of societal anxiety.[155] However, the psychosocial symptoms may improve after successful treatment.[154]

Similarly, patients with alopecia areata describe feelings of low self-esteem and difficulty in adjusting to family members and society.[156] Major depression, generalized anxiety disorder, social phobia and paranoid disorders were present at a higher rate in patients with self-reported alopecia areata than the general population.[156]


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