Psychiatric symptomatology and health-related quality of life in children and adolescents with alopecia areata
Psychiatric symptomatology and health-related quality of life in children and adolescents with alopecia areata
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DOI：
10.1111/jdv.12315
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发表时间：
2014-11-01
影响因子：
9.2
通讯作者：
Yilmaz, S.
中科院分区：
文献类型：
--
作者：
Bilgic, O.;Bilgic, A.;Yilmaz, S.
背景关于儿童和青少年斑秃（AA）与精神病发病率和生活质量（QoL）之间的关系，现有的数据非常有限。方法对74例8- 18岁AA患儿进行分析。采用问卷调查法评价患者的精神状况和HRQL。研究组和对照组分为儿童和青少年组，排除青春期对心理condition.ResultsIn儿童组，患者有较高的状态焦虑和特质焦虑分数，他们也有较低的父母额定的社会心理和总面积HRQL分数比对照组。此外，抑郁评分倾向于显示出积极的关系，有AA的儿童。然而，在青少年组中，只有状态焦虑评分与AA有显著相关。在这个年龄组中，所有父母评定的HRQL评分也倾向于低于对照组。关于HRQL的决定因素，延长疾病的持续时间和后期发病有积极的影响，而头皮受累，特质焦虑和抑郁的严重程度有负面影响，为sample as a wholes.ConclusionsAlopecia areata与精神状态差和生活质量，特别是在儿童。疾病对生活质量的影响通过临床和精神病学参数发生。
BackgroundThere is a very limited amount of data available regarding the relationship between alopecia areata (AA) and psychiatric morbidity and quality of life (QoL) in children and adolescents.ObjectivesThe aim of this study was to determine the psychiatric state and health-related quality of life (HRQL) of children and adolescents with AA, as well as their relationships with clinical parameters.MethodsThe sample consisted of 74 children with AA aged 8-18years. Questionnaires were used to evaluate the psychiatric status and HRQL of the patients. The study and control groups were divided into child and adolescent groups to exclude the effect of puberty on psychological condition.ResultsIn the child group, patients had higher state anxiety and trait anxiety scores; they also had lower parent-rated psychosocial and total area HRQL scores than the controls did. In addition, the depression score was prone to show a positive relationship with having AA in the children. In the adolescent group, however, only the state anxiety score had a significant association with AA. All of the parent-rated HRQL scores were also prone to being lower compared with controls in this age group. Regarding determinants of HRQL, prolonged disease duration and later disease onset had positive effects, whereas severity of scalp involvement, trait anxiety and depression had negative effects, for the sample as a whole.ConclusionsAlopecia areata is associated with poor psychiatric status and QoL, especially in childhood. The impact of the disease on QoL occurs through both clinical and psychiatric parameters.