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  5. A catena between psychiatric disorders and non-scarring alopecias-A systematic review
 
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A catena between psychiatric disorders and non-scarring alopecias-A systematic review
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A catena between psychiatric disorders and non-scarring alopecias-A systematic review.pdf (1.18 MB)
Published version
Author(s)
Forneris Crego, Ana L
Therianou, Anastasia
Hashemi, Parastoo
Higgins, Claire A
Type
Journal Article
Abstract
For many years, clinical observations have suggested that there is an intrinsic connection between psychological state and skin diseases. Stress responses are typically mediated by several hormones, which are modulated via the hypothalamic-pituitary-adrenal axis. This typical stress response is not only one theory for psychiatry disorder pathophysiology, but it also modifies hair growth by altering the skin's inflammatory environment. Given that different forms of hair loss, such as androgenetic alopecia, alopecia areata, or telogen effluvium, and hair follicle cycling can be altered by immune cells within the follicle milieu, we hypothesized that specific forms of hair loss are correlated to psychiatric illnesses. To address this, we conducted a systematic review by searches in April and May 2021 through Ovid MEDLINE and PUBMED (ranging from 1951 to the present day), identifying 179 reports. A further 24 reports were identified through website and citation searches giving a total of 201 reports. After applying exclusion criteria, 21 papers were reviewed, and 17 were included for data analysis. It is undeniable that hair loss greatly affects Health-related Quality of Life (HrQol) and it is heavily associated with major depressive disorder and anxiety. The correlation between hair loss and mental health disorders was significant, however, due to the low number of publications with quantitative data we were not able to identify correlations between each hair loss type with each psychiatric disorder. Further studies to better connect specific hair loss diseases to specific disorders are therefore critical in bettering the way both psychiatric disease, and hair loss, are managed.
Date Issued
2023-06-01
Date Acceptance
2022-11-04
Citation
Skin Health and Disease, 2023, 3 (3), pp.e194-e194
URI
http://hdl.handle.net/10044/1/108605
DOI
https://www.dx.doi.org/10.1002/ski2.194
ISSN
2690-442X
Publisher
Wiley
Start Page
e194
End Page
e194
Journal / Book Title
Skin Health and Disease
Volume
3
Issue
3
Copyright Statement
© 2022 The Authors. Skin Health and Disease published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
https://creativecommons.org/licenses/by/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/37275427
PII: SKI2194
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2022-11-25
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