An Analysis of the Psychiatric Characteristics of the Alopecia Areata in Female

여성 탈모증의 정신의학적 특성 분석

  • Lee, Kil-Hong (Department of Neuro-Psychiatry, School of Medicine, Chungang University) ;
  • Na, Chul (Department of Neuro-Psychiatry, School of Medicine, Chungang University) ;
  • Lee, Young-Sik (Department of Neuro-Psychiatry, School of Medicine, Chungang University) ;
  • Lee, Chang-Hoon (Department of Rehabilitation Medicine, Sam-Yuk Rehabilitation Hospital) ;
  • No, Byung-In (Department of Dermatology, School of Medicine, Chungang University) ;
  • Hong, Chang-Kwon (Department of Dermatology, School of Medicine, Chungang University)
  • 이길홍 (중앙대학교 의과대학 신경정신과학교실) ;
  • 나철 (중앙대학교 의과대학 신경정신과학교실) ;
  • 이영식 (중앙대학교 의과대학 신경정신과학교실) ;
  • 이창훈 (삼육재활병원 재활의학과) ;
  • 노병인 (중앙대학교 의과대학 피부과학교실) ;
  • 홍창권 (중앙대학교 의과대학 피부과학교실)
  • Published : 2000.06.15

Abstract

Objectives : The present study was performed to reveal differences between female and male cases of alopecia in their alopecia related variables such as patterns of hair loss, psychiatric characteristics, associate illnesses, and methods of treatment, and to use them as basic materials for proper management and early prevention of the alopecia prone cases. Methods : In order to analysis the gender difference in hair losses, the subjects were divided into two subgroups as the 51 cases of female alopecia and the 42 cases of male alopecia, who had visited to the department of psychiatry consulted from the department of dermatology, Yongsan hopital, ChungAng University, Seoul, Korea, from January 1998 to December 1998. In data analysis, the subjects were statistically assesed by chi-squre test and analysis of varaiance, through SPSS-$PC^+$ 9.0V. Results : 1) Female subjects were more likely showed lower socio-economical level including lower eonomical level, lower educational level, or lower occupational level in their parent's job, were more likely to have larger number of siblings and to have many sisters comparison to the male cases. 2) Female subjects were more likely visited to the department of dermatology, more history of alopecia in their female family members, lesser history of alopecia in their male family members, more loss of hairs in vertex or frontal region of scalp, lesser loss of hairs in occipital region, and lesser nail changes in comparison to the male cases. 3) Female subjects were more suffered from intra-familial conflicts and economical changes, or their introverted personality makeup, lesser likely suffered from changes of business and health changes, and showed lesser conflicts related with poorer adaptaion in their job life. 4) Female subjects were more likely diagnosed as depression or conversion disorders, more frequently complaint anxiety symptoms or depressive symptoms, higher level of anxiety index, lesser complaint somatization or obsessive compulsive symptoms, and lesser diagnosed as anxiety disorder in comparison to the male cases. 5) Female subjects were more likely tended to show personality makeup such as the introverted, the lie, the repressed, or the feminine trends than the male cases. 6) Female subjects were more significantly treated by antianxiety drug such as etizolam and dermatological therapies include tretinoin, and lesser treated by clotiazepam and prednicarbonate in comparison to the male cases. Conclusion : From the facts that The most important factors in developing hair loss in the female subjects in comparison to the male cases seems to be closely correlated with the serious psychopathology such as the presence of mental disorders including depression, the presence of complaining anxiety or depressive symptomatology, the presence of stressful life events such as intrafamilial life changes, and the presence of personality makeup such as the introverted, the lie, the repressed, or the feminine trends, the authors confirmed that dermatologists act as the primary care physician are in a unique position to recognize psychiatric comorbidity and execute meaningful intervention for female patients with the alopecia with psychiatrists.