<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2795-5001</journal-id>
<journal-title><![CDATA[Portuguese Journal of Dermatology and Venereology]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Dermatol Venereol.]]></abbrev-journal-title>
<issn>2795-5001</issn>
<publisher>
<publisher-name><![CDATA[Permanyer Publications]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2795-50012026000100032</article-id>
<article-id pub-id-type="doi">10.24875/pjdv.25000072</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Impact of hair loss on quality of life and mental health: a comparative study of androgenetic alopecia and alopecia areata]]></article-title>
<article-title xml:lang="pt"><![CDATA[Impacto da queda de cabelo na qualidade de vida e saúde mental: um estudo comparativo entre alopécia androgenética e alopécia areata]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samagani]]></surname>
<given-names><![CDATA[Akshay]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Raveendra]]></surname>
<given-names><![CDATA[Leena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Desai]]></surname>
<given-names><![CDATA[Karishma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sumanth]]></surname>
<given-names><![CDATA[T.P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Rajarajeswari Medical College and Hospital, Dr. M.G.R. Educational and Research Institute University Venereology and Leprology Department of Dermatology]]></institution>
<addr-line><![CDATA[Bengaluru ]]></addr-line>
<country>India</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Mysore Medical College and Research Institute Venereology and Leprology Department of Dermatology]]></institution>
<addr-line><![CDATA[Mysuru ]]></addr-line>
<country>India</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Rajarajeswari Medical College and Hospital, Dr. M.G.R. Educational and Research Institute University Department of Psychiatry ]]></institution>
<addr-line><![CDATA[Bengaluru ]]></addr-line>
<country>India</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<volume>84</volume>
<numero>1</numero>
<fpage>32</fpage>
<lpage>37</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2795-50012026000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2795-50012026000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2795-50012026000100032&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objectives: Hair has a crucial role in the esthetic appearance of a person, making them look young and confident. Hair loss overall affects self-esteem and is thus prone to psychiatric comorbidities such as depression and anxiety. Thus, this study aims to know the quality of life in patients suffering from common hair loss conditions, such as androgenetic alopecia (AGA) and alopecia areata (AA).  Methods: A total of 200 AGA and AA patients were enrolled in this study. Dermatology Life Quality Index (DLQI) questionnaire, Beck Depression Inventory Scale (BDI), Beck Anxiety Inventory Scale (BAI), and Patient Health Questionnaire (PHQ) were used to study the quality of life and psychiatric comorbidities in them.  Results: A total of 88 AA and 112 AGA patients were enrolled in our study. The mean DLQI score was 12.34 in AA and 12.93 in AGA, which implied a large effect on QoL. The mean BAI scale was 22.35 in AA and 22.18 in AGA, and the mean BDI scale was 24.63 in AA and 26.34 in AGA, which implied a moderate effect of anxiety and depression. Almost 50% of patients in AGA showed severe anxiety. PHQ in AA and AGA showed a significant difference in depressive and binge eating disorders.  Conclusions: There was a large impact on the QoL amongst all of our patients, and anxiety and depression were moderately documented. There was no statistically significant difference between the psychiatric comorbidities among patients with AA and AGA. Understanding the psychological impact on the patients of AA and AGA can help with effective counseling and treatment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivos: O cabelo desempenha um papel crucial na aparência estética de uma pessoa, fazendo-a parecer jovem e confiante. A queda de cabelo, em geral, afeta a autoestima e, por isso, predispõe-na para comorbilidades psiquiátricas, como a depressão, a ansiedade, etc. Assim, este estudo tem como objetivo avaliar a qualidade de vida em doentes que sofrem de condições comuns de queda de cabelo, como a alopécia androgenética (AAG) e a alopécia areata (AA).  Métodos: Um total de 200 doentes com AAG e AA foram incluídos neste estudo. O questionário Dermatology Life Quality Index (DLQI), a escala Beck Depression Inventory (BDI), a escala Beck Anxiety Inventory (BAI) e o Patient Health Questionnaire (PHQ) foram utilizados para estudar a qualidade de vida e as comorbilidades psiquiátricas.  Resultados: Um total de 88 doentes com AA e 112 com AAG foram incluídos no nosso estudo. A pontuação média do DLQI foi de 12,34 no AA e de 12,93 no AIG, o que implicou um grande efeito na qualidade de vida. A escala média do BAI foi de 22,35 no AA e de 22,18 no AIG, e a escala média do BDI foi de 24,63 no AA e de 26,34 no AIG, o que implicou um efeito moderado da ansiedade e da depressão. Quase 50% dos doentes em AIG apresentaram ansiedade grave. O PHQ em AA e AIG mostrou uma diferença significativa nas perturbações depressivas e de compulsão alimentar periódica.  Conclusões: Houve um grande impacto na qualidade de vida entre todos os nossos doentes, e a ansiedade e a depressão foram moderadamente documentadas. Não houve diferença estatisticamente significativa entre as comorbilidades psiquiátricas entre os doentes com AA e AIG. Compreender o impacto psicológico nos doentes com AA e AIG pode auxiliar no aconselhamento eficaz durante o tratamento.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Alopecia areata]]></kwd>
<kwd lng="en"><![CDATA[Androgenic alopecia]]></kwd>
<kwd lng="en"><![CDATA[Beck anxiety inventory scale]]></kwd>
<kwd lng="en"><![CDATA[Beck depression inventory scale]]></kwd>
<kwd lng="en"><![CDATA[Dermatology life quality index]]></kwd>
<kwd lng="pt"><![CDATA[Alopecia areata]]></kwd>
<kwd lng="pt"><![CDATA[Alopecia androgenética]]></kwd>
<kwd lng="pt"><![CDATA[Escala de inventário de ansiedade de beck]]></kwd>
<kwd lng="pt"><![CDATA[Escala de inventário de depressão de beck]]></kwd>
<kwd lng="pt"><![CDATA[Índice de qualidade de vida em dermatologia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Williamson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzalez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Finlay]]></surname>
<given-names><![CDATA[AY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of hair loss on quality of life]]></article-title>
<source><![CDATA[J Eur Acad Dermatol Venereol]]></source>
<year>2001</year>
<volume>15</volume>
<page-range>137-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Katoulis]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Christodoulou]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Liakou]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[Kouris]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Korkoliakou]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Kaloudi]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of life and psychosocial impact of scarring and non-scarring alopecia in women]]></article-title>
<source><![CDATA[J Dtsch Dermatol Ges]]></source>
<year>2015</year>
<volume>13</volume>
<page-range>137-42</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Norwood]]></surname>
<given-names><![CDATA[OT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence of female androgenetic alopecia (female pattern alopecia)]]></article-title>
<source><![CDATA[Dermatol Surg]]></source>
<year>2001</year>
<volume>27</volume>
<page-range>53-4</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acibucu]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Kayatas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Candan]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The association of insulin resistance and metabolic syndrome in early androgenetic alopecia]]></article-title>
<source><![CDATA[Singapore Med J]]></source>
<year>2010</year>
<volume>51</volume>
<page-range>931-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mirzoyev]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Schrum]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Torgerson]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lifetime incidence risk of alopecia areata estimated at 2.1% by rochester epidemiology project, 1990-2009]]></article-title>
<source><![CDATA[J Invest Dermatol]]></source>
<year>2013</year>
<volume>134</volume>
<page-range>1141-2</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Byun]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[WS]]></given-names>
</name>
<name>
<surname><![CDATA[Kang]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kye]]></surname>
<given-names><![CDATA[YC]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[KH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of life assessment in male patients with androgenetic alopecia:result of a prospective, multicenter study]]></article-title>
<source><![CDATA[Ann Dermatol]]></source>
<year>2012</year>
<volume>24</volume>
<page-range>311-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of life assessment in patients with alopecia areata and androgenetic alopecia in the people's republic of China]]></article-title>
<source><![CDATA[Patient Prefer Adherence]]></source>
<year>2017</year>
<volume>11</volume>
<page-range>151-5</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abedini]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hallaji]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Lajevardi]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Nasimi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Karimi]]></surname>
<given-names><![CDATA[Khaledi M]]></given-names>
</name>
<name>
<surname><![CDATA[Tohidinik]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of life in mild and severe alopecia areata patients]]></article-title>
<source><![CDATA[Int J Womens Dermatol]]></source>
<year>2017</year>
<volume>4</volume>
<page-range>91-4</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ghajarzadeh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ghiasi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kheirkhah]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Depression and quality of life in Iranian patients with Alopecia Areata]]></article-title>
<source><![CDATA[Iran J Dermatol]]></source>
<year>2011</year>
<volume>14</volume>
<page-range>140-3</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ahn]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Hahm]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychological stress-induced pathogenesis of alopecia areata:autoimmune and apoptotic pathways]]></article-title>
<source><![CDATA[Int J Mol Sci]]></source>
<year>2023</year>
<volume>24</volume>
<page-range>11711</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villasante]]></surname>
<given-names><![CDATA[Fricke AC]]></given-names>
</name>
<name>
<surname><![CDATA[Miteva]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology and burden of alopecia areata:a systematic review]]></article-title>
<source><![CDATA[Clin Cosmet Investig Dermatol]]></source>
<year>2015</year>
<volume>8</volume>
<page-range>397-403</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karia]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[De]]></surname>
<given-names><![CDATA[Sousa A]]></given-names>
</name>
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Sonavane]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bharati]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychiatric morbidity and quality of life in skin diseases:a comparison of alopecia areata and psoriasis]]></article-title>
<source><![CDATA[Ind Psychiatry J]]></source>
<year>2015</year>
<volume>24</volume>
<page-range>125-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vélez-Muñiz]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Peralta-Pedrero]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Jurado-Santa]]></surname>
<given-names><![CDATA[Cruz F]]></given-names>
</name>
<name>
<surname><![CDATA[Morales-Sánchez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychological profile and quality of life of patients with alopecia areata]]></article-title>
<source><![CDATA[Skin Appendage Disord]]></source>
<year>2019</year>
<volume>5</volume>
<page-range>293-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toussi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Barton]]></surname>
<given-names><![CDATA[VR]]></given-names>
</name>
<name>
<surname><![CDATA[Le]]></surname>
<given-names><![CDATA[ST]]></given-names>
</name>
<name>
<surname><![CDATA[Agbai]]></surname>
<given-names><![CDATA[ON]]></given-names>
</name>
<name>
<surname><![CDATA[Kiuru]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychosocial and psychiatric comorbidities and health-related quality of life in alopecia areata:a systematic review]]></article-title>
<source><![CDATA[J Am Acad Dermatol]]></source>
<year>2021</year>
<volume>85</volume>
<page-range>162-75</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cash]]></surname>
<given-names><![CDATA[TF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The psychosocial consequences of androgenetic alopecia:a review of the research literature]]></article-title>
<source><![CDATA[Br J Dermatol]]></source>
<year>1999</year>
<volume>141</volume>
<page-range>398-405</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
