Mental Status in Patients with Different Forms of Diffuse Alopecia: Analysis of the Spectrum and Expression of Psychopathological Symptoms

The study analyzed the mental health of 153 women aged 25-45 with diffuse alopecia, finding that nearly half (47.7%) exhibited psychopathological symptoms. Patients with mixed alopecia had higher severity and a broader range of symptoms, including somatization, obsessive-compulsive disorders, and anxiety, compared to those with metabolic alopecia. The General Symptomatic Index (GSI), Positive Symptomatic Index (PSI), and Positive Distress Symptomatic Index (PDSI) were significantly higher in patients with mixed alopecia. These results highlight the need for personalized treatment strategies that consider the mental health impact of alopecia.