Perceived Stigma and Mental Health Disorders Among Adults With Alopecia Areata Living in Japan

June 2025 in “ The Journal of Dermatology ”

Norimitsu Saito, Kazumasa Kamei, G. Gautier, Samantha K. Kurosky, Kent A. Hanson, Griffith Bell, Lulu Lee, Nikoletta Sternbach, Akira Yuasa

alopecia areata mental health anxiety depression sleep disorders perceived stigma quality of life AA

TLDR Alopecia areata significantly affects mental health and quality of life, with many feeling stigma and few receiving adequate treatment.

The study involving 471 adults with alopecia areata (AA) in Japan reveals significant impacts on mental health and quality of life, with high rates of anxiety, depression, and sleep disorders compared to the general population. Perceived stigma is prevalent, with over 70% feeling embarrassed and more than half feeling negatively judged due to their condition. The severity of AA correlates with higher incidences of mental health and sleep disorders, particularly in severe cases. Despite these challenges, only 8.1% receive treatment for AA, and less than half are satisfied with their hair growth. The study emphasizes the need for comprehensive care addressing both psychological and physical aspects of AA to improve patient outcomes.

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