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In the Section
Abstract
The purpose of the work is to study the prevalence and structure of depressive symptoms among patients with different types of alopecia.
The study included 153 women diagnosed with diffuse alopecia. Depending on the state of the mental sphere and the genesis of alopecia, 6 subgroups were formed: patients with metabolic alopecia without signs of maladaptation — G1-1 (30 patients), with metabolic alopecia with individual signs of maladaptation (risk group) — G1-2 (9), with metabolic alopecia and the presence of adaptation disorders — G1-3 (6 patients), with mixed alopecia without signs of maladaptation — G2-1 (15 patients), with mixed alopecia with separate signs of maladaptation (risk group) — G2-2 (64) and with mixed adaptation and adaptation disorders — G2-3 (29 patients).
Among alopecia patients, depression is a common problem that has been affected by more than a third of patients (37.9 %). The prevalence of depression depends significantly on the type of depression, and with mixed alopecia is three times higher than with metabolic (47.2 % against 15.6 %).
Some of the symptoms of depression are very common in patients with alopecia. The most common complaints are guilt, futility, anxiety or fear, cognitive disorders and sleep disorders. All symptoms of depression were more commonly found in patients with mixed alopecia.
The prevalence of depressive symptoms is closely associated with the degree of maladaptation. In a group of patients with severe manifestations, the prevalence of certain symptoms of depression exceeds 80 %, and clinically formulated depression disorder is present in two -thirds (68.6 %) of patients.
The prospects for further research are related to the comprehensive study of adverse changes in the psycho -emotional sphere of patients with different forms of alopecia, and the development of individualized measures of correction of depressive, anxiety and other psychopathological manifestations.
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References
The Scientific and Practical Journal of Medicine
ДУ «ІНПН імені
П.В. ВОЛОШИНА
НАМН УКРАЇНИ»