Alopecia as a psychodermatological condition is associated with significant psychosocial burden and requires the analysis of external adaptive resources.

The aim of the study was to determine the characteristics of perceived social support in female patients with metabolic and mixed alopecia and to establish its association with the severity of mental maladjustment.

The study analyzed perceived social support in female patients with alopecia using the Multidimensional Scale of Perceived Social Support. It was found that patients with metabolic alopecia had significantly higher levels of support from family, friends, and significant others, as well as a higher total social support score, compared with patients with mixed alopecia. A gradual decrease in all components of social support was observed with increasing severity of mental maladjustment. The lowest levels of social support were found in patients with adjustment disorders.

The results indicate that social support is an important external personal resource and a significant factor in the psychosocial functioning of female patients with alopecia. Its deficit or subjective insufficiency may be associated with more pronounced maladaptive manifestations, social avoidance, affective symptoms, and reduced quality of life.