斑秃
应对(心理学)
疾病
断开
医学
生命历程法
心理学
老年学
临床心理学
皮肤病科
内科学
发展心理学
政治学
法学
作者
Maryanne M. Senna,Lindsay Burns,Natasha Atanaskova Mesinkovska,Dory Kranz,Abby Ellison
标识
DOI:10.4103/ijt.ijt_99_20
摘要
Alopecia areata (AA), an unpredictable, nonscarring hair loss, is commonly perceived as a cosmetic, rather than medical, concern. However, substantial evidence exists describing the negative impact on quality of life, as the disease affects patients personally, socially, financially, and physically. Over time, the cumulative disability may perpetuate poor confidence, social disconnection, negative coping strategies, and failure to achieve a full life potential. Here, we describe the cumulative life course impairment (CLCI) of AA by examining the complex interaction of (1) stigmatization, (2) physical and psychiatric comorbidities, and (3) coping strategies. The model aggregates existing cross-sectional data, which have previously captured disease burden only as snapshots in time. Thus, by examining cumulative effects, the CLCI model serves as a proxy for longitudinal data to better describe life course epidemiology of the disease.
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