
Psychosomatics 44:374-381, October 2003
© 2003 The Academy of Psychosomatic Medicine
Psychosomatic Factors in First-Onset Alopecia Areata
A. Picardi,
P. Pasquini,
M.S. Cattaruzza,
P. Gaetano,
G. Baliva,
C.F. Melchi,
M. Papi,
D. Camaioni,
A. Tiago,
T. Gobello, and
M. Biondi
Received June 5, 2002; revision received Nov. 1, 2002; accepted Dec. 2, 2002. From the Clinical Epidemiology Unit and the outpatient clinics of the Istituto Dermopatico dell'Immacolata-Istituto di Ricovero e Cura a Carattere Scientifico (IDI-IRCCS); as well as the Public Health Department and the Department of Psychiatric Sciences and Psychological Medicine, University of Rome "La Sapienza," Rome. Address reprint requests to Dr. Picardi, Clinical Epidemiology Unit, IDI-IRCCS, Via dei Monti di Creta, 10400167 Rome, Italy; a.picardi{at}idi.it (e-mail).
Although the onset of alopecia areata has often been anecdotally linked with emotional stress, findings from the few controlled studies have not been univocal. The authors compared outpatients experiencing a recent onset of alopecia areata (N=21) with outpatients affected by skin conditions commonly believed as having a low psychosomatic component (N=102). Participants were administered Paykel's Interview for Recent Life Events, the Experiences in Close Relationships scale, the 20-item Toronto Alexithymia Scale, and the Multidimensional Scale of Perceived Social Support. Multiple logistic regression was used to control for age and gender. The total number of recent life events (last 12 months) was not different between the alopecia patients and the comparison subjects. Also, the alopecia patients and the comparison subjects did not differ in terms of the number of undesirable or major events. The comparison subjects even experienced a greater number of uncontrollable events. Alopecia areata tended to be associated with high avoidance in attachment relationships, high alexithymic characteristics, and poor social support. The results suggest that personality characteristics might modulate individual susceptibility to alopecia areata.
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