{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:12:30Z","timestamp":1791389550747,"version":"4.3.3"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alopecia areata (AA) is a chronic immune-mediated condition leading to nonscarring hair loss. Its visible nature often leads to stigmatization and bullying, which can negatively affect the mental health and quality of life (QoL) of adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the experiences of bullying, psychosocial challenges and QoL in adolescents with AA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 417 participants aged between 10 and 17\u2005years, with 156 adolescents diagnosed with AA from 6 European countries and 261 healthy German controls. Data collection involved validated questionnaires. These included the Revised Olweus Bully\/Victim Questionnaire for bullying, the Strengths and Difficulties Questionnaire for psychosocial difficulties, and the Pediatric Quality of Life Inventory for QoL. Clinical data, including AA severity score, were also recorded. Statistical analyses employed parametric and nonparametric methods, including multivariate analysis of variance, Mann\u2013Whitney U-tests, t-tests and correlation analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adolescents with AA reported significantly higher rates of general and verbal bullying, with hair loss and nail damage commonly identified as reasons for bullying. Girls experienced more emotional distress and bullying, while boys reported better emotional and social QoL. Physical functioning (i.e. limitations in physical activity, pain or low energy) was significantly lower in the AA group, although overall QoL differences were low. Longer disease duration was associated with greater emotional difficulties and reduced school functioning. No association was found with the age of the participant or the severity of the disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adolescents with AA often face significant challenges, including higher rates of bullying and emotional struggles compared with healthy controls. Developing targeted interventions to combat stigma and support mental and emotional wellbeing of paediatric patients with AA, in addition to a collaborative effort involving dermatologists, psychologists and educators could possibly make a meaningful difference in improving the QoL for these young individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjd\/ljaf318","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T11:48:08Z","timestamp":1755085688000},"page":"1165-1173","source":"Crossref","is-referenced-by-count":7,"title":["Quality of life, psychosocial difficulties and bullying in\u00a0paediatric patients with alopecia areata: a European cross-sectional study"],"prefix":"10.1093","volume":"193","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3427-9583","authenticated-orcid":false,"given":"Agathe","family":"Franz","sequence":"first","affiliation":[{"name":"Charite\u0301 \u2013 Universita\u0308tsmedizin Berlin, corporate member of Freie Universita\u0308t Berlin and Humboldt-Universita\u0308t zu Berlin, Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science , Berlin ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6569-8636","authenticated-orcid":false,"given":"Andria","family":"Constantinou","sequence":"additional","affiliation":[{"name":"Charite\u0301 \u2013 Universita\u0308tsmedizin Berlin, corporate member of Freie Universita\u0308t Berlin and Humboldt-Universita\u0308t zu Berlin, Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science , Berlin ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7251-5351","authenticated-orcid":false,"given":"Kathrin","family":"Hillmann","sequence":"additional","affiliation":[{"name":"Charite\u0301 \u2013 Universita\u0308tsmedizin Berlin, corporate member of Freie Universita\u0308t Berlin and Humboldt-Universita\u0308t zu Berlin, Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science , Berlin ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2168-3317","authenticated-orcid":false,"given":"Vasiliki","family":"Chasapi","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology of NHS, Hospital of Skin and Venereal Diseases , Andreas Syggros, Athens ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2773-7494","authenticated-orcid":false,"given":"Sergio","family":"Va\u00f1\u00f3\u00a0Galv\u00e1n","sequence":"additional","affiliation":[{"name":"Trichology Unit, Ram\u00f3n y Cajal University Hospital and Trichology and Hair Transplant Unit, Pedro Ja\u00e9n Group Clinic, University of Alcal\u00e1 , Madrid ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4860-6365","authenticated-orcid":false,"given":"Sophie","family":"Leducq","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Dermatology, Department of Dermatology, University Hospital of Tours , Tours ,","place":["France"]},{"name":"INSERM, SPHERE, U1246, Tours University, Nantes University , Tours ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3734-810X","authenticated-orcid":false,"given":"Annabel","family":"Maruani","sequence":"additional","affiliation":[{"name":"Unit of Pediatric Dermatology, Department of Dermatology, University Hospital of Tours , Tours ,","place":["France"]},{"name":"INSERM, SPHERE, U1246, Tours University, Nantes University , Tours 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