{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T17:59:08Z","timestamp":1789667948143,"version":"4.0.1"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Hair loss disorders impact quality of life (QoL) far beyond cosmetic issues, with previous studies showing mild to moderate impairment. This study aimed to assess QoL impairment in hair loss patients, comparing scarring and non\u2010scarring alopecia, and to analyze possibly related influencing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>An exploratory cross\u2010sectional study of 510 patients (281 with non\u2010scarring and 229 with scarring alopecia) was conducted at the Charit\u00e9 \u2013Universit\u00e4tsmedizin Berlin's dermatology outpatient clinic. DLQI and PROMIS questionnaires were completed. T\u2010tests, three\u2010factor analysis of variance with post hoc tests, and correlation analyses were used for evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Hair loss disorders can lead to an impaired QoL, with psychological well\u2010being being the most affected. DLQI scores showed moderate impairment in both alopecia types. In addition, PROMIS indicated mild anxiety impairment in both, and mild depressive symptoms in non\u2010scarring alopecia. Subjects with non\u2010scarring type were more affected in their psychological well\u2010being than those with scarring alopecia. A greater impairment was partially observed at a younger age in both types of alopecia and in women with non\u2010scarring alopecia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This exploratory study suggests that hair loss may lead to a notable emotional burden; thus, psychological support could be considered beneficial in hair loss management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ddg.15905","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T05:42:38Z","timestamp":1760506958000},"page":"328-336","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Quality of life in patients with scarring and non\u2010scarring alopecia: An exploratory cross\u2010sectional study"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3427-9583","authenticated-orcid":false,"given":"Agathe","family":"Franz","sequence":"first","affiliation":[{"name":"Department of Dermatology Venereology and Allergology Clinical Research Center for Hair and Skin Science Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin  Berlin 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":"Department of Dermatology Venereology and Allergology Clinical Research Center for Hair and Skin Science Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin  Berlin 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