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Inclusion criteria included all original manuscripts with no restriction on study type or statistical method written in English (or having an English abstract). For QoL 40 articles were included, 85 for psychiatric comorbidities, and 9 for work\/school absenteeism\/presenteeism mostly consisting of cross\u2010sectional and observational cohort studies. QoL impairment was detected in over 75% of patients and up to one\u2010third reported extremely severe QoL impairments. Specific QoL dimensions with the greatest impact were embarrassment, social functioning, as well as shopping and\/or housework. Cross\u2010sectional studies assessing the psychological burden of adult patients with AA found that the presence of signs of anxiety and\/or depression ranged from 30% to 68% and affected all age groups. Rates of work absenteeism and unemployment were significantly higher in AA patients compared to healthy controls. Up to 62% reported making major life decisions including relationships, education and career based on their AA. Additionally, the extensive camouflage techniques and time lost from work led to a strong financial burden for patients and the numerous physician visits added to the healthcare costs. The overall impact of AA stretches much further than simply being an aesthetic concern and can negatively impact every part of an individual's life. An individualized approach and effective treatments will help reduce the psychosocial consequences and distress and return patients to their normal state of health.<\/jats:p>","DOI":"10.1111\/jdv.18926","type":"journal-article","created":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T02:44:37Z","timestamp":1674873877000},"page":"1490-1520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":121,"title":["The burden of alopecia areata: A scoping review focusing on quality of life, mental health and work productivity"],"prefix":"10.1111","volume":"37","author":[{"given":"Anastasiya","family":"Muntyanu","sequence":"first","affiliation":[{"name":"Division of Dermatology McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1593-1081","authenticated-orcid":false,"given":"Sofianne","family":"Gabrielli","sequence":"additional","affiliation":[{"name":"Faculty of Medicine McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Donovan","sequence":"additional","affiliation":[{"name":"Donovan Hair Clinic  Whistler British Columbia Canada"},{"name":"Department of Dermatology University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Gooderham","sequence":"additional","affiliation":[{"name":"SKiN Centre for Dermatology  Peterborough Ontario Canada"},{"name":"Probity Medical Research Inc.  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