{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:32:23Z","timestamp":1787499143331,"version":"build-2736575974"},"reference-count":21,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T00:00:00Z","timestamp":1764460800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T00:00:00Z","timestamp":1764460800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    This cross-sectional study investigated social appearance anxiety in individuals with Alopecia Areata (AA), a chronic autoimmune condition causing visible, non-scarring hair loss. A total of 129 AA patients and 142 age- and sex-matched healthy controls (18\u201365\u2009years) completed the Social Appearance Anxiety Scale (SAAS) and the Hospital Anxiety and Depression Scale (HADS); the AA group additionally completed the Dermatology Life Quality Index (DLQI) and a Visual Analog Scale (VAS). SAAS scores were markedly higher in AA than controls (65.32\u2009\u00b1\u20098.45 vs 21.45\u2009\u00b1\u20099.32,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Within AA, SAAS showed a moderate positive association with perceived severity (VAS;\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.304,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.05). HADS-Anxiety\/Depression did not differ significantly between groups. In the AA cohort, DLQI averaged 12.3\u2009\u00b1\u20095.4 (median 12, IQR 9\u201316), with 62.8%\u2009\u2a7e\u200910 and 10.9%\u2009\u2a7e\u200920. DLQI correlated most strongly with perceived severity (VAS;\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.45,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and clinical visibility (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.37,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.002), with comparatively smaller associations with lesion count\/area (\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    \u2009=\u20090.26\/0.34). Taken together, these findings indicate that AA\u2019s psychosocial burden is driven primarily by appearance- and visibility-related factors rather than generalized anxiety\/depression or sheer disease extent. Routine dermatologic care should incorporate targeted psychosocial assessment\u2014particularly for patients with visible-site involvement\u2014to facilitate timely support.\n                  <\/jats:p>","DOI":"10.1177\/13591053251383649","type":"journal-article","created":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T10:30:22Z","timestamp":1764498622000},"page":"2928-2937","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The hidden burden of visibility: Social appearance anxiety in patients with alopecia areata \u2013 A comparative cross-sectional study"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3718-0458","authenticated-orcid":false,"given":"Faruk","family":"Kurhan","sequence":"first","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6knur \u00d6zayd\u0131n","family":"Yavuz","sequence":"additional","affiliation":[{"name":"Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,30]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0242494"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2011.10714.x"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/psycholint7030062"},{"issue":"1","key":"e_1_3_3_5_1","article-title":"Psychological impact of skin disorders on patients\u2019 self-esteem and perceived social support","volume":"3","author":"Costeris C","year":"2021","unstructured":"Costeris C, Petridou M, Ioannou Y (2021) Psychological impact of skin disorders on patients\u2019 self-esteem and perceived social support. Journal of Dermatology and Skin Science 3(1): 14\u201322.","journal-title":"Journal of Dermatology and Skin Science"},{"key":"e_1_3_3_6_1","unstructured":"Do\u011fan T (2010) Sosyal G\u00f6r\u00fcn\u00fc\u015f Kayg\u0131s\u0131 \u00f6l\u00e7e\u011fi\u2019nin (SGK\u00d6) T\u00fcrk\u00e7e Uyarlamas\u0131: Ge\u00e7erlik ve G\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131. Hacettepe \u00dcniversitesi E\u011fitim Fak\u00fcltesi Dergisi 39(39): 151\u2013159. https:\/\/dergipark.org.tr\/tr\/pub\/hunefd\/issue\/7799\/102171"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/exd.12209"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.19731"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1994.tb01167.x"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.17110"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1103442"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191107306673"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7522.951"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.v09n0306"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-018-0390-5"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.19427"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2024.10.122"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2011.570592"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2000.03831.x"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.979574"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(00)00056-8"},{"key":"e_1_3_3_22_1","first-page":"397","article-title":"Epidemiology and burden of alopecia areata: A systematic review","volume":"8","author":"Villasante FE","year":"2015","unstructured":"Villasante FE, Alexandra C, Miteva M (2015) Epidemiology and burden of alopecia areata: A systematic review. Clinical Cosmetic and Investigational Dermatology 8: 397\u2013403.","journal-title":"Clinical Cosmetic and Investigational Dermatology"}],"container-title":["Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053251383649","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591053251383649","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053251383649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T09:48:53Z","timestamp":1779443333000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591053251383649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,30]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/13591053251383649"],"URL":"https:\/\/doi.org\/10.1177\/13591053251383649","relation":{},"ISSN":["1359-1053","1461-7277"],"issn-type":[{"value":"1359-1053","type":"print"},{"value":"1461-7277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,30]]}}}