{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T10:25:34Z","timestamp":1789899934077,"version":"4.0.1"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>The relationship between alopecia areata (AA) and emotion regulation difficulty has not yet been fully explained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aim of the study was to investigate the levels of anxiety and emotion regulation difficulty in children diagnosed with AA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This case-control study was done in the university setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Behavioral tests measuring anxiety and emotion regulation difficulties, and the measures assessing AA severity were applied to 32 AA patients consulted at Dermatology Clinic of Yozgat Bozok University. A control group was formed of 36 healthy children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>Kolmogorov-Smirnov normality test, Mann-Whitney U test and Pearson's and Fisher's Chi-square tests and Spearman's correlation test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Evaluation was made of a total of 68 subjects (32 patients, 36 healthy subjects). The Difficulties in Emotion Regulation Scale (DERS)-total score and the DERS-clarity subscore were statistically significantly higher in the control group than in the patient group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.021,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003, respectively). No significant difference was determined between the two groups in respect of anxiety levels. No correlation was determined between disease severity and the scales. It was determined that as disease duration increased, so the DERS-non-acceptance subscale score increased, and with an increase in age, the SAI score of the AA patients increased. The DERS-impulse subscale score was seen to be statistically significantly higher in the boys with AA than in girls (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.030).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results of this study showed that a visible, chronic, recurrent disease such as AA is not always seen with high psychiatric comorbidity and that together with the presence of the disease, patient age and disease duration are also important. It can be considered that AA may have been affected by the location, time and conditions of the study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijd.ijd_685_21","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T05:21:44Z","timestamp":1664169704000},"page":"313","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["An Evaluation of Anxiety Disorder and Emotion Regulation Difficulty in Children and Adolescents with Alopecia Areata"],"prefix":"10.4103","volume":"67","author":[{"given":"Dil\u015fad Y\u0131ld\u0131z","family":"Miniksar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emine","family":"\u00c7\u00f6lge\u00e7en","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Akif","family":"Cans\u0131z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-36-20240829","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1056\/NEJMra1103442","article-title":"Alopecia areata","volume":"366","author":"Gilhar","year":"2012","journal-title":"N Eng J Med"},{"key":"R2-36-20240829","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.det.2012.08.010","article-title":"Alopecia areata update","volume":"3","author":"Alkhalifah","year":"2013","journal-title":"Dermatol Clin"},{"key":"R3-36-20240829","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1046\/j.1525-1470.2002.00215.x","article-title":"Alopecia areata in children: A clinical profile","volume":"19","author":"Nanda","year":"2002","journal-title":"Pediatr Dermatol"},{"key":"R4-36-20240829","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jaad.2017.04.1141","article-title":"Alopecia areata: Disease characteristics, clinical evaluation, and new perspectives on pathogenesis","volume":"78","author":"Strazzulla","year":"2018","journal-title":"J AM ACAD Dermatol"},{"key":"R5-36-20240829","doi-asserted-by":"crossref","first-page":"815","DOI":"10.5021\/ad.2017.29.6.815","article-title":"Analysis of personality trait in patients with Alopecia","volume":"29","author":"Kim","year":"2017","journal-title":"Ann Dermatol"},{"key":"R6-36-20240829","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1046\/j.1365-4362.2003.01340.x","article-title":"Alopecia areata: Psychiatric comorbidity and adjustment to illness","volume":"42","author":"Ruiz-Doblado","year":"2003","journal-title":"Int J Dermatol"},{"key":"R7-36-20240829","doi-asserted-by":"crossref","first-page":"52","DOI":"10.4274\/turkderm.48.s12","article-title":"Hair loss related to primary psychiatric disorders","volume":"48","author":"Fettaho\u011flu","year":"2014","journal-title":"Turkderm"},{"key":"R8-36-20240829","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/00004583-199705000-00019","article-title":"Children with alopecia areata: Psychiatric symptomatology and life events","volume":"36","author":"Liakopoulou","year":"1997","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"R9-36-20240829","doi-asserted-by":"crossref","first-page":"421","DOI":"10.4103\/0019-5154.135525","article-title":"The relationship between alopecia areata and alexithymia, anxiety and depression: A case-control study","volume":"59","author":"Sellami","year":"2014","journal-title":"Indian J Dermatol"},{"key":"R10-36-20240829","first-page":"101","article-title":"Alopecia areata and alexithymia","volume":"17","author":"Yaz\u0131c\u0131","year":"2006","journal-title":"Turk J Psych"},{"key":"R12-36-20240829","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1023\/B:JOBA.0000007455.08539.94","article-title":"Multidimensional assessment of emotion regulation and dysreg-ulation: Development, factor structure, and initial validation of the difficulties inemotion regulation scale","volume":"26","author":"Gratz","year":"2004","journal-title":"J Psychopathol Behav Assess"},{"key":"R13-36-20240829","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.sbspro.2014.03.331","article-title":"Emotion regulation strategies and quality of life in dermatologic patients","volume":"127","author":"Ciuluvica","year":"2014","journal-title":"Procedia Soc Behav Sci"},{"key":"R14-36-20240829","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.comppsych.2016.08.001","article-title":"Health-related quality of life and its association with alexithymia and difficulties in emotion regulation in patients with psoriasis","volume":"70","author":"Innamorati","year":"2016","journal-title":"Compr Psychiatry"},{"key":"R15-36-20240829","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.psychres.2016.01.025","article-title":"Alexithymia, emotion dysregulation, impulsivity and aggression: A multiple mediation model","volume":"237","author":"Velotti","year":"2016","journal-title":"Psychiatry Res"},{"key":"R16-36-20240829","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.cpr.2009.11.004","article-title":"Emotion regulation strategies across psychopathology: A meta-analytic review","volume":"30","author":"Aldao","year":"2010","journal-title":"Clin Psychol Rev"},{"key":"R17-36-20240829","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.jaad.2003.09.032","article-title":"Alopecia areata investigational assessment guidelines part II. National alopecia areata foundation","volume":"51","author":"Olsen","year":"2004","journal-title":"J Am Acad Dermatol"},{"key":"R18-36-20240829","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1080\/10615806.2011.582949","article-title":"Measurement of anxious traits: A contemporary review and synthesis","volume":"25","author":"Elwood","year":"2012","journal-title":"Anxiety Stress Coping"},{"key":"R21-36-20240829","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1097\/01.NMD.0000081667.02656.21","article-title":"High psychiatric comorbidity in spasmodic torticollis: A controlled study","volume":"191","author":"Gundel","year":"2003","journal-title":"J Nerv Ment Dis"},{"key":"R22-36-20240829","doi-asserted-by":"crossref","first-page":"304","DOI":"10.2340\/00015555-1239","article-title":"Psychological status of patients with alopecia areata","volume":"3","author":"Alfani","year":"2012","journal-title":"Acta Derm Venereol"},{"key":"R23-36-20240829","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1016\/j.brat.2004.08.008","article-title":"Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder","volume":"43","author":"Mennin","year":"2005","journal-title":"Behav Res Ther"},{"key":"R24-36-20240829","first-page":"22","article-title":"Assesment of comorbid psychiatric disorders in children and adolescents with alopecia areata","volume":"2","author":"Demirkaya","year":"2015","journal-title":"Medical Journal of Mugla Sitki Kocman University"},{"key":"R25-36-20240829","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1023\/A:1005174102794","article-title":"Emotion regulation and parenting in AD\/HD and comparison boys: Link-ages with social behaviors and peer preference","volume":"28","author":"Melnick","year":"2000","journal-title":"J Abnorm Child Psychol"}],"container-title":["Indian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijd.ijd_685_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:15:46Z","timestamp":1787757346000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijd.ijd_685_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijd.ijd_685_21","relation":{},"ISSN":["0019-5154"],"issn-type":[{"value":"0019-5154","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}