TỈ LỆ RỐI LOẠN LO ÂU Ở BỆNH NHÂN RỤNG TÓC TẠI BỆNH VIỆN DA LIỄU THÀNH PHỐ CẦN THƠ

Abstract

Background: Alopecia is a prevalent dermatological condition that, although not lifethreatening, can exert a significant psychological impact—most notably in the form of anxiety disorders. While numerous international studies have established an association between hair loss and anxiety, evidence from Vietnam remains scarce. The Generalized Anxiety Disorder-7 (GAD-7) scale serves as a rapid and validated instrument for the screening and assessment of anxiety symptoms.Objective: To determine the prevalence and severity of anxiety disorders and to identify associated factors among patients with alopecia. Materials and method: A crosssectional descriptive study was conducted on 81 patients diagnosed with alopecia at Can Tho Dermatology Hospital between July 2024 and April 2025. Alopecia was clinically diagnosed, and the severity of anxiety was evaluated using the GAD-7 scale. Demographic characteristics, alopecia subtypes, and clinical parameters were collected and statistically analyzed. Results: The mean age of participants was 31.12±10.70 years; 51.9% were female, and 54.3% resided in rural areas. Alopecia areata was the predominant subtype (71.6%), followed by androgenetic alopecia (18.5%) and other non-scarring alopecias (9.9%). The overall prevalence of anxiety disorders was 30.9%, with the highest rate observed in patients with alopecia areata (37.9%). Female gender was identified as an independent risk factor for anxiety (p=0.001). Female gender and a disease duration of ≤ 6 months were associated with a higher risk of anxiety and were identified as independent risk factors (p=0.009 and p=0.014, respectively). Conclusion: Anxiety disorders are relatively common among patients with alopecia, particularly among female individuals. Comprehensive patient management should incorporate both dermatological treatment and systematic psychological evaluation and support.