P03-10 - Psychological impact of chemotherapy induced alopecia

• Published in: European psychiatry Vol. 25; no. S1; p. 869
• Main Authors: Baati, I, Mnif, L, Masmoudi, J, Allouche, C, Damak, R, Halwani, N, Feki, A, Ayadi, N, Jaoua, A
• Format: Journal Article
• Language: English
• Published: Elsevier Masson SAS 2010
• Subjects: Internal Medicine; Psychiatry
• ISSN: 0924-9338; 1778-3585
• DOI: 10.1016/S0924-9338(10)70860-9

Objectives The aim of this work was: • to understand and measure the emotional effects of chemotherapy-induced alopecia by exploring self-esteem, body image, anxiety and depression in cancer patients • to analyse the strategies used to cope with hair loss. Methods This was a cross-sectional study. It involved the use of a questionnaire with patients from the medical oncology unit of the Habib Bourguiba University Hospital. The questionnaire included Socio-demographic data, type and stage of cancer, data concerning the alopecia (partial or total) and its impact on social life, work, and sexuality. Four measurement scales were used: - Rosenberg's Self-Esteem scale, - Bruchon-Schweitzer's Body image questionnaire (QIC) - Hospital Anxiety and Depression scale (HAD) - Brief cope Results Preliminary study It was a population of 24 patients. 55.2% were males. The mean age was 45.9 years. 75.9% were married. Alopecia was the most distressing side effect of chemotherapy in 30.4% of cases. 45.8% were suffering from the stigma of the alopecia which disturbed their social interaction. It led to a loss in self-confidence in half of patients and altered sexuality in third. Self-esteem was low in 34.5%. The average score of the scale body image was 61. 41.4% of patients were anxious and only 27.6% were depressed. The religion was the major strategy used to cope with alopecia. Conclusion The findings suggest that the chemotherapy-induced alopecia has the potential to affect various aspects of patient's life, but Tunisian cancer patients seems to be less affected compared with literature.