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  • The world's first psychological survey in patients AGA wearing wig

The world's first psychological survey in patients AGA wearing wig

Conducting the world's first psychological survey in patients AGA wearing wig

Dr. Satoshi Itami (Professor, Department of Regenerative Dermatology, Osaka University Graduate School of Medicine), Dr. Shigeki Inui (Associate Professor, Department of Regenerative Dermatology, Osaka University Graduate School of Medicine) and Takenobu Inoue (Director, Department of Assistive Technology, Research Institute of National Rehabilitation Center for Persons with Disabilities) gave a presentation on results from survey investigating the effects of wigs on psychological QOL in patients with AGA (androgenic alopecia) at the 112th Annual Meeting of the Japanese Dermatological Association (June 14 (Fri) to 16 (Sun), 2013). Aderans (Head Office: Shinjuku-ku, Tokyo.Representative Director, Chairman and President. Nobuo Nemoto) cooperated with them through the recruitment of men participating in the survey.
This survey research is the world' first one with statistical analysis on wig's effect on psychological QOL in AGA (androgenic alopecia) patients and has demonstrated that wigs make wearers feel positive and exhilarate them physically and mentally. Thus, wigs play an important role in wearer's psychology.

Satisfaction about physical appearance when wearing a wig is correlated with "motivation", "willingness・confidence" and "self-esteem". The survey results have shown that wearing a wig improved psychological QOL (motivation, willingness・confidence, self-esteem and overall QOL). The more satisfied a person was with his or her appearance, the better QOL he or she got. Thus, the study result indicates that a factor related to the patient's appearance (how natural he or she looks) is associated with the improvement of psychological QOL

Psychological QOL when wearing a wig: comparison between the degree of improvement and satisfaction about the appearance (reference 1)

The more progressive disease a person suffers from, wearing a wig improved "motivation", and "willingness・confidence".It has been found that the more progressive disease (AGA severity) a person suffers from, wearing a wig improved psychological QOL (motivation, willingness・confidence and overall QOL).

Correlating factors Coefficient of correlation Judgment (test using Spearman's rank correlation, p<0.05)
AGA severity and overall QOL 0.523 The more severe, the more improvement
AGA severity and motivation 0.502 The more severe, the more improvement
AGA severity and willingness・confidence 0.438 The more severe, the more improvement

* For evaluating the correlation coefficient, it is calculated based on test using Spearman's rank correlation. The correlation coefficient expresses the degree to which two variable's movements are associated.
(reference 1)

■Survey overview
【Purpose】 Impact of wearing a wig on psychological QOL
【Participants】 26 men with AGA (age range: 40 to 59 years of age, median: 49.5)
【Period】January 2012 to July 2012
【Methods】Hearing survey using the "Psychosocial Impact of Assistive Devices Scales (PIADS)"
The PIADS consist of 26 items: motivation (12 items), willingness・confidence (6) and self-esteem (8).
■Comment from Professor Satoshi Itami
It has been thought that hair expresses human dignity and personality since early times. Patients with alopecia significantly suffer from a sense of loss and decreased psychological QOL. Androgenic alopecia Androgenic alopecia has been a great distress for a long time. People suffering from anticancer medication-induced hair loss or extensive alopecia areata have severe psychological trauma and thus effective treatment is required. It had been thought that wearing a wig might improve psychological QOL in these people but there was no objective scientific data. This survey results enables us to recommend the use of a wig with scientific evidence.
■Comment from Dr. Shigeki Inui
This survey results have shown that wigs play an important role in AGA from a medical point of view. It also has demonstrated that all users (in this survey) experienced the improvement in psychological QOL and the physical appearance had an impact on psychology. It means that wigs are a useful item from a medical viewpoint.
As hair originally acts as a barrier to the rays and protects the scalp, wigs can be an item that provides further protection of the scalp physically and psychologically.
■Cooperation with Osaka University
We established the "Department of Regenerative Dermatology (Aderans)" of Osaka University Graduate School of Medicine in April, 2006.We strive for research together with Professor Satoshi Itami who is a leading authority on hair science in Japan and other professionals with the aim of providing a novel treatment for people suffering from thinning hair.
(reference 1)
Inui S, Inoue T, Itami S. Effect of wigs on perceived quality of life level in androgenetic alopecia patients. J Dermatol 40: 223-225,2013
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