The Quality of Life and Psychosocial Impact on Female Pattern Hair Loss in Saudi Arabia: A Cross-Sectional Study

Abstract

Background & Aims: Hair plays a crucial role in self-identity and social interaction, particularly for women, making female pattern hair loss (FPHL) a distressing condition. While the psychosocial impact of FPHL is well-documented globally, research within the Saudi Arabian context remains limited. Given the cultural significance of hair in the region, understanding its broader implications is essential. This study aimed to assess the quality of life (QoL) and psychosocial impact of FPHL among women in Saudi Arabia, with a focus on emotional burden and social challenges. Methods: A cross-sectional online survey was conducted between October and December 2024, targeting Saudi women aged 18 years and older experiencing hair loss. A randomized sampling technique was employed to recruit 303 participants. Data were collected using a bilingual, expert-validated, pre-structured questionnaire. Respondents with incomplete answers or unrelated medical conditions were excluded. Results: Of the 303 participants, mild hair loss was most prevalent (88.1%), followed by moderate (10.2%) and severe (1.7%) cases. Younger women (aged 20–29) and those who were single reported the highest rates of hair loss. No significant association was observed between hair loss severity and employment status, working hours, or income. Although psychological symptoms such as depression, anxiety, fatigue, and sleep disturbances did not show a significant correlation with hair loss severity, participants reported a notable impact on social life and interpersonal relationships. Conclusion: FPHL adversely affects the quality of life and social engagement of Saudi women, particularly in terms of self-image and societal acceptance. Despite limited psychological correlation, the emotional and social dimensions warrant greater attention. These findings underscore the need for further research and the development of supportive groups tailored to the cultural context.

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