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    Metacognition in patients with alopecia areata
    (Turgut Özal Tıp Merkezi Dergisi, 2016) Akyol, Esra Soydas; Işık, Selda; Ertekin, Hülya; Şahin, Başak; Oğuz, Sevilay; Cevizci, Sibel
    Abstract Aim: Though genetic and environmental factors predominate, the pathogenesis of alopecia areata (AA) is not fully known and is associated with emotional stress. A secondary psychiatric disease in psychodermatological disease classification, AA is commonly encountered with depression and anxiety disorder. When the association of alopecia areata with psychiatric diseases is considered, metacognition may play an effective role in its etiology. Materials and Methods: The study included 50 patients diagnosed with alopecia areata and 50 healthy volunteers. Both groups completed the Sociodemographic Data Form and the Metacognition Questionnaire, while the AA group completed the Structured Clinical Interview For DSM-IV (SCID-I). Both groups were compared in terms of sociodemographic, clinical characteristics and metacognition characteristics. Results: Apart from familial AA and presence of psychiatric diseases, there was no significant difference between the groups. These were significantly high in the AA diagnosis group. The need to control thoughts was significantly high in the AA group compared to the HV group (p=0.022). When involvement percentage is compared in AA patients, there were significant differences between the groups for uncontrollability and danger, need to control thoughts and cognitive self-consciousness (p=0.01; P=0.002, p=0.009). When AA patients were compared in terms of remission, cognitive self-consciousness was significantly higher in the group without remission (p=0.018). Conclusion: Many aspects of AA, a psychosomatic disease, have not been researched from a psychiatric viewpoint. Our study is a preliminary study on metacognition; research concerning the association of metacognition with other psychiatric diseases (OCD, GAD) will provide better understanding of AA. Keywords: Alopecia Areata; Metacognition; Psychiatric Disorder.