Background: Hirsutism has a negative impact on women's quality of life. The relation between quality of life, anxiety, depression and the level of hairiness has not been described. Aims: To investigate the correlations between the levels of hairiness, quality of life, anxiety and depression. Methods: 200 patients from Malmö, Örebro and Uppsala, who had been in contact with the clinics for problems with excessive hair growth, were invited to answer a self-administered questionnaire including sociodemographic questions, EQ-5D index score, Dermatology Life Quality Index (DLQI), Hospital Anxiety and Depression Scale (HADS) and Ferriman-Gallwey scale (F-G); of these, 127 women participated in the study. Results: The mean values were: EQ-5D index 0.73 (SD = 0.27), EQ visual analogue scale 61.0 (SD = 22.6), HADS-anxiety 9.5 ± 5.3 and HADS-depression 6.5 ± 4.6. The mean DLQI was 11.8 ± 8.4, indicating a very large effect on patients' lives. All were significantly correlated with the amount of hairiness. Conclusions: Higher levels of hair growth were significantly correlated with a lower level of quality of life and symptoms of both anxiety and depression.

Barth JH, Catalan J, Cherry CA, Day A: Psychological morbidity in women referred for treatment of hirsutism. J Psychosom Res 1993;37:615-619.
Sonino N, Fava GA, Mani E, Belluardo P, Boscaro M: Quality of life of hirsute women. Postgrad Med J 1993;69:186-189.
Hunter MH, Carek PJ: Evaluation and treatment of women with hirsutism. Am Fam Physician 2003;67:2565-2572.
Azziz R: The evaluation and management of hirsutism. Obstet Gynecol 2003;101:995-1007.
Rosenfield RL: Clinical practice. Hirsutism. N Engl J Med 2005;353:2578-2588.
Hines G, Moran C, Huerta R, Folgman K, Azziz R: Facial and abdominal hair growth in hirsutism: a computerized evaluation. J Am Acad Dermatol 2001;45:846-850.
Lipton MG, Sherr L, Elford J, Rustin MHA, Clayton WJ: Women living with facial hair: the psychological and behavioral burden. J Psychosom Res 2006;61:161-168.
Ekbäck M, Wijma K, Benzein E: ‘It is always on my mind': women's experiences of their bodies when living with hirsutism. Health Care Women Int 2009;30:358-372.
Kitzinger C, Willmott J: ‘The thief of womanhood': women's experience of polycystic ovarian syndrome. Soc Sci Med 2002;54:349-361.
Basow SA, Braman AC: Women and body hair: social perceptions and attitudes. Psychol Women Q 1998;22:637-645.
Tiggemann M, Kenyon SJ: The hairlessness norm: the removal of body hair in women. Sex Roles 1998;39:873-885.
Drosdzol A, Skrzypulec V, Plinta R: Quality of life, mental health and self-esteem in hirsute adolescent females. J Psychosom Obstet Gynaecol 2010;31:168-175.
Keegan A, Liao LM, Boyle M: ‘Hirsutism': a psychological analysis. J Health Psychol 2003;8:327-345.
Loo WJ, Lanigan SW: Laser treatment improves quality of life of hirsute females. Clin Exp Dermatol 2002;27:439-441.
Burstrom K, Johannesson M, Diderichsen F: Swedish population health-related quality of life results using the EQ-5D. Qual Life Res 2001;10:621-635.
Rabin R, de Charro F: EQ-5D: a measure of health status from the EuroQol Group. Ann Med 2001;33:337-343.
Moberg C, Alderling M, Meding B: Hand eczema and quality of life: a population-based study. Br J Dermatol 2009;161:397-403.
Finlay AY, Khan GK: Dermatology Life Quality Index (DLQI) - a simple practical measure for routine clinical use. Clin Exp Dermatol 1994;19:210-216.
Basra MK, Fenech R, Gatt RM, Salek MS, Finlay AY: The Dermatology Life Quality Index 1994-2007: a comprehensive review of validation data and clinical results. Br J Dermatol 2008;159:997-1035.
Hongbo Y, Thomas CL, Harrison MA, Salek MS, Finlay AY: Translating the science of quality of life into practice: what do dermatology life quality index scores mean? J Invest Dermatol 2005;125:659-664.
Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361-370.
Wetzler S, Katz MM: Problems with the differentiation of anxiety and depression. J Psychiatr Res 1989;23:1-12.
Bjelland I, Dahl AA, Haug TT, Neckelmann D: The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 2002;52:69-77.
Telles-Correia D, Barbosa A: Anxiety and depression in medicine: models and measurement (in Portuguese). Acta Med Port 2009;22:89-98.
Julian LJ: Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken) 2011;63(suppl 11):S467-S472.
Ferriman D, Gallwey JD: Clinical assessment of body hair growth in women. J Clin Endocrinol Metab 1961;21:1440-1447.
Hatch R, Rosenfield RL, Kim MH, Tredway D: Hirsutism: implications, etiology, and management. Am J Obstet Gynecol 1981;140:815-830.
Falsetti L, Gambera A, Tisi G: Efficacy of the combination ethinyl oestradiol and cyproterone acetate on endocrine, clinical and ultrasonographic profile in polycystic ovarian syndrome. Hum Reprod 2001;16:36-42.
Conroy FJ, Venus M, Monk B: A qualitative study to assess the effectiveness of laser epilation using a quality-of-life scoring system. Clin Exp Dermatol 2006;31:753-756.
Jayaprakasam A, Darvay A, Osborne G, McGibbon D: Comparison of assessments of severity and quality of life in cutaneous disease. Clin Exp Dermatol 2002;27:306-308.
Lundberg L, Johannesson M, Silverdahl M, Hermansson C, Lindberg M: Health-related quality of life in patients with psoriasis and atopic dermatitis measured with SF-36, DLQI and a subjective measure of disease activity. Acta Derm Venereol 2000;80:430-434.
Berg M, Lindberg M: Possible gender differences in the quality of life and choice of therapy in acne. J Eur Acad Dermatol Venereol 2011;25:969-972.
Kind P, Dolan P, Gudex C, Williams A: Variations in population health status: results from a United Kingdom national questionnaire survey. BMJ 1998;316:736-741.
Rabinowitz S, Cohen R, Le Roith D: Anxiety and hirsutism. Psychol Rep 1983;53:827-830.
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