Background:Alopecia areata (AA) is an immunological disorder characterised by hair loss. Individuals with AA report high levels of social anxiety. One intervention that holds potential for reducing social anxiety in individuals with AA is mindfulness-based cognitive therapy (MBCT).Aims:Our key aim was to investigate whether MBCT reduces social anxiety in individuals with AA. The study also investigated whether MBCT reduces depression, general anxiety, and increases quality of life and increases trait mindfulness in individuals with AA.Method:Five participants with AA took part in an 8-session in-person MBCT intervention. A multiple-baseline single-group case series design was adopted. Idiographic measures of social anxiety were measured each day from baseline, through intervention, to follow-up. Standardised questionnaires of trait mindfulness, social anxiety, depression, anxiety, and quality of life were completed at baseline, post-intervention, and at 4-week follow-up.Results:All participants completed the MBCT course, but one participant was excluded from the idiographic analysis due to a high amount of missing data. The remaining four participants demonstrated reductions in idiographic measures of social anxiety from baseline to follow-up. These effects were larger between baseline and follow-up, than between baseline and post-intervention. Two participants demonstrated significant improvement in standardised measures of wellbeing from baseline to follow-up – they also practised mindfulness most regularly at home between sessions.Conclusion:MBCT may be effective in reducing social anxiety and improving wellbeing in individuals with AA, although this might be dependent on the extent to which participants regularly practise mindfulness exercises.

中文翻译：

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基于正念的认知疗法对斑秃患者社交焦虑症状的有效性：单组病例系列设计

背景：斑秃（AA）是一种以脱发为特征的免疫性疾病。患有 AA 的人表现出高度的社交焦虑。一种有望减少 AA 患者社交焦虑的干预措施是基于正念的认知疗法 (MBCT)。 目的：我们的主要目的是调查 MBCT 是否可以减少 AA 患者的社交焦虑。该研究还调查了 MBCT 是否可以减少 AA 患者的抑郁、一般性焦虑，并提高生活质量和特质正念。方法：五名 AA 参与者参加了为期 8 次的面对面 MBCT 干预。采用多基线单组病例系列设计。每天从基线、干预到随访，对社交焦虑的具体测量进行测量。在基线、干预后和 4 周随访时完成特质正念、社交焦虑、抑郁、焦虑和生活质量的标准化问卷。结果：所有参与者都完成了 MBCT 课程，但一名参与者被排除在外由于大量缺失数据而无法进行具体分析。其余四名参与者的社交焦虑具体指标从基线到随访均有所减少。基线和随访之间的这些影响比基线和干预后之间的影响更大。两名参与者从基线到随访的标准化幸福感指标均表现出显着改善——他们还在会议之间最经常地在家练习正念。结论：MBCT 可能有效减少 AA 患者的社交焦虑并改善幸福感，尽管这可能取决于参与者定期练习正念练习的程度。