Alopecia Areata (AA) is an autoimmune condition that is characterised by non-scarring hair loss. Its aesthetic repercussions can lead to profound changes in psychological well-being. Although physical activity (PA) has been associated with better mental health outcomes in diverse populations, the association in individuals with AA has not been established. The aim of this study was to examine the associations between PA and mental health outcomes in individuals with AA to inform intervention strategies for this specific population. A cross-sectional study was conducted among individuals who were diagnosed with AA. A total of 83 respondents aged (40.95 ± 13.24 years) completed a self-report questionnaire consisting of International Physical Activity Questionnaire-Short Form (IPAQ-SF) and the Depression and Anxiety Stress Scale (DASS-21). Three-way contingency Chi-square analyses were used to determine the associations between PA, mental health outcomes and participants with hair loss of more than 50% on the scalp. 81.9% of the participants did not meet PA guidelines. Participants with hair loss of more than 50% on the scalp, and who did not meet PA guidelines, were significantly more likely to experience symptoms of severe depression (p = .003), moderate anxiety (p = .04) and mild stress (p = .003) than those who met guidelines Findings suggest that increased PA participation in AA individuals with severe hair loss is associated with improved mental health status. Intervention efforts for this specific population should consider barriers and enablers to PA participation as they face challenges that differ from the general population.

中文翻译：

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斑秃患者体育活动水平与抑郁，焦虑和压力症状的关系

脱发症（AA）是一种自身免疫性疾病，其特征是无疤痕性脱发。它的美学影响可以导致心理健康的深刻变化。尽管在不同人群中进行体育锻炼（PA）与改善心理健康状况相关，但尚未建立与AA个体的关系。这项研究的目的是检查AA患者的PA与心理健康结局之间的关系，从而为该特定人群提供干预策略。在诊断为AA的个体中进行了横断面研究。共有83位年龄在（40.95±13.24岁）的受访者填写了一份自我报告调查表，包括国际体育活动问卷-简短表格（IPAQ-SF）和抑郁与焦虑压力量表（DASS-21）。使用三向偶发性卡方分析来确定PA，心理健康结局和头皮上脱发超过50％的参与者之间的关联。81.9％的参与者不符合PA准则。头皮脱发超过50％并且不符合PA指南的参与者明显更有可能出现严重的抑郁症（p = .003），中度焦虑症（p = .04）和轻度压力（ p = 0.003），比符合指南的人高。研究结果表明，严重脱发的AA患者中PA参与的增加与心理健康状况的改善有关。针对这一特定人群的干预工作应考虑到巴勒斯坦权力机构参与的障碍和促成因素，因为它们面临着与普通人群不同的挑战。