Experience of Alopecia in Adults: A Grounded Theory Approach

Lee, Su Jung; Kim, Ae Kyung

Abstract

PURPOSE
The purpose of this study was to investigate the alopecia experience in adults and to explain the process of their experiences.
METHODS
Using a grounded theory methodology, 18 interviews were performed with fourteen men and four women, 34~57 years of age, suffering from alopecia. Data were analyzed using the constant comparative analysis method.
RESULTS
The core category emerged as "inescapable fetters". adults with alopecia engaged in three stages: embarrassment, seeking solution, and acceptance phase. Causal conditions were a vicious cycle of stress, biological factors and poor life style. Contextual conditions were recognition of irreversibleness, negative social awareness, and marriage. The central phenomenon of the adaptation process among the adults with alopecia was withdrawn life due to negative body image. Action/Interaction strategies included rely on medical treatment, efforts to take good care of hair, research for information treatment, efforts to cover up hair loss, and mind control. Intervening conditions were time cost, economic cost, support of surrounding people. Consequences was burden of unfinished lifetime homework.
CONCLUSION
When caring for these adults, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life.