Appendix S1.

Keywords used in the literature search related to alopecia areata and the cumulative life course impairment concept

Stigma

Rejection

Concealment

Self-esteem

Self-confidence

Self-image

Embarrassment

Avoidance

Social and economic outcomes

Quality of life

Employment/Job

Financial burden

Earning capacity

Sick leave

Lost days from work

Cost of treatment

Education

Low income

Divorce rate

Sexual life

Relationships

Marital status

Psychological comorbidities

Depression

Anxiety

Stress

Mental health

Suicidal ideation

Substance use disorder

Alcoholism/alcohol consumption

Addiction

Mortality rate

Coping

Coping mechanisms

Coping strategies

Expression of emotion

Wig/hair prosthesis

Support group