A skin-picking disorder case report: a psychopathological explanation

Ribeiro, Ângela; Ribeiro, João; Doellinger, Orlando von

doi:10.1590/0047-2085000000075

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…3 We also found that marital status (being divorced or separated) was associated with a higher likelihood of skin picking behavior; however, it is worthy to note that the majority of our patients were < 30 years of age, which may have affected this finding. However, the association with marital status is consistent with those of Ribeiro, Ribeiro, and Von Doellinger, 33 who reported that problems in close relationships may promote frustration, impulsivity, and aggression, which then manifests as skin picking behavior. Other authors have hypothesized that if language cannot be used to express emotions and regulate affect, then skin picking or other forms of self-mutation may be used as a substitute.…”

supporting

confidence: 85%

Prevalence of and Risk Factors for Skin Picking Disorder Symptoms Among Adults in an Arab Middle Eastern Population: A Cross-Sectional Study

Khatib¹,

Alghamdi²,

Subki³

et al. 2022

CCID

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Introduction Skin Picking Disorder (SPD) is a skin-related disease, also recognized as psychogenic excoriation, dermatillomania, or excoriation disorder. SPD is defined as a habitual picking of skin, which in turn harms skin tissue. Given the paucity of information on SPD symptoms, their prevalence, and risk factors in Saudi Arabia, the present study seeks to fill this gap by investigating these factors in a community sample from Jeddah. Methods This descriptive cross-sectional study was conducted in the city of Jeddah. The Skin Picking Scale-Revised (SPS-R) scale was administered to a convenience sample of 520 respondents. A partial least squares path model (PLS-PM) for “impairment” and “symptoms severity” subscales was assessed by evaluating the validity of measurement and structural models. Results Skin picking behavior was reported by 28.8% (n=150). A significant level of skin picking disorder symptoms was present in 1.2% (n=6). Skin picking visual effect, depressive symptoms, and being unmarried were the only positive independent predictors of the total SPS-R score. Conclusion SPD symptoms are relatively common among the adult population in Jeddah, but those with threshold symptoms indicative of SPD are relatively few. Such behavior is particularly common in vulnerable groups such as those with depressive symptoms and the unmarried. More attention to this condition by clinicians will improve the quality of life of those affected, and reduce the emotional and physical health consequences of this often unrecognized condition.

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supporting

confidence: 85%

Prevalence of and Risk Factors for Skin Picking Disorder Symptoms Among Adults in an Arab Middle Eastern Population: A Cross-Sectional Study

Khatib¹,

Alghamdi²,

Subki³

et al. 2022

CCID

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“…12- 15 We conducted a review of the literature and found six cases of neurotic excoriations summarized in Table 1. [12][13][14][16][17][18] As stated by Wong et al that psychocutaneous diseases can be found in patients with history of lesions that never heal. 3 Wounds of this patient never heal for years because of repeated acts of manipulation by the patients.…”

Section: Prognosis and Managementmentioning

confidence: 99%

Neurotic excoriation: A case report and literature review

2022

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Background: On average, one-third of patients seeking treatment for skin problems have associated psychological stress or psychiatric disease. Most psychodermatologic patients visit a dermatologist instead of a psychiatrist. It is important to recognize the signs and symptoms immediately, make a prompt diagnosis and do a comprehensive treatment that involves multi-disciplinary approach, including dermatology, psychiatry and other discipline if necessary. Case Presentation: A 40-year-old female, visited the Dermatology and Venereology (DV) outpatient clinic of Dr. Cipto Mangunkusumo Hospital with a chief complaints of wound on her right ear since 2 weeks ago. The patient was also diagnosed with Chiari malformation type 1 and had undergone surgery twice. The patient confessed of having a habit of intentionally skin picking until they were chafed and bled when she was stressed. The patient was diagnosed as neurotic excoriations, treated with potent topical corticostreroid and consulted to the psychiatric department. Discussion: Neurotic excoriations is classified as primary psychiatric skin disorders. Symptoms usually occurred when the patient was in the depression state. At first the patient only followed the dermatologist treatment and had a poor compliance with psychiatric management. Therefore the patients keep manipulating the lesions and the outcome was not satisfactory because the underlying disease has not been well treated. After the dermatologist convinced her to see the psychiatrist regularly, accompanied by a good compliance in applying the corticosteroid cream, the result was satisfactory. Conclusion: The psychocutaneous disease need a comprehensive and multi-disciplinary approach. Dermato-venereologists should work together with the psychiatrist.

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A skin-picking disorder case report: a psychopathological explanation

Cited by 2 publications

References 12 publications

Prevalence of and Risk Factors for Skin Picking Disorder Symptoms Among Adults in an Arab Middle Eastern Population: A Cross-Sectional Study

Prevalence of and Risk Factors for Skin Picking Disorder Symptoms Among Adults in an Arab Middle Eastern Population: A Cross-Sectional Study

Neurotic excoriation: A case report and literature review

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