A latent profile analysis of age of onset in pathological skin picking

Ricketts, Emily J.; Snorrason, Ívar; Kircanski, Katharina; Alexander, Jennifer R.; Thamrin, Hardian; Flessner, Christopher A.; Franklin, Martin E.; Piacentini, John; Woods, Douglas W.

doi:10.1016/j.comppsych.2018.08.011

Cited by 30 publications

(22 citation statements)

References 38 publications

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“…The average age at initial diagnosis was 7.93. This is contrary to current studies which have reported ages of 10–13 years at initial TTM diagnosis [5]. Our conflicting finding could be due to the fact that parents/guardians were seeking care at a children’s hospital rather than a general practice or hospital.…”

Section: Discussion/conclusioncontrasting

confidence: 88%

“…In this study, we present data on the clinical and epidemiologic features of TTM in a sample of children at an urban tertiary care center. Most subjects in our cohort were females (65%), keeping with the existing literature [5, 6]. The average age at initial diagnosis was 7.93.…”

Section: Discussion/conclusionsupporting

confidence: 76%

“…Since 1889, the etiology, epidemiology, natural history, psychosocial impact, and treatment options are still uncertain. TTM onset may occur across the lifespan, yet adolescent onset (ages 10–13) is most frequently reported, affecting more females than males [5, 6]. The lifetime prevalence is estimated to be around 1–3% [6].…”

Section: Introductionmentioning

confidence: 99%

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Trichotillomania in Children and the Different Approaches between Dermatological and Behavioral Health Professionals at an Urban Tertiary Care Center

Rangu

Castelo‐Soccio

2020

Skin Appendage Disord

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Background: Trichotillomania (TTM) is a complex disease with varying clinical characteristics, and psychosocial impairment is noted in many TTM patients. Despite its prevalence in childhood, there is limited research on pediatric TTM. Objective: To analyze the clinical and epidemiologic features of TTM in children evaluated by dermatologists and behavioral health specialists. Method: We performed a retrospective chart review of 137 pediatric patients seen at the Children’s Hospital of Philadelphia with initial presentation of TTM at age 17 or younger. Patients were treated by dermatology or behavioral health. Results: The majority of the patients were females, with an average diagnosis age around 8 years. Over half had a psychiatric comorbidity, and over a quarter had a skin disorder. Skin disorders were more commonly present in those evaluated by dermatology, and psychiatric comorbidities were more commonly present in those evaluated by behavioral health. The most common form of treatment was behavioral therapy, with medications prescribed more often by dermatologists. Conclusions: TTM patients choose to present to behavioral health or dermatology; however, there are distinctive differences between the two cohorts. With behavioral and pharmacologic treatment options, a relationship between dermatologists and behavioral health specialists is necessary for multifactorial management of TTM.

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Section: Discussion/conclusioncontrasting

confidence: 88%

Section: Discussion/conclusionsupporting

confidence: 76%

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Trichotillomania in Children and the Different Approaches between Dermatological and Behavioral Health Professionals at an Urban Tertiary Care Center

Rangu

Castelo‐Soccio

2020

Skin Appendage Disord

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“…While large epidemiological studies are lacking, it is estimated that approximately 1–5% of the general population are affected by SPD (Hayes, Storch, & Berlanga, 2009; Keuthen, Koran, Aboujaoude, Large, & Serpe, 2010). Although SPD symptoms may present across the lifespan, the condition typically emerges in adolescence (Odlaug & Grant, 2008; Ricketts et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the excoriation (skin‐picking disorder) dimensional scale

Russell

Bolger

Moses

et al. 2020

Clinical Psychologist

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Objective The Excoriation (skin‐picking disorder) dimensional scale (SPD‐D) is a new measure of excoriation skin picking disorder (SPD). The 5‐item scale was developed by the Diagnostic and Statistical Manual (Fifth Edition) obsessive–compulsive spectrum disorders sub‐workgroup to assist in the dimensional assessment of SPD. Method The aim of the present study was to provide a psychometric evaluation of this new scale in a large community sample. 803 participants were recruited from online community noticeboards around Australia. Results The results indicated that the SPD‐D demonstrated a unidimensional structure, high internal consistency (rs = .87, .86, and .92 across three samples), and good test–retest reliability (rs = .86). The SPD‐D also demonstrated good convergent validity with the Skin‐Picking Scale Revised (rs = .90) as well as divergent validity with the generalised anxiety disorder scale (rs = .40). Conclusions Overall, the SPD‐D appears to be a brief and reliable measure of SPD symptomatology.

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“…Infliction of this behavior using fingernails and fingers was implicated in most of these cases, while others have reported the use of tweezers, pins, tissues, and various other instruments [ 3 ]. The prevalent mean age of onset of SPD in individuals is reported to be approximately 13.6 years [ 4 , 5 , 6 ], with a mean duration of 12.7 years (ranging between three years and 40 years), featuring waxing and waning skin picking episodes throughout the individual’s lifetime [ 5 ]. This is suggestive of SPD possessing a chronic and recurrent nature.…”

Section: Introductionmentioning

confidence: 99%

Dermatillomania: Strategies for Developing Protective Biomaterials/Cloth

et al. 2021

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Dermatillomania or skin picking disorder (SPD) is a chronic, recurrent, and treatment resistant neuropsychiatric disorder with an underestimated prevalence that has a concerning negative impact on an individual’s health and quality of life. The current treatment strategies focus on behavioral and pharmacological therapies that are not very effective. Thus, the primary objective of this review is to provide an introduction to SPD and discuss its current treatment strategies as well as to propose biomaterial-based physical barrier strategies as a supporting or alternative treatment. To this end, searches were conducted within the PubMed database and Google Scholar, and the results obtained were organized and presented as per the following categories: prevalence, etiology, consequences, diagnostic criteria, and treatment strategies. Furthermore, special attention was provided to alternative treatment strategies and biomaterial-based physical treatment strategies. A total of six products with the potential to be applied as physical barrier strategies in supporting SPD treatment were shortlisted and discussed. The results indicated that SPD is a complex, underestimated, and underemphasized neuropsychiatric disorder that needs heightened attention, especially with regard to its treatment and care. Moreover, the high synergistic potential of biomaterials and nanosystems in this area remains to be explored. Certain strategies that are already being utilized for wound healing can also be further exploited, particularly as far as the prevention of infections is concerned.

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A latent profile analysis of age of onset in pathological skin picking

Cited by 30 publications

References 38 publications

Trichotillomania in Children and the Different Approaches between Dermatological and Behavioral Health Professionals at an Urban Tertiary Care Center

Trichotillomania in Children and the Different Approaches between Dermatological and Behavioral Health Professionals at an Urban Tertiary Care Center

Psychometric properties of the excoriation (skin‐picking disorder) dimensional scale

Dermatillomania: Strategies for Developing Protective Biomaterials/Cloth

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