Ethnic differences in trichotillomania: Phenomenology, interference, impairment, and treatment efficacy

Race/Ethnicity and Treatment Outcome in a Randomized Controlled Trial for Trichotillomania (Hair‐Pulling Disorder)

“…Larger scale studies of treatment outcome among ethnic minorities need to be conducted with the ultimate aim of exploring whether the incorporation of cross‐cultural factors is needed in the treatment of TTM. For instance, different adaptations may be necessary for different minority groups, but Neal‐Barnett and colleagues () proposed that factors such as cultural messages about hair and racial stress, discrimination, and identity should be further examined and if warranted, ultimately included in interventions. These types of adaptations have the potential to improve the treatment efficacy gap depicted in our results.…”

“…To our knowledge, there have not been any published treatment studies for TTM that compared outcome between White and non‐White participants in a clinical trial. Neal‐Barnett and colleagues () conducted an Internet study that examined ethnic differences in treatment for TTM in which Whites were found to be more likely to seek treatment (medication, behavior therapy, hypnosis, psychotherapy, and support groups) for TTM than were African Americans and Hispanics/Latinos. Additionally, no significant difference was found between self‐rated treatment improvement between the White and minority participants.…”

“…It is possible that the current cognitive-behavioral treatments for TTM work best for Whites, and that modifications should be made for other ethnic groups. For instance, Neal-Barnett et al (2010) suggested that culture-based interventions for TTM might be needed, which take into consideration the psychological aspects of being a minority, such as cultural messages about hair and mental health, race-related stress, discrimination, identity, and acculturation. To begin to address this issue, we compared treatment responses of Whites and of racial/ethnic minorities in a stepped care trial (web-based self-help in step 1 and habit reversal therapy in step 2) for adults with TTM.…”

Psychologic Outcomes of Dermatological Diseases and Comorbidities

“…Anksiyete fliddeti artt›kça TTM belirtilerinin de fliddetlendi¤i görülmektedir. Özel-likle obsesif kompulsif belirtilerle TTM s›kl›kla bir aradad›r 79 . : 25-35 • Onikotillomani ve Onikofaji T›rnak yeme de s›k görülen ve istenmeyen bir davran›flt›r.…”

Investigation of the Phenomenological and Psychopathological Features of Trichotillomania in an Italian Sample

“…It remains to be seen whether TTM symptomatology, phenomenology, and comorbidity are similar across cultures. Neal-Barnett and Stadulis (2006) , Neal-Barnett et al (2010) found that African American and Latino hair pullers showed differences in phenomenology and functional impairment when compared to their Caucasian counterparts, thus highlighting the importance of studying TTM in different cultural contexts. Likewise, very few TTM studies have been reported in European countries.…”