Frequency and Treatment of Trichotillomania in Poland

Szepietowski, Jacek C.; Salomon, Joanna; Pacan, Przemysław; Hrehorów, Ewa; Zalewska, Anna

doi:10.2340/00015555-0630

Cited by 16 publications

(11 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The scalp is the most commonly involved region, followed by eyebrows, eyelashes, pubic or any other skin area [68]. There is a significant psychiatric co morbidity with trichitillomania, as well as the presence of parental history of tics, habits or obsessive-compulsive symptoms [69].…”

Section: Trichotillomaniamentioning

confidence: 99%

The psychiatric aspects of skin disorders

Osman¹,

Mufaddel²,

Mugaddam

et al. 2011

Expert Review of Dermatology

View full text Add to dashboard Cite

The skin is recognized as an important mode of communication between the external and the internal psychic and biological processes [1]. The skin and the psyche are closely related from historical, embryologic, biological, psychological developmental and cultural perspectives.The importance of the skin is that it is literally the initial point of contact between the external and internal environments. Exposure to external pollutants, toxins, allergens and other noxious environmental elements find symptomatic expression through the skin.Embryologically, the shared origins of brain and skin are well recognized. Both are developed from the same embryologic germ layer (ectoderm) and two-way communication influences seem to persist throughout the life cycle.Biologically, the contribution of stress to skin diseases is backed by neuroendocrine and immunologic sciences. Emotional factors influence many skin diseases, and the correlation between stressful life events and disease flares is well-recognized in dermatology [2]. Flares of psoriasis, herpes simplex and atopic eczema are influ enced by proinflammatory cytokines, which are also modulated by psychosocial stressors [3]. The cytokines regulate immunologic responses and also mediate inflammatory processes, with recurrent hormonal secretion leading to central biologic changes in mood, anxiety and vegetative conditions [4].Psychologically, the internal psychological factors and emotional suffer ing may eventually find the skin a suitable organ for a visible expression of turmoil. This close relationship between the skin and the psyche has long been recognized in the sci entific literature. On 7 July 1949, AW Watt read an article at the 25th annual meeting of the British Association for Dermatology and Syphilology in London (UK) in which he encouraged dermatologists to consider psycho logical factors related to dematologic conditions [201].In addition to Watt, there were many proponents of the concept of intercon nection between the skin and the psyche with proposed modelsThe skin and the psyche are linked from embryologic, biological, psychological and cultural perspectives. Both the skin and the brain are developed from the same ectodermic germ layer. New evidence in psychoneuroimmunology suggest that both the skin and the psyche are affected by immunologic vulnerabilities and endocrine reactions. Emotional stress may exacerbate many chronic dermatoses and can initiate a vicious cycle referred to as the 'itch-scratch cycle'; therefore, treatment of such cases may be difficult without addressing stress. The dynamic interaction between the skin and the psyche is also manifest in cosmetic behavior, whereby the psychological state of the individual is altered through the widely utilized cosmetics and cosmetic procedures. The motives for seeking cosmetic procedures may include a desire to enhance selfconfidence, body image and self-empowerment. Individuals of both genders are becoming concerned about their physical appearance and are increasingly seeking cosmetic procedure...

show abstract

Section: Trichotillomaniamentioning

confidence: 99%

The psychiatric aspects of skin disorders

Osman¹,

Mufaddel²,

Mugaddam

et al. 2011

Expert Review of Dermatology

View full text Add to dashboard Cite

show abstract

“…7,8 Hair pulling usually begins at a young age, between 10 and 13 years old, 9,10 and appears to have a similar presentation across cultures. 3,11 Any site may be the focus of pulling, but the scalp is the most common (72.8%), followed by the eyebrows (56.4%). 12,13 Triggers to pull include sensory (i.e., hair thickness, length, and location, physical sensations on scalp), emotional (i.e., feeling anxious, bored, tense, or angry), and cognitive (i.e., thoughts about hair and appearance, rigid thinking, and cognitive errors) cues.…”

Section: Trichotillomaniamentioning

confidence: 99%

Body-focused repetitive behavior disorders in ICD-11

Grant

Stein

2014

Rev. Bras. Psiquiatr.

View full text Add to dashboard Cite

This article addresses the question of how body-focused repetitive behavior disorders (e.g., trichotillomania and skin-picking disorder) should be characterized in ICD-11. The article reviews the historical nosology of the two disorders and the current approaches in DSM-5 and ICD-10. Although data are limited and mixed regarding the optimal relationship between body-focused repetitive behavior disorders and nosological categories, these conditions should be included within the obsessive-compulsive and related disorders category, as this is how most clinicians see these behaviors, and as this may optimize clinical utility. The descriptions of these disorders should largely mirror those in DSM-5, given the evidence from recent field surveys. The recommendations regarding ICD-11 and body-focused repetitive behavior disorders should promote the global identification and treatment of these conditions in primary care settings.

show abstract

“…Key words: alopecia areata; dermo scopy; dermatoscopy; diagnosis; exclamation mark hair; tinea capitis. Trichotillomania (TTM) is a form of traction alopecia resulting from habitual, repetitive removal of one's own hair (1)(2)(3). From the psychiatric point of view, this term encompasses an entire syndrome of pathological hair-pulling.…”

mentioning

confidence: 99%

New Trichoscopy Findings in Trichotillomania: Flame Hairs, V-sign, Hook Hairs, Hair Powder, Tulip Hairs

Rakowska¹,

Słowińska²,

Olszewska³

et al. 2014

Acta Derm Venerol

106

190

View full text Add to dashboard Cite

Differential diagnosis of trichotillomania is often difficult in clinical practice. Trichoscopy (hair and scalp dermoscopy) effectively supports differential diagnosis of various hair and scalp diseases. The aim of this study was to assess the usefulness of trichoscopy in diagnosing trichotillomania. The study included 370 patients (44 with trichotillomania, 314 with alopecia areata and 12 with tinea capitis). Statistical analysis revealed that the main and most characteristic trichoscopic findings of trichotillomania are: irregularly broken hairs (44/44; 100% of patients), v-sign (24/44; 57%), flame hairs (11/44; 25%), hair powder (7/44; 16%) and coiled hairs (17/44; 39%). Flame hairs, v-sign, tulip hairs, and hair powder were newly identified in this study. In conclusion, we describe here specific trichoscopy features, which may be applied in quick, non-invasive, in-office differential diagnosis of trichotillomania.

show abstract

Frequency and Treatment of Trichotillomania in Poland

Cited by 16 publications

References 28 publications

The psychiatric aspects of skin disorders

The psychiatric aspects of skin disorders

Body-focused repetitive behavior disorders in ICD-11

New Trichoscopy Findings in Trichotillomania: Flame Hairs, V-sign, Hook Hairs, Hair Powder, Tulip Hairs

Contact Info

Product

Resources

About