Identification of trichotillomania cue profiles

Christenson, Gary A.; Ristvedt, Stephen L.; Mackenzie, Thomas B.

doi:10.1016/0005-7967(93)90030-x

Cited by 113 publications

(49 citation statements)

References 6 publications

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“…At least one BFRB was reported by 13.7% of 105 college students, nailbiting being the most common (Teng et al, 2002). While suspected to regulate negative affective states (Christenson, Ristvedt, & Mackenzie, 1993;Diefenbach, Mouton-Odum, & Stanley, 2002;Keuthen et al, 2000), BFRBs often directly result in significant distress and impaired social or occupational functioning as a result of their wounds or attempts to conceal them (Christenson, Mackenzie, & Mitchell, 1991;Flessner & Woods, 2006;O'Sullivan et al, 1997;Wilhelm et al, 1999). Further, many people report that their BFRB causes such shame and embarrassment that they withdraw from social activities (Keuthen et al, 2000;Stemberger, Thomas, Mansueto, & Carter, 2000;Wilhelm et al, 1999;Woods, Fuqua, & Outman, 1999).…”

mentioning

confidence: 99%

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Hayes

Storch

Berlanga

2009

Journal of Anxiety Disorders

202

138

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Body-focused repetitive behaviors (BFRBs) have recently gained attention in the psychiatric literature given their prevalence, considerable associated impairment (Bohne, Wilhelm, Keuthen, Baer, & Jenike, 2002;Teng, Woods, Twohig, & Marcks, 2002), and possible link to other obsessive-compulsive spectrum disorders (Bienvenu et al., 2000;Hollander, 1993;Hollander & Wong, 1995;Jaisoorya, Reddy, & Srinath, 2003). ''Nervous habits'' such as nailbiting, hair pulling, and skin picking are often seen by healthcare practitioners as common and benign, but awareness of the impairment linked to these behaviors is limited (Arnold, Auchenbach, & McElroy, 2001;Bohne, Keuthen, & Wilhelm, 2005). Due to the variance in criteria defining the BFRBs and under-reporting of symptoms, prevalence rates have been difficult to determine. At least one BFRB was reported by 13.7% of 105 college students, nailbiting being the most common (Teng et al., 2002). While suspected to regulate negative affective states (Christenson, Ristvedt, & Mackenzie, 1993;Diefenbach, Mouton-Odum, & Stanley, 2002;Keuthen et al., 2000), BFRBs often directly result in significant distress and impaired social or occupational functioning as a result of their wounds or attempts to conceal them (Christenson, Mackenzie, & Mitchell, 1991;Flessner & Woods, 2006;O'Sullivan et al., 1997;Wilhelm et al., 1999). Further, many people report that their BFRB causes such shame and embarrassment that they withdraw from social activities (Keuthen et al., 2000;Stemberger, Thomas, Mansueto, & Carter, 2000;Wilhelm et al., 1999;Woods, Fuqua, & Outman, 1999). Together, BFRBs have been unofficially grouped under the obsessive-compulsive spectrum (Arnold et al., 1998;Hollander, 1993;Hollander & Wong, 1995;Stein et al., 1995), which includes conditions associated with OCD on one anchor point to behaviors characteristic of impulse-control disorders (ICDs), such as pathological gambling.Of the BFRBs discussed, trichotillomania is the only condition given distinct classification in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-R; American Psychiatric Association, 2000). Trichotillomania, affecting an estimated 1-3% of the general population, is listed as an ICD and characterized by repetitive hair pulling which results in noticeable hair loss most commonly from the scalp, eyebrows, and eyelashes (Christenson et al., 1991). The behavior can result in serious physical consequences. For example, irreversible damage to hair roots due to repetitive pulling can cause permanent baldness, and the chewing and eating of pulled hair can lead to dental complications and gastrointestinal blockage (O'Sullivan et al., 1997). Like other disorders marked by impulsivity, individuals with trichotillomania typically experience an increase in Body-focused repetitive behaviors such as skin picking have gained recent attention in the psychiatric literature. Prevalence of skin picking has not been well researched and is difficult to estimate; however, consequences of such behaviors can include seve...

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confidence: 99%

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Hayes

Storch

Berlanga

2009

Journal of Anxiety Disorders

202

138

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“…The lifetime prevalence of TTM in males and females is roughly 0.6-1% [2,3] , while in clinical settings TTM is found more frequently in women [4][5][6] . Clinically relevant subtypes of hair-pulling behaviour include focused hair-pulling and automatic hairpulling [7,8] . Focused pulling is regarded as intentional and goal-directed, whereas unfocused automatic pulling is considered unintentional and not goal-directed [9,10] .…”

Section: Introductionmentioning

confidence: 99%

Internet-Based Self-Help for Trichotillomania: A Randomized Controlled Study Comparing Decoupling and Progressive Muscle Relaxation

Weidt

Klaghofer

Kuenburg

et al. 2015

Psychother Psychosom

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Michael (2015). Internet-based self-help for trichotillomania: A randomized controlled study comparing decoupling and progressive muscle relaxation. Psychotherapy and Psychosomatics, 84(6) through 6 months of follow-up. Participants' subjective appraisals favoured DC in some areas (e.g. greater satisfaction with DC than PMR). Completer analyses demonstrated the same pattern as the intention-to-treat analyses. Conclusions: Despite subjective appraisals in favour of DC, symptom reduction was comparable in the two groups. While the results suggest that even short Internet-based interventions like DC and PMR potentially help individuals with TTM, a partial effect of unspecific factors, like regression towards the mean, cannot be ruled out. Therefore, longitudinal studies with non-treated controls are warranted.

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“…A somewhat different hypothesis defined TTM as a self-inflicted dermatosis and situations associated with negative emotions (e.g. anxiety, anger, and embarrassment) are common triggers for hair pulling (15).…”

Section: Psychodynamic Featuresmentioning

confidence: 99%

Kardeşlerinin saçını yolan farklı bir trikotillomani olgusu / The child who pulls his little brothers’ hair: a different trichotillomania case

Öyekçin¹,

Şahin²,

Demet³

2012

Dusunen Adam

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The child who pulls his little brothers' hair: a different trichotillomania case Trichotillomania (TTM) is a relatively common cause of childhood alopecia. We report our observations of 8 year old boy referred for consultation for a 4 year history of hair pulling, nail-biting, nose picking, nail picking and scalp-picking. The most commonly affected sites on the scalp were frontal region and vertex. He had started pulling his hair when he was an infant and had a very chronic, unremitting course. During the last two years, he began to pull his two little brothers' hair when they were playing together or when they were sleeping. Both of his both brothers had alopecia on their scalp. It was discovered that there were frequent arguments, violence and negative behaviors at home. Few cases are reported in the literature about children who pull their siblings' hair. We considered that impaired affective interpersonal communication between mother and child, physical and emotional neglect and childhood trauma might have played a role in the development of TTM for this case. In childhood trichotillomania cases, it is important to investigate whether the siblings have hair loss. Key words: Child abuse, trichotillomania, violence ÖZET Kardeşlerinin saçını yolan farklı bir trikotillomani olgusuTrikotillomani, çocukluk çağı alopesi nedenlerinden biridir. Sunmuş olduğumuz olgu, 8 yaşında olup, yaklaşık 4 yıldır süren saç yolma, tırnak yeme, burun karıştırma, tırnak yolma ve saç derisini koparma yakınmaları ile getirilmiştir. Saç bölgesinin özellikle frontal ve verteks kısmının etkilendiği gözlenmiştir. Olgunun saçlarını infantil dönemde yolmaya başladığı ve kronik, düzelmeyen bir gidişinin olduğu öğrenilmiştir. Son 2 yıldır, kendisinden küçük iki kardeşinin saçını yolmaya başladığı ve sıklıkla birlikte oyun oynarken veya kardeşleri uyurken saçlarını yolduğu belirtilmiştir. Her iki erkek kardeşinin saçlı derisinde alopesi gözlenmiştir. Evde sıklıkla kavga, şiddet ve olumsuz davranışların olduğu öğrenilmiştir. Literatürde kardeşlerinin saçını yolan vaka sayısı oldukça seyrektir. Çocukluk çağında yaşanan travma, fiziksel ve duygusal ihmalin ve olumsuz etkilenmiş olan anne-çocuk ilişkisinin bu vakada ortaya çıkan trikotillomani için önemli etmenler olduğu düşünülmüştür. Çocukluk çağı trikotillomani olgularında kardeşler üzerinde herhangi bir belirtinin olup olmadığının araştırılması önemlidir.

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Identification of trichotillomania cue profiles

Cited by 113 publications

References 6 publications

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Internet-Based Self-Help for Trichotillomania: A Randomized Controlled Study Comparing Decoupling and Progressive Muscle Relaxation

Kardeşlerinin saçını yolan farklı bir trikotillomani olgusu / The child who pulls his little brothers’ hair: a different trichotillomania case

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