Pathological skin picking in individuals with body dysmorphic disorder

Grant, Jon E.; Menard, William; Phillips, Katharine A.

doi:10.1016/j.genhosppsych.2006.08.009

Cited by 94 publications

(53 citation statements)

References 26 publications

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“…[10] Skin picking may also be seen in subjects with other psychiatric disorders (e.g. body dysmorphic disorder) [88,89] and in patients with medical conditions (e.g. dermatological disorders).…”

Section: Skin Picking Disordermentioning

confidence: 99%

Trichotillomania (hair pulling disorder), skin picking disorder, and stereotypic movement disorder: toward DSM-V

et al. 2010

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In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control disorder not otherwise specified), and stereotypic movement disorder is classified as a disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse disorder, and includes stereotyped movement disorders in a section on other behavioral and emotional disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive-compulsive spectrum disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as "hair pulling disorder (trichotillomania)," (5) diagnostic criteria for skin picking disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for stereotypic movement disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking disorder.

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Section: Skin Picking Disordermentioning

confidence: 99%

Trichotillomania (hair pulling disorder), skin picking disorder, and stereotypic movement disorder: toward DSM-V

et al. 2010

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“…1,52,55,[64][65][66] Many BDD patients (27% to 45%) pick at their skin in an attempt to improve perceived blemishes or imperfections; however, this behavior sometimes causes observable appearance defects and can even cause severe damage such as skin infections and rupture of blood vessels. [67][68][69] Many other examples of compulsive behaviors exist, which are often idiosyncratic, such as drinking more than 3 gallons of water a day to make one's face look fuller. 1 Avoidance is a common behavior in BDD.…”

Section: Compulsions Safety Behaviors and Avoidancementioning

confidence: 99%

Anxietyandphobias Roxanne Magdalena

2012

Child and Adolescent Mental Health

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“…A maioria das pessoas apresenta esses comportamentos em extensão limitada, várias vezes na vida. 33 Esses comportamentos são complexos e tornam-se patológicos (escoriações patológicas ou tricotilomania) dependendo do seu foco, da duração e extensão, dos problemas resultantes, bem como das razões e emoções associadas. As escoriações patológicas ("skin picking") e a tricotilomania são recorrentes e podem resultar em danos consideráveis à pele e aos cabelos.…”

Section: Clínica Do Transtorno Dismórfico Corporalunclassified

“…33 As "escoriações patológicas" podem ocorrer como sintoma de vários transtornos psiquiátricos e, em estudo de pacientes com o TDC foi relatado em 27% dos pacientes. 33 Embora esse comportamento seja considerado de "auto-injúria" os pacientes com o TDC não têm a intenção de se machucar. Seu desejo é tentar melhorar a aparência da pele.…”

Section: Clínica Do Transtorno Dismórfico Corporalunclassified

Transtorno dismórfico corporal em dermatologia: diagnóstico, epidemiologia e aspectos clínicos

Conrado

2009

An. Bras. Dermatol.

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Resumo: São cada vez mais frequentes as queixas cosméticas, uma vez que objetivam a perfeição das formas do corpo e da pele. Os dermatologistas são consultados para avaliar e tratar essas queixas. Sendo assim, é importante conhecer o Transtorno Dismórfico Corporal, inicialmente chamado de "dismorfofobia", pouco estudado até recentemente. Esse transtorno é relativamente comum, por vezes, incapacitante, e envolve uma percepção distorcida da imagem corporal, caracterizada pela preocupação exagerada com um defeito imaginário na aparência ou com um mínimo defeito corporal presente. A maioria dos pacientes apresenta algum grau de prejuízo no funcionamento social e ocupacional, e como resultado de suas queixas obsessivas com a aparência, podem desenvolver comportamentos compulsivos, e, em casos mais graves, há risco de suicídio. O nível de crença é prejudicado, visto que não reconhecem o seu defeito como mínimo ou inexistente e, frequentemente, procuram tratamentos cosméticos para um transtorno psíquico. A prevalência do transtorno, na população geral, é de 1 a 2% e, em pacientes dermatológicos e de cirurgia cosmética, de 2,9 a 16%. Considerando a alta prevalência do Transtorno Dismórfico Corporal, em pacientes dermatológicos, e que os tratamentos cosméticos raramente melhoram seus sintomas, o treinamento dos profissionais para a investigação sistemática, diagnóstico e encaminhamento para tratamento psiquiátrico é fundamental. Palavras-chave: Cirurgia plástica; Dermatologia; Imagem corporal; Prevalência; Transtorno obsessivocompulsivo; Transtornos somatoformes; Transtornos somatoformes/epidemiologia Abstract: Cosmetic concerns are becoming increasingly common in view of the obsession with the perfect body and skin. Dermatologists are often seen to evaluate and treat these conditions. Therefore, it is important to acknowledge the existence of Body Dysmorphic Disorder, also known as dysmorphophobia. Despite being relatively common, this disorder has not been well researched. Sometimes causing impairment, the disease involves a distorted body image perception characterized by excessive preoccupation with a perceived defect. Most of the patients experience some degree of impairment in social or occupational functioning and, as a result of their obsessive concerns, they may develop compulsive behaviors. In severe cases, there is a risk of suicide. Most individuals do not acknowledge that their defect is minimal or nonexistent and seek out cosmetic treatments for a psychiatric disorder. The prevalence of this disorder among the general population ranges from 1 to 2 % and in dermatological and cosmetic surgery patients, from 2.9 to 16%. The training of professionals to systematically investigate, diagnose, and refer these patients to adequate psychiatric treatment is essential, considering the high prevalence of Body Dysmorphic Disorder in dermatological patients and the fact that cosmetic treatments rarely improve their condition.

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Pathological skin picking in individuals with body dysmorphic disorder

Cited by 94 publications

References 26 publications

Trichotillomania (hair pulling disorder), skin picking disorder, and stereotypic movement disorder: toward DSM-V

Trichotillomania (hair pulling disorder), skin picking disorder, and stereotypic movement disorder: toward DSM-V

Anxietyandphobias Roxanne Magdalena

Transtorno dismórfico corporal em dermatologia: diagnóstico, epidemiologia e aspectos clínicos

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