Prevalence, phenomenology and diagnostic criteria of hair-pulling in an Italian non-clinical sample: A preliminary study

Ghisi, Marta; Bottesi, Gioia; Sica, Claudio; Ouimet, Allison J.; Sanavio, Ezio

doi:10.1016/j.jocrd.2012.09.003

Cited by 16 publications

(13 citation statements)

References 40 publications

(102 reference statements)

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“…Likewise, in the GD and ED patients the strongest association was between NJREs and obsessional thoughts: obsessive ideas on gambling or body shape are in fact common phenomena observed in these conditions. Lastly, the HPD group exhibited one of the strongest associations with the checking subscale of the OCI-R: hair pulling behavior is often considered phenomenologically similar to compulsions observed in OCD (e.g., Ghisi, Bottesi, Sica, Ouimet, et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Typically, it is characterized by repetitive behaviors resembling tic-like behaviors or compulsions; sometimes they are preceded by an urge to pull and followed by a sense of relief or are preceded by obsessive thoughts, even though this is not true for all patients (Chamberlain, Fineberg, Blackwell, Robbins, & Sahakian, 2006;Ferrão, Almeida, Bedin, Rosa, & D'Arrigo Busnello, 2006;Lochner et al, 2005; for a thorough description of the disorder as well its associated features, see Ghisi, Bottesi, Sica, Ouimet, and Sanavio (2013)). A large number of studies have compared the phenomenology, biology, neuropsychology, and management of HPD and OCD (for a review, see Ferrão, Miguel, & Stein, 2009).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“Not Just Right Experiences” are specific to obsessive–compulsive disorder: Further evidence from Italian clinical samples

Sica

Bottesi

Orsucci

et al. 2015

Journal of Anxiety Disorders

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“Not Just Right Experiences” are specific to obsessive–compulsive disorder: Further evidence from Italian clinical samples

Sica

Bottesi

Orsucci

et al. 2015

Journal of Anxiety Disorders

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“…Hierarchical regression was conducted to determine the contribution of BiTS scores to hair pulling severity (MGHHPS) over and above depression and anxiety (DASS‐21). These correlational and regression analyses were conducted with the pooled data of hair pulling and control participants to maximize variance, as non‐cosmetic hair pulling in community and student samples ranges on a continuum from non‐clinical to pathological (Ghisi, Bottesi, Sica, Ouimet, & Sanavio, ; Solley & Tuner, ; Stanley, Borden, Mouton, & Breckenridge, ).…”

Section: Methodsmentioning

confidence: 99%

The Beliefs in Trichotillomania Scale (BiTS): Factor analyses and preliminary validation

Rehm

Nedeljkovic

Moulding

et al. 2019

British J Clinic Psychol

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Objectives. The role of cognitions and beliefs in trichotillomania (TTM; hair pulling disorder) has been the subject of only limited investigation. This study aimed to develop and validate the Beliefs in TTM Scale (BiTS). Methods.A pool of 50 items based upon themes identified in previous research was administered online to 841 participants with and without self-reported problematic, noncosmetic hair pulling behaviours.Results. Exploratory and confirmatory factor analyses conducted in randomly splithalves of the sample supported retention of 14 items comprising three factors: negative self-beliefs, low coping efficacy, and perfectionism.Conclusions. The BiTS demonstrated satisfactory psychometric properties and all three subscales significantly correlated with greater hair pulling severity. Negative selfbeliefs predicted hair pulling severity over and above mood symptoms, suggesting the importance of addressing self-construals in psychological treatments for TTM. Validation in a clinician diagnosed sample is required. Practitioner pointsResearch supports cognitive therapies for treating trichotillomania (hair pulling disorder), although studies investigating the nature and role of cognitions and beliefs in this disorder have been lacking. This study developed and validated a self-report measure of three styles of beliefs most relevant to trichotillomania: negative self-beliefs, low coping efficacy, and perfectionism. Negative self-beliefs predicted the severity of trichotillomania symptoms over and above depression and anxiety, suggesting such cognitions may not necessarily be due to comorbidities. Future research should validate the new measure in a clinician diagnosed sample, and therapies for trichotillomania may be enhanced by targeting shame specifically.

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“… Rufer et al (2014) examined the association between TTM and alexithymia in a German and Swiss clinical sample. Only one study has examined TTM symptoms in an Italian sample ( Ghisi et al, 2013 ). They reported preliminary data on prevalence, phenomenology, and diagnostic criteria of hair pulling in an Italian non-clinical sample ( Ghisi et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

“…Only one study has examined TTM symptoms in an Italian sample ( Ghisi et al, 2013 ). They reported preliminary data on prevalence, phenomenology, and diagnostic criteria of hair pulling in an Italian non-clinical sample ( Ghisi et al, 2013 ). While the prevalence and phenomenological features were similar to those observed in Caucasian American non-clinical samples, there were some notable exceptions.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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Trichotillomania (TTM) is still a scarcely known and often inadequately treated disorder in Italian clinical settings, despite growing evidence about its severe and disabling consequences. The current study investigated the phenomenology of TTM in Italian individuals; in addition, we sought to examine patterns of self-esteem, anxiety, depression, and OCD-related symptoms in individuals with TTM compared to healthy participants. The current study represents the first attempt to investigate the phenomenological and psychopathological features of TTM in Italian hair pullers. One hundred and twenty-two individuals with TTM were enrolled: 24 were assessed face-to-face (face-to-face group) and 98 were recruited online (online group). An additional group of 22 face-to-face assessed healthy controls (HC group) was included in the study. The overall female to male ratio was 14:1, which is slightly higher favoring female than findings reported in literature. Main results revealed that a higher percentage of individuals in the online group reported pulling from the pubic region than did face-to-face participants; furthermore, the former engaged in examining the bulb and running the hair across the lips and reported pulling while lying in bed at higher frequencies than the latter. Interestingly, the online TTM group showed greater functional and psychological impairment, as well as more severe psychopathological characteristics (self-esteem, physiological and social anxiety, perfectionism, overestimation of threat, and control of thoughts), than the face-to-face one. Differences between the two TTM groups may be explained by the anonymity nature of the online group, which may have led to successful recruitment of more serious TTM cases, or fostered more open answers to questions. Overall, results revealed that many of the phenomenological features of Italian TTM participants matched those found in U.S. clinical settings, even though some notable differences were observed; therefore, cross-cultural invariance might represent a characteristic of OCD-related disorders.

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Prevalence, phenomenology and diagnostic criteria of hair-pulling in an Italian non-clinical sample: A preliminary study

Cited by 16 publications

References 40 publications

“Not Just Right Experiences” are specific to obsessive–compulsive disorder: Further evidence from Italian clinical samples

“Not Just Right Experiences” are specific to obsessive–compulsive disorder: Further evidence from Italian clinical samples

The Beliefs in Trichotillomania Scale (BiTS): Factor analyses and preliminary validation

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

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