Some Observations on Trichotillomania in Children

Delgado, Rafael A.; Mannino, Fortune V.

doi:10.1016/s0002-7138(09)61903-8

Cited by 40 publications

(6 citation statements)

References 5 publications

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“…Often, children with TTM will scrutinize and then touch or stroke the hair before pulling. 16,18 Hairs are usually pulled out individually, and often patients will select hairs they describe as being different from the rest (eg, "wiry," "thick," "stubby," "kinky," or of a darker color). 19 Unfortunately, the trauma of pulling, which damages the hair root, induces a new, dystrophic "target" hair that is consequently at high risk for being pulled.…”

Section: Discussionmentioning

confidence: 99%

Trichotillomania in Childhood: Case Series and Review

2004

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ABSTRACT. Trichotillomania is a relatively common cause of childhood alopecia. We report our observations of 10 children with trichotillomania seen over a 2-year period at Texas Children's Hospital. Patient ages ranged from 9 to 14 years (mean: 11.3 years) with an equal gender ratio. The duration of hair-pulling ranged from 1 month to 10 years (median: 4.6 months). The scalp alone was affected in 8 cases, the scalp and eyelashes in 1 case, and the eyelashes alone in 1 case. The frontal scalp and vertex were the most common sites affected. Associated findings included nail-biting in 2 cases, "picking" of the skin in 1 case, and headaches in another case. Noted precipitating factors in 3 patients included "stress" at home and school. Associated psychopathology included major depression in 1 case, attention-deficit/hyperactivity disorder in 1 case, and an "anxious and nervous personality" in 1 case. The most important differential diagnosis to exclude from trichotillomania is alopecia areata, which was seen concomitantly in 1 patient and preceded the onset of hair-pulling by 11 months. Eight patients were referred to a child psychologist for additional management, of which 2 were subsequently treated with antidepressant medication. Trichotillomania is a disorder of multifaceted pathology, and an interdisciplinary approach to management is often helpful. The common prepubertal age of onset provides an important opportunity for the pediatrician to lend support to affected patients and their families. Pediatrics 2004;113:e494 -e498. URL: http://www.pediatrics.org/cgi/content/full/113/ 5/e494; trichotillomania, hair-pulling.

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Section: Discussionmentioning

confidence: 99%

Trichotillomania in Childhood: Case Series and Review

2004

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“…Early conceptualizations portrayed TTM as highly mechanistic and simple (Greenberg & Sarner, 1965; Delgado & Mannino, 1969; Jonas, 1970; Azrin & Nunn, 1977; Chauhan, Jain, & Dhir, 1985; Dawber, 1985; Muller, 1990), but more recent accounts differ by highlighting the behavioral heterogeneity and diverse phenomenology found in clinical cases (O’Sullivan et al, 2000; Flessner et al, 2009). …”

Section: Nature Of the Problemmentioning

confidence: 99%

Diagnosis, Evaluation, and Management of Trichotillomania

Woods

Houghton

2014

Psychiatric Clinics of North America

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“…Outros fatores associados, como dano no couro cabeludo (queimadura do sol) ou no cabelo (permanente -encrespamento -mal feito), foram também descritos como fatores precipitadores da TTM 19,30,31 .…”

Section: Classificação E Diagnósticounclassified

“…Frequentemente, os pacientes com TTM apresentam outros comportamentos impulsivos como onicofagia 22,31 , arrancar cutícula, contrair a face 1 , morder as juntas dos dedos, chupar o dedo polegar 44,83 , bater no rosto 21 , mastigar ou morder a língua 84,85 , bruxismo 85 , bater a cabeça na parede 86 , masturbar-se 31 , beliscar, morder ou torcer os lábios 1,87 e balançar o corpo 88 .…”

Section: Comorbidadesunclassified

Tricotilomania

Toledo¹,

Taragano²,

Córdas³

2010

Rev. psiquiatr. clín.

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ResumoContexto: Relatada desde a Antiguidade, a tricotilomania (TTM) somente na última década despertou maior interesse clínico, sendo incluída no DSM-IV-TR (The Diagnostic and Statistical Manual of Mental Disorders 4 th Text Revision) como um transtorno do controle dos impulsos não especificado. Dados recentes estimam uma prevalência em torno de 3%, indicando uma incidência mais comum do que se imaginava. Aspectos clínicos e terapêuticos ainda não estão totalmente definidos. Objetivo: Revisão sistemática da literatura de vários aspectos da tricotilomania pertinentes à teoria clínica e prática. Método: Os termos "trichotillomania", "epidemiology", "clinical characteristics", "etiology", "comorbidity" e "treatment" foram consultados nas bases de dados Medline/PubMed, Lilacs, PsycINFO e Cochrane Library. Resultados: Pesquisas com populações não clínicas sugerem que a TTM é mais comum do que se acreditava. Aspectos fenomenológicos, taxonômicos, comorbidades e possibilidades terapêuticas são discutidos. Conclusão: Apesar de um crescente número de estudos recentes, questões clínicas e terapêuticas permanecem em aberto. Com base nesta revisão da literatura, sugerem-se direções para diagnóstico, tratamento e futuras pesquisas.Toledo EL, et al. / Rev Psiq Clín. 2010;37(6):251-9 Palavras-chave: Tricotilomania, etiologia, epidemiologia, diagnóstico, tratamento. AbstractBackground: Recognized since antiquity, only within the last decade has the subject of trichotillomania provoked any larger clinical interest since it has been included in the DSM-IV-TR (The Diagnostic and Statistical Manual of Mental Disorders 4 th Text Revision) as a disturbance of the impulse-control disorders not elsewhere classified. Recent data estimates its prevalence at around 3%. Although more common than it was imagined before, clinical and therapeutic aspects are still not well defined. Objective: Systematic revision in the literature of several aspects of trichotillomania and its clinical and practical theory. Method: The term "trichotillomania", "its epidemiology", "clinical characteristics", "etiology", "comorbidity" and "treatment" were searched in the data bases of Medline/ PubMed, Lilacs, PsycINFO and Cochrane Library. Results: Research with no clinical populations suggests that TTM is more common than it was previously suspected. Phenomenological and taxonomical aspects, comorbidity as well as therapeutic possibilities are discussed. Conclusion: Despite a growing number of recent studies, clinical and therapeutic aspects remain undefined. Based on this literature's review, directions are suggested concerning diagnosis, treatment and future research.

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Some Observations on Trichotillomania in Children

Cited by 40 publications

References 5 publications

Trichotillomania in Childhood: Case Series and Review

Trichotillomania in Childhood: Case Series and Review

Diagnosis, Evaluation, and Management of Trichotillomania

Tricotilomania

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