The Cerebral Processing of Itch - An Investigation with Functional Magnetic Resonance Tomography

Darsow, Ulf; Valet, M.; Pfab, Florian; Behrendt, Heidrun; Toelle, Thomas R; Ring, John

doi:10.1016/j.jaci.2005.12.511

Cited by 2 publications

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“…Nevertheless, some data is available on the neurobiology of skin picking, [9,82,96] and there is also a growing literature on the neurobiology of itching and scratching. [97][98][99] Evidence that pharmacotherapy can be effective is consistent with underlying disturbance.…”

Section: Skin Picking Disordermentioning

confidence: 98%

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: 98%

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

et al. 2010

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“…)。抓搔症的核心特征在于"不可控" (Jentsch & Taylor, 1999) (Keuthen, Koran, Aboujaoude, Large, & Serpe, 2010)。另一项对美国社区样本(n = 354)进行的调查发现，皮肤抓搔障碍的患病率是 5.4% (Hayes, Storch, & Berlanga, 2009)。抓搔症不仅具有高患病率，而且与其他精神疾病具有高共病率。如果病情严重，甚至可能导致患者死亡。这使得抓搔症成为一个值得关注的公共健康问题 (Arnold, Auchenbach, & McElroy, 2001;Flessner & Woods, 2006;Grant & Odlaug, 2009;Wilhelm et al, 1999)。近期，抓搔症首次写入美国精神疾病诊断和统计手册第五版(Diagnostic and Statistical Manual of (Stein et al, 2010) (Arnold et al, 1998)。也有报告指出，在 40 例抓搔症患者中，10 岁之前儿童就占 47.5% )。抓搔症的诊断与干预抓搔症更常见于女性 (Arnold et al, 1998;Keuthen et al, 2000;Odlaug & Grant, 2008) (Aron, Fletcher, Bullmore, Sahakian, & Robbins, 2003)。虽然学界对瘙痒和抓挠的神经生物学研究越来越多 (Darsow et al, 2006, Leknes et al, 2007Yosipovitch et al, 2008;Cullen et al, 2001;Frecska & Arato, 2002;Grant & Odlaug, 2009)，但人们对抓搔症的神经生物学基础的认识仍然非常有限。目前还没有关于抓搔症的神经影像学研究。 6. 抓搔症的药物治疗与行为干预抓搔症患者常常因自己的行为而感到尴尬和羞愧 (Grant, Odlaug, & Kim, 2007;Wilhelm et al, 1999)，…”

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抓搔症的诊断与干预<br>The Diagnosis and Treatment for Dermatillomania

建政¹

2013

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Dermatillomania is an impulse control disorder characterized by the repeated urge to pick at one's own skin, often to the extent that damage is caused. Dermatillomania will be written into DSM-V. Dermatillomania can cause feeling of guilt, shame, and embarrassment in individuals, and this increases the risk of self-harm. Some theories regarding the causes of dermatillomania have been proposed. The two main methods for treating dermatillomania are pharmacological and behavioral intervention.

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The Cerebral Processing of Itch - An Investigation with Functional Magnetic Resonance Tomography

Cited by 2 publications

References 0 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

抓搔症的诊断与干预<br>The Diagnosis and Treatment for Dermatillomania

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