The Skin Picking Impact Project: Phenomenology, interference, and treatment utilization of pathological skin picking in a population-based sample

Tucker, Benjamin T. P.; Woods, Douglas W.; Flessner, Christopher A.; Franklin, Shana A.; Franklin, Martin E.

doi:10.1016/j.janxdis.2010.08.007

Cited by 157 publications

(163 citation statements)

References 28 publications

(34 reference statements)

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“…Individuals with skin-picking disorder spend a significant amount of time each day picking their skin, with many reporting that the picking behavior constitutes several hours each day. 20 The time spent picking results in dysfunction related to work and social activities. 21 As in trichotillomania, triggers to pick vary greatly between individuals, and multiple triggers are the norm.…”

Section: Trichotillomaniamentioning

confidence: 99%

Body-focused repetitive behavior disorders in ICD-11

Grant

Stein

2014

Rev. Bras. Psiquiatr.

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This article addresses the question of how body-focused repetitive behavior disorders (e.g., trichotillomania and skin-picking disorder) should be characterized in ICD-11. The article reviews the historical nosology of the two disorders and the current approaches in DSM-5 and ICD-10. Although data are limited and mixed regarding the optimal relationship between body-focused repetitive behavior disorders and nosological categories, these conditions should be included within the obsessive-compulsive and related disorders category, as this is how most clinicians see these behaviors, and as this may optimize clinical utility. The descriptions of these disorders should largely mirror those in DSM-5, given the evidence from recent field surveys. The recommendations regarding ICD-11 and body-focused repetitive behavior disorders should promote the global identification and treatment of these conditions in primary care settings.

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Section: Trichotillomaniamentioning

confidence: 99%

Body-focused repetitive behavior disorders in ICD-11

Grant

Stein

2014

Rev. Bras. Psiquiatr.

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“…[2] Bazı kadınlarda premenstruel dönemde psikojenik deri yolma belirtilerindeki artış bu görüşü destekler [4] Deri yolma bozukluğu olan hastalar, zamanlarının önemli bir bölümünü deri yolma ile geçirirler. [4,5,[10][11]70] Deri yolmaya ayırdıkları zaman, işe, okula, sosyal aktivitelere geç kalmalarına ya da katılamamalarına sebep olabilir. [67] Bir çalışmada bozukluğun ortalama süresi 20.1 yıl, başka bir çalışmada 18.9 yıl olarak bildirilmiştir.…”

Section: Klinik öZelliklerunclassified

“…Otomatik olan tipte davranışla ilgili farkındalığı arttırarak yolma davranışının durdurulması, odaklanmış olan tipte ise atakları tetikleyen ya da alevlendiren negatif duygulara müdahale edilmesi gibi baskın olan tipe göre tedavi seçenekleri uygulanabilir. [67,72] [70] Bu oranın önceki çalışmalarda bulunan oranlardan daha yüksek olmasının yanı sıra yolma için iğne, bıçak, cımbız gibi aletlerin kullanılma oranı da yüksek bulunmuştur.…”

Section: Yolma Davranışının öZellikleriunclassified

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Skin Picking Disorder

Aydin¹,

Gülseren²

2014

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychia

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ÖzetDeri yolma bozukluğu, dermatolojik bir problem olmaksızın, deri dokusunda hasara neden olan, cildin aşırı ve yineleyici şekilde yolunması ile karakterize bir tablodur. Normal yolma davranışından farklı olarak psikojenik deri yolma yineleyicidir ve deride ciddi biçimde hasara hatta hayati tehlike oluşturacak sonuçlara neden olabilir. Bazı hastalar sık ancak kısa süren yolma atakları tanımlarken, bazıları da daha seyrek olan ama birkaç saat süren ataklar tanımlamaktadır. DSM-5' e kadar sınıf-landırma sistemlerinde ayrı bir tanı kategorisi olarak yer almayan deri yolma bozukluğu DSM-5'de Obsesif Kompulsif Bozukluk ve İlişkili Bozukluklar kategorisinde bağımsız bir tanı olarak yer almıştır. Olgu bildirimleri, açık-etiketli çalışmalar ve çift-kör çalışmalarda deri yolma bozukluğunun tedavisinde seçici serotonin geri alım inhibitörlerinin etkili olduğu gösterilmiştir. Psikoterapi olarak en çok bilişsel-davranışçı teknikler kullanılmakta ve yararlı olmaktadır. Alışkanlığın tersine döndürülmesi sıklıkla uygulanan, iyi sonuçlar alınan ve iyilik halinin sürdürülebildiği davranışçı tekniklerden birisidir.Anahtar sözcükler: Psikojenik deri yolma, deri yolma bozukluğu, nevrotik ekskoriasyon. AbstractSkin picking disorder is not a dermatological disorder and it is a table characterized with picking skin excessively and repetitively, leading to damage in skin tissue. Unlike normal picking behaviour, psychogenic skin picking is repetitive and it can lead to severe damage in the skin and even complications which constitute vital danger. While some patients define frequent but short lasting picking attacks, others define rarer attacks which last a few hours. Skin picking disorder, which is not included in the classification systems up to DSM-5 as a separate diagnosis category, is included as an independent diagnosis in Obsessive Compulsive Disorder and Associated Disorders category in DSM-5. In case reports, open label studies and double blind studies selective serotonin reuptake inhibitors are shown to be effective in the treatment of skin picking disorder. Mostly, cognitivebehaviourial techniques are used and have been proven to be useful in psychotherapy. Habit reversal is one of the behaviourial techniques which are frequently applied; give positive results in which well-being state can be maintained.

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“…Psychosocial difficulties due to TTM might increase in severity over the course of development (Franklin et al, 2008;Walther et al, 2014;Woods et al, 2006), possibly because hair pulling and its affects might become less socially acceptable as one matures. Several large-scale surveys have found moderate psychological difficulties (e.g., depression, anxiety, and stress) in children and adolescents with hair pulling and skin picking (Franklin et al, 2008;Tucker et al, 2011;Walther et al, 2014).…”

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confidence: 99%

Evidence-Based Psychosocial Treatments for Pediatric Body-Focused Repetitive Behavior Disorders

Woods

Houghton

2015

Journal of Clinical Child & Adolescent Psychology

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Habits, such as hair pulling and thumb sucking, have recently been grouped into a category of clinical conditions called body-focused repetitive behavior disorders (BFRBDs). These behaviors are common in children and, at extreme levels, can cause physical and psychological damage. This article reviews the evidence base for psychosocial treatment of pediatric BFRBDs. A review of academic databases and published reviews revealed 60 studies on psychosocial treatments for pediatric BFRBDs, 23 of which were deemed suitable for review. Based on stringent methodological and evidence base criteria, we provided recommendations for each specific BFRBD. Individual behavior therapy proved probably efficacious for thumb sucking, possibly efficacious for several conditions, and experimental for nail biting. Individual and multicomponent cognitive-behavioral therapy was named experimental for trichotillomania and nail biting, respectively. No treatment met criteria for well-established status in the treatment of any BFRBD. Recommendations for clinicians are discussed. Reasons for the limitations of existing research in children and adolescents are explored. Several recommendations are presented for future pediatric treatment research on BFRBDs.

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The Skin Picking Impact Project: Phenomenology, interference, and treatment utilization of pathological skin picking in a population-based sample

Cited by 157 publications

References 28 publications

Body-focused repetitive behavior disorders in ICD-11

Body-focused repetitive behavior disorders in ICD-11

Skin Picking Disorder

Evidence-Based Psychosocial Treatments for Pediatric Body-Focused Repetitive Behavior Disorders

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