Characteristics of 60 adult chronic hair pullers

Christenson, Gary A.; Mackenzie, Thomas B.; Mitchell, James E.

doi:10.1176/ajp.148.3.365

Cited by 453 publications

(80 citation statements)

References 12 publications

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“…Patients with TTM endorse solitude and involvement in contemplative activity as common triggers [10], while patients with OCD report that exposure to specific ‘danger cues’ (e.g., dirt or germs) frequently precipitate their rituals. Patients with OCD often report that the performance of rituals is ‘purposeful’ (e.g., washing to eliminate germs) though excessive, while the majority of patients with TTM deny a functional relationship between external triggers and their hairpulling.…”

Section: Overlap Between Ttm and Ocdmentioning

confidence: 99%

“…Similar sensory experiences are not reported in OCD patients. Furthermore, most hairpullers deny a sustained, focussed awareness of hairpulling during its occurrence [10] while OCD sufferers generally do not report the occurrence of rituals out of awareness.…”

Section: Overlap Between Ttm and Ocdmentioning

confidence: 99%

“…It is this distinction, in large part, which has resulted in the classification of OCD as an anxiety disorder and TTM as an impulse control disorder in our current system of psychiatric nomenclature. (Given the failure, however, of many patients to endorse increasing tension prepulling and feelings of pleasure or relief postpulling [10, 13], some have argued that these symptoms should not be included in the diagnostic criteria for TTM. )…”

Section: Overlap Between Ttm and Ocdmentioning

confidence: 99%

“…The average age of onset for TTM is approximately 12 years [10, 34]. The average age of onset for OCD is in the early 20s [35].…”

Section: Overlap Between Ttm and Ocdmentioning

confidence: 99%

“…Epidemiologic data document that hairpulling as a symptom and TTM as a syndrome are not rare [1, 2, 3]. Several studies report significant physical [4, 5, 6], emotional [7, 8], and psychosocial [9] sequelae as well as high rates of psychiatric comorbidity [10, 11, 12, 13]. …”

Section: Introductionmentioning

confidence: 99%

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Trichotillomania: Current Issues in Conceptualization and Treatment

Keuthen

OʼSullivan²,

Sprich-Buckminster³

1998

Psychother Psychosom

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Trichotillomania is a little-known disorder with wider prevalence and more significant consequences than previously believed. While sharing similarities with obsessive-compulsive disorder, compelling differences from it have also been noted. This fact, coupled with recognized overlap with other obsessive-compulsive spectrum disorders, has resulted in the ongoing evolution of our conceptualization of this illness. While empirical evidence supports the use of behavioral treatment and pharmacotherapy, considerable research is still needed before we can promise highly effective interventions tailored to the individual hairpuller. This review will summarize the evidence supporting, as well as challenging, a hypothesized link with obsessive-compulsive disorder. Current treatment approaches will be reviewed, as well as evidence for their efficacy. Suggestions will be made for future directions in this field.

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Section: Overlap Between Ttm and Ocdmentioning

confidence: 99%

Section: Overlap Between Ttm and Ocdmentioning

confidence: 99%