Insights into recurrent body-focused repetitive behaviors: evidenced by New York Times commenters

Stewart, Claire; Lipner, Shari R.

doi:10.1007/s00403-020-02045-6

Cited by 8 publications

(5 citation statements)

References 27 publications

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“…Patients typically present with abnormally short and uneven nails, absent or ragged cuticles, and nail folds in different stages of healing ( Figure 2 ) [ 1 , 15 ]. Other visible changes in the nail and periungual regions include linear and pinpoint hemorrhages, longitudinal melanonychia, transverse grooves, brittleness, macrolunula, and pterygium, a scar in the nail matrix [ 16 ].…”

Section: Onychophagia and Onychotillomaniamentioning

confidence: 99%

“…The true prevalence of onychotillomania is unknown and likely underreported. Mild nail picking is relatively common in the general population, but only a small percentage experience considerable distress from excessive nail picking [ 15 , 43 ]. In a cross-sectional study assessing for onychophagia and onychotillomania in 339 Polish medical students, 160 cases of onychophagia were noted, while only three cases of onychotillomania were reported, corresponding to a prevalence of 0.9%.…”

Section: Onychophagia and Onychotillomaniamentioning

confidence: 99%

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Update on Diagnosis and Management of Onychophagia and Onychotillomania

Lee

Lipner

2022

IJERPH

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Onychophagia (nail biting) and onychotillomania (nail picking) are chronic nail conditions categorized as body-focused repetitive behavior (BFRB) disorders. Due to a limited awareness of their clinical presentations, embarrassment on the part of patients, and/or comorbid psychiatric conditions, these conditions are frequently underrecognized and misdiagnosed. This article reviews the prevalence, etiology, diagnostic criteria, historical and physical exam findings, and treatment options for these conditions. The PubMed/MEDLINE database was searched for relevant articles. Onychophagia and onychotillomania are complex disorders necessitating a detailed patient history and physical examination and a multidisciplinary treatment approach for successful diagnosis and management. Due to the dearth of clinical trials for treatment of nail biting and nail picking, large clinical trials are necessary to establish standardized therapies.

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Section: Onychophagia and Onychotillomaniamentioning

confidence: 99%

Section: Onychophagia and Onychotillomaniamentioning

confidence: 99%

Update on Diagnosis and Management of Onychophagia and Onychotillomania

Lee

Lipner

2022

IJERPH

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“…According to a recent retrospective study (2011-2016) conducted at a Swiss tertiary hospital in 2018, less than 5% of the patients with SPD were referred to a psychologist or a psychiatrist, while the remaining ones were administered topical or systemic anti-acne treatments by dermatologists. It may be assumed that the prevalence of skin picking disorder is still being highly underestimated, possibly attributable to the lack of awareness about SPD, in conjunction with the associated shame, embarrassment, and fear of judgement in admitting to this behavior and seeking treatment from psychiatrists [47,48].…”

Section: Prevalencementioning

confidence: 99%

“…Individuals have also tried applying gloves, band-aids, tapes, and aversive tasting substances on the picking sites to prevent this behavior [32,88]. Individuals with this disorder have been reported as most likely to raise aesthetic concerns and spend a median of $400 (range = 50-$2000) on dermatologist fees, along with a median of $40 (range = 0-$500) within the past three months or $160 per year on products to conceal the effects of skin picking [47,79]. However, existing research on physical barrier strategies to eliminate behaviors like skin picking is limited.…”

Section: Presenting the Need For An Alternative Treatment Strategymentioning

confidence: 99%

Dermatillomania: Strategies for Developing Protective Biomaterials/Cloth

et al. 2021

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Dermatillomania or skin picking disorder (SPD) is a chronic, recurrent, and treatment resistant neuropsychiatric disorder with an underestimated prevalence that has a concerning negative impact on an individual’s health and quality of life. The current treatment strategies focus on behavioral and pharmacological therapies that are not very effective. Thus, the primary objective of this review is to provide an introduction to SPD and discuss its current treatment strategies as well as to propose biomaterial-based physical barrier strategies as a supporting or alternative treatment. To this end, searches were conducted within the PubMed database and Google Scholar, and the results obtained were organized and presented as per the following categories: prevalence, etiology, consequences, diagnostic criteria, and treatment strategies. Furthermore, special attention was provided to alternative treatment strategies and biomaterial-based physical treatment strategies. A total of six products with the potential to be applied as physical barrier strategies in supporting SPD treatment were shortlisted and discussed. The results indicated that SPD is a complex, underestimated, and underemphasized neuropsychiatric disorder that needs heightened attention, especially with regard to its treatment and care. Moreover, the high synergistic potential of biomaterials and nanosystems in this area remains to be explored. Certain strategies that are already being utilized for wound healing can also be further exploited, particularly as far as the prevention of infections is concerned.

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“…We hypothesize that students may not have viewed physicians as resources. 5 Limitations of this study include a single-center design and small sample size. Diagnoses could not be corroborated due to anonymized responses.…”

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confidence: 95%

A cross‐sectional study of onychotillomania and onychophagia in graduate students

Lin

Cooley

et al. 2020

Dermatologic Therapy

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Dear Editor, Onychotillomania and onychophagia are body-focused repetitive behaviors (BFRB) involving the nail unit. Estimated prevalence is 23% to 47%, peaking in adolescence and decreasing with age, 1 and may be higher in populations experiencing stress, including students. 2 Our objectives were to assess prevalence, psychiatric co-morbidities, and treatment of onychophagia and onychotillomania in medical and graduate students. An anonymous, multiple-choice survey was emailed to medical and graduate students ages 18 to 45 years at Weill Cornell Medicine, February to March 2019, after Institutional Review Board exemption. The full survey instrument, with questions on prevalence, demographics, co-morbidities, and treatments of nail BFRBs, is shown in Appendix S1. Estimated response rate was 65%. Data was collected with Research Electronic Data Capture (REDCap) and analyzed in Windows R(3.5.3). Fisher's exact tests were used to assess bivariate associations. Statistical significance was evaluated at the 0.05 alpha level. A total of 203 subjects began the survey; 22 responses were incomplete and excluded, with 181 for final analysis. Current nailpicking and nail-biting were reported by 46.4% (84/181) and 46.9% (85/181) of all respondents, with median ages of onset 10 and 8 years, respectively. Only 0.0% and 5.1% of pickers and biters,

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Insights into recurrent body-focused repetitive behaviors: evidenced by New York Times commenters

Cited by 8 publications

References 27 publications

Update on Diagnosis and Management of Onychophagia and Onychotillomania

Update on Diagnosis and Management of Onychophagia and Onychotillomania

Dermatillomania: Strategies for Developing Protective Biomaterials/Cloth

A cross‐sectional study of onychotillomania and onychophagia in graduate students

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