Sociodemographic variables, clinical characteristics, and treatments in children with trichotillomania in terms of age and gender: a multicenter study

Arslan, Semiha Comertoglu; Çiçek, Ayla Uzun; Doğru, Hicran

doi:10.1080/08039488.2022.2052179

Cited by 4 publications

(3 citation statements)

References 37 publications

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“…Trichotillomania (TTM) is a psychiatric disorder that causes noticeable hair loss as a result of repetitive hairpulling behavior 1 . TTM is thought to occur with the interaction of multiple factors including genetic and familial, neurobiological, environmental, and psychological variables [2][3][4] . The differential diagnosis of TTM includes dermatological conditions, hormonal causes, drug side effects, nutritional conditions, and psychiatric conditions, especially body dysmorphic disorder and obsessive-compulsive and related disorders [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

“…TTM is thought to occur with the interaction of multiple factors including genetic and familial, neurobiological, environmental, and psychological variables [2][3][4] . The differential diagnosis of TTM includes dermatological conditions, hormonal causes, drug side effects, nutritional conditions, and psychiatric conditions, especially body dysmorphic disorder and obsessive-compulsive and related disorders [2][3][4] . TTM treatment is a combination of behavioral and psychopharmacological interventions 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…In automatic behavior, the patient is not aware of the picking behavior, the behavior is unconscious or automatic. These patients may pull their hair out while watching TV, reading a book, or when they are bored [2][3][4]6 . An extreme example of automatic TTM is that some patients only pull their hair while asleep, and this is called sleep-isolated TTM 6,7 .…”

Section: Introductionmentioning

confidence: 99%

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Sleep-isolated trichotillomania as an ictal symptom of complex partial seizure in a 12-year-old girl: a case report

BOZOK

ÖZDEMİR

Çiçek

et al. 2022

CMJ

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Sleep-isolated trichotillomania (TTM) is the unconscious and automatic pulling of one's hair only while sleeping. In previous case reports, sleep-isolated TTM has been categorized as a sleep-related disorder or a sleep-related dissociative disorder in case reports, and a treatment strategy in this direction has been implemented. However, to our knowledge, no reports have been published describing hair pulling during sleep as a symptom of epilepsy and its pharmacological treatment. In this case report, we present the hair-pulling behavior during sleep as an ictal manifestation of complex partial seizure in a 12-year-old girl and its successful treatment with levetiracetam. We suggest that epilepsy should be suspected in addition to parasomnias and sleep-related dissociative disorder in the differential diagnosis, especially in cases presenting with isolated TTM behavior during sleep.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sleep-isolated trichotillomania as an ictal symptom of complex partial seizure in a 12-year-old girl: a case report

BOZOK

ÖZDEMİR

Çiçek

et al. 2022

CMJ

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Hair pulling in a sample of Turkish university students: prevalence, clinical characteristics, predictors, and sex differences

Pirdogan Aydin,

Bilge,

Demirci

et al. 2024

Curr Psychol

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Psychiatric Comorbidities in Pediatric Trichotillomania: A Multicenter Cohort Study

Games,

Sejdiu,

Ilyas

2024

Pediatric Dermatology

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BackgroundTrichotillomania (TTM) significantly increases the risk of psychiatric comorbidities. Sparse research in pediatric populations necessitates larger studies to assess these risks. This study investigates the risk of developing psychiatric comorbidities in pediatric TTM patients.MethodsThis case–control study assessed pediatric patients (< 18 years old) with TTM diagnosed between May 18, 2013, and January 1, 2024, using US‐based data from the TriNetX global research network. TTM patients (ICD‐10 diagnostic category F63.3) aged 18 years or younger at diagnosis and control patients (ICD‐10 code Z00.129) matched for age, sex, race, and ethnicity were assessed. Propensity score matching yielded 16,590 patients in each cohort. The analysis assessed subsequent diagnoses of ADHD, conduct disorders, tic disorders, obsessive‐compulsive disorder, anxiety disorders, dissociative, stress‐related, and somatoform disorders, mood disorders, and suicide attempts compared to controls.ResultsTTM patients under 18 years exhibited significantly greater risks of subsequent diagnoses for ADHD (OR: 2.002; CI 1.841–2.178; p < 0.001), conduct disorders (OR: 3.668; 3.2–3.668; p < 0.0001), tic disorders (OR: 2.247; 1.826–2.765; p < 0.0001), obsessive‐compulsive disorder (OR: 11.047; 8.822–13.832; p < 0.0001), anxiety disorders (OR: 3.583; 3.387–3.7; p < 0.0001), dissociative, stress‐related, and somatoform disorders (OR: 6.179; 3.935–9.701; p < 0.0001), mood disorders (OR: 2.476; 2.288–2.68; p < 0.0001), and suicide attempts (OR: 1.81; 1.121–2.924; p = 0.0139) compared to controls. TTM patients had the greatest risk of psychiatric diagnosis 1 year postindex event.ConclusionsPediatric TTM patients have higher psychiatric comorbidity risks, necessitating timely intervention and comprehensive management. Dermatologists can facilitate access to behavioral and pharmacological care, enhancing patient outcomes.

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Sociodemographic variables, clinical characteristics, and treatments in children with trichotillomania in terms of age and gender: a multicenter study

Cited by 4 publications

References 37 publications

Sleep-isolated trichotillomania as an ictal symptom of complex partial seizure in a 12-year-old girl: a case report

Sleep-isolated trichotillomania as an ictal symptom of complex partial seizure in a 12-year-old girl: a case report

Hair pulling in a sample of Turkish university students: prevalence, clinical characteristics, predictors, and sex differences

Psychiatric Comorbidities in Pediatric Trichotillomania: A Multicenter Cohort Study

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