Trichotillomania (Hair Pulling) in Toddlers

Wright, Harry H.; Holmes, George R.

doi:10.2466/pr0.2003.92.1.228

Cited by 38 publications

(21 citation statements)

References 2 publications

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“…However, it is known that trichotillomania frequently occurs in early childhood and has been reported from as early as 12 months of age [3,16,17,18]. The peak age at onset of hair loss in our cohort was 1-2 years (36%) with an average age of 5.5 years suggesting that the onset of the hairpulling behavior is also common in this younger preschool age group.…”

Section: Discussionmentioning

confidence: 62%

Trichotillomania in Children

Chandran

Novak

Iorizzo³

et al. 2015

Skin Appendage Disord

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Background: Trichotillomania is an often underdiagnosed condition. Little is known about trichotillomania in childhood. We aimed to analyze the characteristics of children with trichotillomania to increase information on this condition. Methods: A retrospective study of an electronic database was performed in a tertiary children's hospital. Information from patients with trichotillomania was systematically classified under the categories ‘who', ‘what', ‘when', ‘where', ‘why', and ‘how'. Results: A total of 33 patients had a diagnosis of trichotillomania (28 females, 5 males; peak age between 3 and 4 years). Scalp involvement was most common and nail biting was observed in 5 patients. Only 51.5% of patients had parents who noticed their child's hairpulling. Hair on or under the bed was the most common clue suggesting that hairpulling occurred. Triggering factors identified in 16 children included physical appearance, family-related issues, school-related issues, and concurrent illness. The noninvasive hair pull test was negative in all children. There was a high non-follow-up rate, and treatment outcomes varied. Conclusion: A set of 6 specific questions, based on the ‘5Ws and 1H' principle, facilitates the gathering of important information on children with unexplained nonscarring hair loss and helps clinicians be cognizant of possible outcomes of trichotillomania. This will be especially useful to clinicians who are not familiar with this elusive condition.

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Section: Discussionmentioning

confidence: 62%

Trichotillomania in Children

Chandran

Novak

Iorizzo³

et al. 2015

Skin Appendage Disord

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“…A final limitation to the MIST-C involves the scale's generalizability. Although research suggests that the onset of TTM is typically around 10 to 11 years of age (Cohen et al, 1995), pulling has been reported in children as young as 18 months (Cohen et al, 1995;Watson et al, 2000;Wright & Holmes, 2003). However, the MIST-C's utility has yet to be examined in children younger than age 10.…”

Section: Discussionmentioning

confidence: 99%

The Milwaukee Inventory for Styles of Trichotillomania-Child Version (MIST-C)

et al. 2007

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This article describes the development and initial psychometric properties of the Milwaukee Inventory for Styles of Trichotillomania-Child Version (MIST-C), a self-report scale designed to assess styles of hair pulling in children and adolescents diagnosed with trichotillomania (TTM). Using Internet sampling procedures, the authors recruited 164 parent-child dyads, the children of whom met modified diagnostic criteria for TTM. The MIST-C was administered in the context of a larger survey examining functional impairment experienced by children with TTM. Results of an exploratory factor analysis on MIST-C items revealed a two-factor solution. Factors 1 ("focused" pulling scale) and 2 ("automatic" pulling scale) consisted of 21 and 4 items, respectively, with both scales demonstrating acceptable internal consistency and good construct and discriminant validity. The development of the MIST-C provides researchers with a reliable and valid assessment of "automatic" and "focused" pulling, and provides a means by which to examine the developmental trajectory and treatment implications of these pulling styles.

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“…In children with TTM, it has been shown that 38.3%–39.1% of treatment seekers had at least one comorbid diagnosis, with the most common being generalized anxiety, depression, social phobia, OCD, attention deficit/hyperactivity disorder, and oppositional defiant disorder (Franklin et al, 2008; Tolin et al, 2007). In another study, 23.6% of young children with TTM endorsed at least one diagnosis of an anxiety disorder, attention-deficit/hyperactivity disorder, OCD, a mood disorder, and a tic disorder (Walther et al, 2013), while another found frequent co-occurring developmental problems, chronic pediatric concerns, and family stressors (Wright & Holmes, 2003). …”

Section: Nature Of the Problemmentioning

confidence: 99%