Trichotillomania: impact on psychosocial functioning and quality of life

Diefenbach, Gretchen J.; Tolin, David F.; Hannan, Scott; Crocetto, Johanna; Worhunsky, Patrick D.

doi:10.1016/j.brat.2004.06.010

Cited by 136 publications

(86 citation statements)

References 19 publications

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“…Consistent with past studies (Diefenbach, Tolin, Hannan, Crocetto & Worhunsky, 2005;Franklin, Edson, Ledley & Cahill, 2011;Grant, Odlaug & Chamberlain, 2011;Lochner, Simeon, Niehaus & Stein, 2002;Miltenberger, Rapp & Long, 2001;Odlaug & Grant, 2008, we found a higher prevalence of hair pulling in females (3.5% in females; 1.4% in males).…”

Section: Discussionsupporting

confidence: 92%

Impulse control disorders in non-treatment seeking hair pullers

Schreiber¹,

Lust²,

Odlaug³

et al. 2013

Journal of Behavioral Addictions

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Background and aims:Hair pulling is a common body focused repetitive behavior. The purpose of this paper is to examine the prevalence of impulse control disorders (as defined in DSM-IV-TR) in a non-treatment seeking sample of hair pullers. Methods: 1,717 college students with (n = 44) and without (n = 1673) hair pulling completed a mental health survey. The college students were sent an online survey assessing hair pulling behavior and other impulse control disorders using the Minnesota Impulsive Disorders Interview. Results: Students with hair pulling were significantly more likely to have a co-occurring impulse control disorder (20.5% vs. 8.9%, p = 0.009, OR = 2.71, CI = 1.28-5.75) and were significantly more likely to meet criteria for compulsive buying, compulsive sexual behavior and intermittent explosive disorder than students without hair pulling. Differences seemed to be moderated by the male gender among students with hair pulling. Discussion and conclusions: Hair pulling is often comorbid with another impulse control disorder, which suggests that elements of impulsivity may be important in our understanding of hair pulling. Furthermore, gender may moderate impulse control comorbidity in hair pulling disorder.

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Section: Discussionsupporting

confidence: 92%

Impulse control disorders in non-treatment seeking hair pullers

Schreiber¹,

Lust²,

Odlaug³

et al. 2013

Journal of Behavioral Addictions

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“…This is particularly relevant when considering that TTM (like obsessivecompulsive disorder) is often a hidden disorder [16] and that affected individuals may avoid help and treatment for several years [11,15] . Compared to the PMR group, significantly more individuals in the DC group were satisfied with the method, would recommend it to a friend, reported decreased hair-pulling symptoms and found the method to be more helpful than other self-help approaches.…”

Section: Discussionmentioning

confidence: 99%

“…Although various treatment options are available, affected individuals often avoid treatment for several years [11,15] . TTM is therefore considered one of the 'hidden disorders' [16] .…”

Section: Introductionmentioning

confidence: 99%

Internet-Based Self-Help for Trichotillomania: A Randomized Controlled Study Comparing Decoupling and Progressive Muscle Relaxation

Weidt

Klaghofer

Kuenburg

et al. 2015

Psychother Psychosom

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Michael (2015). Internet-based self-help for trichotillomania: A randomized controlled study comparing decoupling and progressive muscle relaxation. Psychotherapy and Psychosomatics, 84(6) through 6 months of follow-up. Participants' subjective appraisals favoured DC in some areas (e.g. greater satisfaction with DC than PMR). Completer analyses demonstrated the same pattern as the intention-to-treat analyses. Conclusions: Despite subjective appraisals in favour of DC, symptom reduction was comparable in the two groups. While the results suggest that even short Internet-based interventions like DC and PMR potentially help individuals with TTM, a partial effect of unspecific factors, like regression towards the mean, cannot be ruled out. Therefore, longitudinal studies with non-treated controls are warranted.

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“…9 Psychosocial dysfunction, low self-esteem, and social anxiety are all associated with trichotillomania, largely due to an inability to stop pulling and the resulting alopecia. 13,14 Even though trichotillomania interferes with a person's quality of life, the majority of individuals (about 65%) never seek treatment. 13 psychogenic excoriation, is characterized by the repetitive and compulsive picking of skin, leading to tissue damage.…”

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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Trichotillomania: impact on psychosocial functioning and quality of life

Cited by 136 publications

References 19 publications

Impulse control disorders in non-treatment seeking hair pullers

Impulse control disorders in non-treatment seeking hair pullers

Internet-Based Self-Help for Trichotillomania: A Randomized Controlled Study Comparing Decoupling and Progressive Muscle Relaxation

Body-focused repetitive behavior disorders in ICD-11

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