1,419 results match your criteria Trichotillomania


Gastrointestinal trichobezoar: An experience with 17 cases.

J Pediatr Surg 2020 May 5. Epub 2020 May 5.

Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore, Pakistan.

Background: Trichobezoar is an exceedingly rare entity in children and mimics other chronic ailments such as abdominal tuberculosis or malignancy. Delayed diagnosis and management result in various complications. The study was conducted to describe our experience with 17 consecutive cases of gastrointestinal tract (GIT) trichobezoars. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.04.020DOI Listing

Neuropsychiatric Aspects of Impulse Control Disorders.

Psychiatr Clin North Am 2020 Jun 8;43(2):249-262. Epub 2020 Apr 8.

Department of Neuropsychiatry, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, UK; Institute of Clinical Sciences, University of Birmingham, Birmingham, UK; School of Life and Health Sciences, Aston University, Birmingham, UK; Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, London, UK. Electronic address:

Impulse control disorders (ICDs) are neuropsychiatric conditions characterized by the repeated inability to resist an impulse, drive, or temptation to perform an act that is harmful to the person or others. Although classification approaches to ICDs vary both diachronically and synchronically, this group of conditions encompasses a wide range of syndromes, including pathologic gambling, kleptomania, trichotillomania, excoriation (skin picking) disorder, intermittent explosive disorder, pyromania, oppositional defiant, conduct, and antisocial personality disorders. ICDs can play a significant role as comorbidities in both neurodevelopmental (eg, attention-deficit/hyperactivity disorder, Tourette syndrome) and neurodegenerative (eg, Parkinson disease) disorders. Read More

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http://dx.doi.org/10.1016/j.psc.2020.02.001DOI Listing

Non-Pharmacological treatment approach in trichotillomania (hair pulling disorder).

Dermatol Ther 2020 May 19:e13622. Epub 2020 May 19.

Center for Research, Diagnosis and Treatment in Diabetes and Metabolic Diseases Corposana, Bucharest, Romania.

Trichotillomania is fairly common psychodermatological disorder. This is characterized by recurrent urges to pull hair from hair containing parts of the body and produces bald patches on scalp. Besides scalp, eye lashes, eyebrows and pubic area may be involved. Read More

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http://dx.doi.org/10.1111/dth.13622DOI Listing

Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial.

Braz J Psychiatry 2020 May 11. Epub 2020 May 11.

Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.

Introduction: Although behavioral therapies can effectively treat skin picking disorder (SPD), there is no standardized treatment for improving SPD and its comorbidities and there is no group intervention option. This trial aimed to adapt the Rothbaum trichotillomania protocol to SPD (Study 1) and test its efficacy for treating SPD and comorbidities in individual and group formats (Study 2).

Methods: The adapted protocol was applied to 16 SPD patients, who were allocated to group or individual treatment (Study 1). Read More

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http://dx.doi.org/10.1590/1516-4446-2019-0636DOI Listing

Pharmacological and behavioral treatment for trichotillomania: An updated systematic review with meta-analysis.

Depress Anxiety 2020 May 10. Epub 2020 May 10.

Yale Child Study Center, Yale University School of Medicine, New Haven, Connecticut.

Background: Trichotillomania (TTM) is a difficult-to-treat psychiatric condition with no first-line medications approved by the Food and Drug Administration. Individuals with TTM often feel that clinicians know little about this disorder. Here, we present an updated meta-analysis of randomized controlled trials (RCTs) examining treatments for TTM. Read More

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http://dx.doi.org/10.1002/da.23028DOI Listing

An Unusual Form of a Trichobezoar Causing a Peculiar Case of Appendicitis: A Case of Rapunzel Syndrome.

Cureus 2020 Apr 6;12(4):e7554. Epub 2020 Apr 6.

General and Colorectal Surgery, University Hospitals of Derby and Burton National Health Service (NHS) Foundation Trust, Burton on Trent, GBR.

Rapunzel syndrome is an extremely rare intestinal condition stemming from trichophagia (compulsive ingestion of hair). The syndrome usually causes intestinal obstruction but we report a unique case where it has caused appendicitis. We also reviewed the existing literature on Rapunzel syndrome. Read More

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http://dx.doi.org/10.7759/cureus.7554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202575PMC

Trichoscopic Features of Eyebrow Trichotillomania: It Looks Similar to Scalp Trichotillomania.

Authors:
A Tülin Güleç

Dermatol Pract Concept 2020 3;10(2):e2020040. Epub 2020 Apr 3.

Department of Dermatology and Venereology, Başkent University Faculty of Medicine, Ankara, Turkey.

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http://dx.doi.org/10.5826/dpc.1002a40DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190577PMC

Memantine treatment of trichotillomania.

Ann Clin Psychiatry 2020 May;32(2):144-145

Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Pritzker School of Medicine, Chicago, IL 60637 USA E-MAIL:

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Prevalence, gender correlates, and co-morbidity of trichotillomania.

Psychiatry Res 2020 Jun 18;288:112948. Epub 2020 Apr 18.

Department of Psychiatry, University of Cambridge & Cambridgeshire/Peterborough NHS Foundation Trust, United Kingdom.

Trichotillomania is a mental health condition characterized by repetitive pulling out of one's hair, often leading to functional impairment and/or distress. A convenience sampling of 10,169 adults, aged 18-69 years, representative of the general US population, completed a survey to establish occurrence of trichotillomania, other mental health concerns, and impact of the illness. 175 (1. Read More

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http://dx.doi.org/10.1016/j.psychres.2020.112948DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212053PMC

Trichotillomania-psychopathological correlates and associations with health-related quality of life in a large sample.

CNS Spectr 2020 Apr 8:1-8. Epub 2020 Apr 8.

Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.

Background.: Relatively few studies have assessed the prevalence, correlates, and independent impact on quality of life (QoL) of trichotillomania (TTM) in large samples.

Methods. Read More

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http://dx.doi.org/10.1017/S109285292000111XDOI Listing

Dupilumab therapy rapidly improved alopecia areata associated with trichotillomania in an atopic dermatitis patient.

Allergol Int 2020 Mar 28. Epub 2020 Mar 28.

Department of Dermatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan.

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http://dx.doi.org/10.1016/j.alit.2020.02.009DOI Listing

[Psychiatric and psychological support for an adolescent woman with chromosome 22 deletion syndrome and intellectual disability: a good outcome].

Riv Psichiatr 2020 Mar-Apr;55(2):106-111

Dipartimento di Medicina e Chirurgia, Università di Milano-Bicocca, Monza - Dipartimento di Salute Mentale e Dipendenze, ASST Monza.

Aims: Longitudinal description of a clinical case of a woman with Chromosome 22 deletion syndrome (22q11.2DS), mild intellectual disability (ID) and associated psychiatric disorders, treated at "Adolescent Outpatient Service", at the ASST Monza DSMD from 2011 to 2017.

Methods: Assessment Test Tools. Read More

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http://dx.doi.org/10.1708/3333.33025DOI Listing

An Unusual Case of Hypoproteinemia in Childhood: Keep in Mind Trichobezoar.

Front Pediatr 2020 4;8:82. Epub 2020 Mar 4.

Pediatric Section, Department of Health Sciences, Meyer Children's University Hospital, University of Florence, Florence, Italy.

Protein-losing enteropathy (PLE) is a rare condition characterized by protein loss through the gastrointestinal tract, leading to hypo-proteinemia. Patients may be asymptomatic or present with variety of complications of hypoproteinemia (e.g. Read More

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http://dx.doi.org/10.3389/fped.2020.00082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065258PMC

A Modified Laparoscopic Technique for the Removal of Nonfragmentable Giant Gastric Trichobezoar.

Niger J Surg 2020 Jan-Jun;26(1):84-87. Epub 2020 Feb 10.

Department of Surgical Gastroenterology and Liver Transplant, Government Stanley Medical College, Chennai, Tamil Nadu, India.

Bezoars are usually defined as collections of nondigestible matter that most commonly accumulates in the stomach and can sometimes extend to the small bowel. Trichobezoars are a rare entity which is most commonly observed in young psychiatric females with trichotillomania and trichophagia. Here, we report a case of giant gastric trichobezoar and a novel technique of laparoscopic removal in a 16 year old female with trichophagia. Read More

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http://dx.doi.org/10.4103/njs.NJS_20_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7041354PMC
February 2020

Paediatric gastric trichobezoar: the Rapunzel syndrome A report of two cases.

Ann Ital Chir 2020 Mar 9;9. Epub 2020 Mar 9.

Rapunzel syndrome is a rare case of bowel obstruction resulting from hair ingestion (Trichobezoar). The obstruction can occur in any level of intestinal tract, but usually the stomach is primary involved. This syndrome is usually reported in patients affected by Trichotillomania or Pica syndrome, an obsessive-compulsive disorder that are characterized by an irresistible need to eat body hairs or non-digestible substances 1. Read More

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Management of a Case of Airway Obstruction in the Emergency Room.

Isr Med Assoc J 2020 Mar;22(3):193-194

General Intensive Care Unit, Hadassah Medical Center, Ein Kerem Campus, Jerusalem, Israel.

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Transdiagnostic dimensions in obsessive-compulsive and related disorders: associations with internalizing and externalizing symptoms.

Psychol Med 2020 Mar 6:1-9. Epub 2020 Mar 6.

McLean Hospital, Belmont, Massachusetts, USA.

Background: Hierarchical structural models of psychopathology rarely extend to obsessive-compulsive spectrum disorders. The current study sought to examine the higher-order structure of the obsessive-compulsive and related disorders (OCRDs) in DSM-5: obsessive-compulsive disorder (OCD), hoarding disorder (HD), body dysmorphic disorder (BDD), trichotillomania (hair-pulling disorder; HPD) and excoriation (skin-picking) disorder (SPD).

Methods: Adult patients in a partial hospital program (N = 532) completed a dimensional measure of the five OCRDs. Read More

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http://dx.doi.org/10.1017/S0033291720000380DOI Listing

Successful treatment of trichotillomania with repetitive transcranial magnetic stimulation: A report of two cases with review of literature.

Asian J Psychiatr 2020 Mar 26;49:101987. Epub 2020 Feb 26.

Department of Psychiatry, King George's Medical University, Lucknow, U.P., India. Electronic address:

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http://dx.doi.org/10.1016/j.ajp.2020.101987DOI Listing

Novel inflammatory targets for immunotherapies in pediatric patients with trichotillomania.

Immunobiology 2020 Feb 26:151913. Epub 2020 Feb 26.

Department of Medical Genetics, Baskent University, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey. Electronic address:

Immune dysregulation may be important in the etiology of obsessive-compulsive and related disordersandbody-focusedrepetitivebehaviors, such as Trichotillomania (TTM). The role of inflammation and inflammatory markers in TTM has received relatively little attention. This study was aimed to determine the expression levels of inflammatory markers (i. Read More

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http://dx.doi.org/10.1016/j.imbio.2020.151913DOI Listing
February 2020

Concomitant trichotillomania, trichotemnomania and skin picking disorder in a woman.

Indian J Dermatol Venereol Leprol 2020 May-Jun;86(3):286-289

Department of Dermatology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

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http://dx.doi.org/10.4103/ijdvl.IJDVL_236_19DOI Listing
February 2020

Psychodermatology in Balkans: Knowledge, awareness, and practice patterns of dermatologists in Albania.

Dermatol Ther 2020 Feb 27:e13286. Epub 2020 Feb 27.

University Hospital Center "Mother Theressa", Tirana, Albania.

The aim of this study is to find out the practice patterns, awareness, and knowledge about psychodermatology in Albanian dermatologists. A survey questionnaire was sent to Albanian dermatologists by mail and distributed during a regional dermatology conference. The dermatologists were requested to provide information on demographic variables, level of training, referral patterns, degree of comfort in managing psychocutaneous disorders, awareness of community resources, and interest in continuing medical educational activities. Read More

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http://dx.doi.org/10.1111/dth.13286DOI Listing
February 2020

A Neurocognitive Comparison of Pediatric Obsessive-Compulsive Disorder and Trichotillomania (Hair Pulling Disorder).

J Abnorm Child Psychol 2020 May;48(5):733-744

The Warren Alpert Medical School, Brown University, Providence, RI, USA.

Obsessive-compulsive disorder (OCD) and trichotillomania (hair pulling disorder, HPD) are both considered obsessive-compulsive and related disorders due to some indications of shared etiological and phenomenological characteristics. However, a lack of direct comparisons between these disorders, especially in pediatric samples, limits our understanding of divergent versus convergent characteristics. This study compared neurocognitive functioning between children diagnosed with OCD and HPD. Read More

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http://dx.doi.org/10.1007/s10802-020-00627-6DOI Listing

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

Arch Dermatol Res 2020 Feb 20. Epub 2020 Feb 20.

Department of Dermatology, Weill Cornell Medical College, 1305 York Ave, 9th Floor, New York, NY, 10021, USA.

In September 2019, the New York Times (NYT) published the article "Fighting the Shame of Skin Picking," which discussed the cosmetic, social and emotional impacts of body-focused repetitive behaviors (BFRBs). BFRBs, including excoriation disorder, trichotillomania, onychotillomania, and onychophagia, are recurring actions that damage one's physical appearance. The aim of this study is to characterize the demographic information provided and themes raised in the 166 comments posted in response to the article. Read More

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http://dx.doi.org/10.1007/s00403-020-02045-6DOI Listing
February 2020

Disentangling Reward Processing in Trichotillomania: 'Wanting' and 'Liking' Hair Pulling Have Distinct Clinical Correlates.

J Psychopathol Behav Assess 2019 Jun 10;41(2):271-279. Epub 2018 Dec 10.

Division of Child and Adolescent Psychiatry, University of California, Los Angeles, Los Angeles, CA, USA.

Trichotillomania (TTM; hair-pulling disorder) is characterized by an irresistible urge or desire to pull out one's own hair, and a sense of pleasure when hair is pulled out. Evidence from translational neuroscience has shown that 'wanting' (motivation to seek a reward) and 'liking' (enjoyment when reward is received) are each mediated by overlapping but distinct neural circuitry, and that 'wanting' contributes to addictive/compulsive behaviors more so than 'liking'. In the present study, we developed the Hair Pulling Reward Scale (HPRS), a self-report measure that consists of two subscales designed to assess (a) cue-triggered urges and appetitive motivation to pull hair (i. Read More

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http://dx.doi.org/10.1007/s10862-018-9712-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015260PMC

Trichoscopic evaluation of frontal hairline recession in Egyptian female patients.

J Cosmet Dermatol 2020 Feb 11. Epub 2020 Feb 11.

Department of Dermatology and Venereology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Background: Since frontal hairline is the most characteristic feature of the face for both men and women, affecting the psychological state of patients, hair loss has been considered to be one of the most prominent esthetic problems. Hair loss either resulting from the androgenetic or nonandrogenetic origin is characterized by changes in the anterior line.

Aim: The aim of this study was to evaluate the causes of the frontal hairline recession in Egyptian female patients using trichoscopy and to detect the prevalence of each of those causes in Egyptian females. Read More

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http://dx.doi.org/10.1111/jocd.13324DOI Listing
February 2020

Trichobezoar as a cause of pediatric acute small bowel obstruction.

Clin Case Rep 2020 Jan 18;8(1):166-170. Epub 2019 Dec 18.

North West Regional Hospital Burnie TAS Australia.

This case serves to raise awareness of trichobezoar as a diagnosis in young children who present with abdominal pain, a palpable mass, and signs of acute small bowel obstruction. Read More

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http://dx.doi.org/10.1002/ccr3.2576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982476PMC
January 2020

Management of a trichobezoar caused by consumption of artificial hair extensions.

BMJ Case Rep 2020 Jan 26;13(1). Epub 2020 Jan 26.

General Surgery, Darent Valley Hospital, Dartford, Kent, UK.

Trichobezoars are rare, but most commonly found in young women with trichophagia and trichotillomania. Complications can include iron deficiency anaemia and gastric erosion or, rarely, perforation. A 19-year-old woman presented with epigastric pain, vomiting and lethargy. Read More

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http://dx.doi.org/10.1136/bcr-2019-232720DOI Listing
January 2020

[New-onset trichotillomania during treatment with stimulant drugs. About two pediatric clinical cases].

Arch Argent Pediatr 2020 02;118(1):e61-e62

Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.

Stimulant drugs are commonly used in pediatric population in the treatment of attention deficit hyperactivity disorder, and their side effects are well described, however trichotillomania does not appear as one of them. In the literature we found some published cases of trichotillomania in relation to methylphenidate and dextroamphetamine. We present two cases of new-onset trichotillomania in children followed up in our center by attention deficit hyperactivity disorder and treated with psychostimulant drugs (methylphenidate and lisdexamfetamine), as a probable adverse effect of this treatment. Read More

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http://dx.doi.org/10.5546/aap.2020.e61DOI Listing
February 2020

Duration of illness and cortical thickness in trichotillomania: Preliminary evidence for illness change over time.

Eur Neuropsychopharmacol 2020 Mar 15;32:88-93. Epub 2020 Jan 15.

Department of Psychiatry, University of Cambridge & Cambridge/Peterborough NHS Foundation Trust, UK.

Trichotillomania is a psychiatric condition characterized by repetitive pulling out of one's hair, leading to marked functional impairment. The aim of this study was to examine the association between duration of trichotillomania (defined as time between initial age of onset and current age) and structural brain abnormalities by pooling all available global data. Authors of published neuroimaging studies of trichotillomania were contacted and invited to contribute de-identified MRI scans for a pooled analysis. Read More

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http://dx.doi.org/10.1016/j.euroneuro.2020.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058414PMC
March 2020
4.369 Impact Factor

An atypical case of early-onset trichotillomania - Management implications.

Asian J Psychiatr 2020 Feb 26;48:101914. Epub 2019 Dec 26.

Department of Psychiatry, All India Institute of Medical Sciences, Raipur, 492099, Chhattisgarh, India. Electronic address:

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http://dx.doi.org/10.1016/j.ajp.2019.101914DOI Listing
February 2020

Trichotillomania associated with a 25-hydroxy vitamin D deficiency: A case report.

Ment Health Clin 2020 Jan 9;10(1):38-43. Epub 2020 Jan 9.

Assistant Professor, Department of Clinical and Administrative Sciences, College of Pharmacy, California Northstate University, Elk Grove, California.

Vitamin D deficiency has been correlated with non-scarring alopecia including alopecia areata or female pattern hair loss. It was theorized that hair loss secondary to vitamin D deficiency in patients susceptible to trichotillomania may exacerbate this obsessive-compulsive disorder. Though vitamin D deficiency is common, especially among patients suffering from neuropsychiatric disorders, its correlation with trichotillomania is not well reported. Read More

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http://dx.doi.org/10.9740/mhc.2020.01.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6956975PMC
January 2020

Hair pulling antecedents in trichotillomania: Their relationship with experiential avoidance.

Bull Menninger Clin 2020 15;84(1):35-52. Epub 2020 Jan 15.

Department of Psychology at Marquette University, Milwaukee, Wisconsin.

In this study, 285 adults who met criteria for trichotillomania (TTM) via self-report completed an online, cross-sectional survey examining antecedent phenomenological experiences pertaining to hair pulling along with measures of TTM severity and experiential avoidance (i.e., avoidance of or escape from unwanted thoughts or feelings). Read More

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http://dx.doi.org/10.1521/bumc_2020_84_01DOI Listing
January 2020

Rare case of trichobezoar causing pancreatitis in a young woman.

BMJ Case Rep 2019 Dec 3;12(12). Epub 2019 Dec 3.

General Surgery, Salmaniya Medical Complex, Manama, Bahrain.

This is a case of a 14-year-old woman diagnosed with acute pancreatitis based on history and laboratory investigations. CT scan confirmed the diagnosis of acute pancreatitis along with the presence of two bezoars in the stomach and proximal jejunum. Gastroscopy showed a large trichobezoar with difficult endoscopic extraction. Read More

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http://dx.doi.org/10.1136/bcr-2018-229173DOI Listing
December 2019

Measuring Treatment Response in Pediatric Trichotillomania: A Meta-Analysis of Clinical Trials.

J Child Adolesc Psychopharmacol 2019 Dec 2. Epub 2019 Dec 2.

Department of Psychiatry, Yale University, New Haven, Connecticut.

In clinical trials of pediatric trichotillomania (TTM), three instruments are typically employed to rate TTM severity: (1) the Massachusetts General Hospital Hair Pulling Scale (MGH-HPS), (2) the National Institute of Mental Health Trichotillomania Severity Scale (NIMH-TSS), and (3) the Trichotillomania Scale for Children (TSC). These instruments lack standardized definitions of treatment response, which lead researchers to determine their own definitions of response and potentially inflate results. We performed a meta-analysis to provide empirically determined accuracy measures for percentage reduction cut points in these three instruments. Read More

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http://dx.doi.org/10.1089/cap.2019.0103DOI Listing
December 2019

Giant gastroduodenal trichobezoar: A case report.

World J Clin Cases 2019 Nov;7(21):3649-3654

Department of Radiology, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang 471009, Henan Province, China.

Background: We report a case of giant gastroduodenal trichobezoar, an extremely rare upper gastrointestinal bezoar due to trichotillomania and trichophagia.

Case Summary: The patient was a 10-year-old girl who presented with an abdominal mass that was discovered at palpation and noninvasive imaging examinations. Computed tomography (CT) showed a well-circumscribed heterogeneous mass extending from the stomach into the duodenum. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i21.3649DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6854419PMC
November 2019

Trichotillomania: Case report of pharmacological treatment outcome with clomipramine.

Psychiatry Res 2020 02 5;284:112663. Epub 2019 Nov 5.

Department of Medicine, Psychiatry Residency Program, State University of Maringá, Maringá, Paraná, Brazil. Electronic address:

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http://dx.doi.org/10.1016/j.psychres.2019.112663DOI Listing
February 2020

Hair and Scalp Disorders in Children below 2 Years: An Unremarked Sphere.

Int J Trichology 2019 Sep-Oct;11(5):207-212

Department of Dermatology, GGS Medical College, Faridkot, Punjab, India.

Context: Hairs contribute significantly to our appearance and are mirror to many systemic diseases. Hair and scalp disorders in children are associated with profound psychological effects arising from concerns of chronicity, severity, and contagiousness, in addition to cosmetic outline. Studies have documented children below 2 years as the most common age group affected by hair and scalp disorders in the pediatric population; however, to the best of our knowledge, none has been carried out exclusively on this age group, so far. Read More

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http://dx.doi.org/10.4103/ijt.ijt_77_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830032PMC
November 2019

Trichopsychodermatology: The Psychiatric and Psychosocial Aspects of Hair Disorders.

Dermatol Ther 2020 01 25;33(1):e13168. Epub 2019 Nov 25.

Central Michigan University College of Medicine, Saginaw, Michigan.

Medical conditions involving hair are typically managed by a dermatologist. However, a significant psychosocial association has been found both in the development of hair conditions through primary pathologic involvement and as secondary comorbidity. Trichopsychodermatology is an emerging field aiming to better understand the psychiatric and psychosocial impacts of disorders involving hair. Read More

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http://dx.doi.org/10.1111/dth.13168DOI Listing
January 2020
1.478 Impact Factor

Comorbidity in trichotillomania (hair-pulling disorder): A cluster analytical approach.

Brain Behav 2019 12 6;9(12):e01456. Epub 2019 Nov 6.

SA MRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.

Background: A promising approach to reducing the phenotypic heterogeneity of psychiatric disorders involves the identification of homogeneous subtypes. Careful study of comorbidity in obsessive-compulsive disorder (OCD) contributed to the identification of the DSM-5 subtype of OCD with tics. Here we investigated one of the largest available cohorts of clinically diagnosed trichotillomania (TTM) to determine whether subtyping TTM based on comorbidity would help delineate clinically meaningful subgroups. Read More

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http://dx.doi.org/10.1002/brb3.1456DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908854PMC
December 2019
1 Read

Treatment of trichotillomania and subthreshold bipolar disorder with lithium.

Authors:
Verinder Sharma

Bipolar Disord 2019 12 19;21(8):803-805. Epub 2019 Oct 19.

Department of Psychiatry, University of Western Ontario & Parkwood Institute, London, Canada.

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http://dx.doi.org/10.1111/bdi.12846DOI Listing
December 2019
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Challenges of treating primary psychiatric disease in dermatology.

Cutis 2019 Aug;104(2):E12-E14

Department of Dermatology, Cleveland Clinic Foundation, Ohio, USA.

Psychiatric disorders are common among dermatology patients. They may be secondary to skin disease but also can be the primary cause of cutaneous concerns. Because patients with primary psychiatric disorders who present to dermatology often refuse referral to mental health providers, dermatologists are challenged with management of various psychiatric conditions, such as delusional infestation and trichotillomania. Read More

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Pediatric trichotillomania: Review of management.

Pediatr Dermatol 2019 Nov 6;36(6):803-807. Epub 2019 Oct 6.

Dell Children's Medical Center, Austin, Texas.

Trichotillomania can present in childhood, with many families seeking initial evaluation by a dermatologist for hair loss. Prompt and accurate diagnosis by dermatologists is crucial, as children can suffer from academic or social impairments as well as mental health sequelae. Children are especially vulnerable to lasting psychological distress from appearance-related bullying. Read More

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http://dx.doi.org/10.1111/pde.13954DOI Listing
November 2019

Family functioning in pediatric trichotillomania, obsessive compulsive disorder, and healthy comparison youth.

Psychiatry Res 2019 11 23;281:112578. Epub 2019 Sep 23.

UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA 90095, United States.

Pediatric trichotillomania (TTM) is an understudied condition that can be highly impairing; little is known about family environmental features that shape its development and course. We examined family functioning among age and gender-matched groups of youth with primary TTM (n = 30; mean age = 12.87), obsessive compulsive disorder (OCD; n = 30; mean age = 12. Read More

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http://dx.doi.org/10.1016/j.psychres.2019.112578DOI Listing
November 2019
1 Read

Trichotillomania is more related to Tourette disorder than to obsessive-compulsive disorder.

Braz J Psychiatry 2020 Jan-Feb;42(1):87-104

Institut National de la Santé et de la Recherche Médicale (INSERM), U955, Créteil, France.

Objective: Trichotillomania (TTM) is characterized by the pulling out of one's hair. TTM was classified as an impulse control disorder in DSM-IV, but is now classified in the obsessive-compulsive related disorders section of DSM-5. Classification for TTM remains an open question, especially considering its impact on treatment of the disorder. Read More

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http://dx.doi.org/10.1590/1516-4446-2019-0471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986481PMC
March 2020
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Linear Alopecic Patches in a Child: An Unusual Presentation of Trichotillomania.

Indian Dermatol Online J 2019 Sep-Oct;10(5):591-592. Epub 2019 Aug 28.

Department of Pathology, Dr. Ram Manohar Lohia and Post Graduate Institute of Medical Education and Research, New Delhi, India.

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http://dx.doi.org/10.4103/idoj.IDOJ_507_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6743397PMC
August 2019
4 Reads

Sleep in obsessive-compulsive and related disorders: a selective review and synthesis.

Curr Opin Psychol 2019 Aug 24;34:23-26. Epub 2019 Aug 24.

Vanderbilt University, USA. Electronic address:

Despite growing interest in the link between sleep disturbance and psychopathology, much remains unknown regarding obsessive-compulsive and related disorders (OCRDs). The present review integrates contemporary research on the relations between sleep and OCRDs, including hoarding disorder, trichotillomania, and excoriation disorder in order to inform future programmatic research. Findings indicate a robust link between sleep disturbance and OCD; however, the impact of sleep on OCD treatment outcome is unclear. Read More

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http://dx.doi.org/10.1016/j.copsyc.2019.08.018DOI Listing
August 2019
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Trichotillomania comorbidity in a sample enriched for familial obsessive-compulsive disorder.

Compr Psychiatry 2019 10 31;94:152123. Epub 2019 Aug 31.

Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States of America. Electronic address:

Background: This study addresses the strength of associations between trichotillomania (TTM) and other DSM-IV Axis I conditions in a large sample (n = 2606) enriched for familial obsessive-compulsive disorder (OCD), to inform TTM classification.

Methods: We identified participants with TTM in the Johns Hopkins OCD Family Study (153 families) and the OCD Collaborative Genetics Study, a six-site genetic linkage study of OCD (487 families). We used logistic regression (with generalized estimating equations) to assess the strength of associations between TTM and other DSM-IV disorders. Read More

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http://dx.doi.org/10.1016/j.comppsych.2019.152123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6980465PMC
October 2019
3 Reads

A Clinico-Epidemiological Study of Scalp Hair Loss in Children (0-18 Years) in Kota Region, South-East Rajasthan.

Indian J Dermatol 2019 Jul-Aug;64(4):285-291

Department of Dermatology, Venereology and Leprology, Government Medical College, Kota, Rajasthan, India.

Background: Currently, the studies related to hair loss in children showed the variable prevalence of different clinical patterns and causes of scalp hair loss, that had regional variation.

Aims: The aim of this study is to evaluate the epidemiology and clinical pattern of scalp hair loss in children (0-18 years age group).

Materials And Methods: A total of 300 children presenting with scalp hair loss were studied during a period of 1 year from April 2015 to March 2016. Read More

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http://dx.doi.org/10.4103/ijd.IJD_393_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6714197PMC
September 2019
5 Reads

Large gastric trichobezoar causing failure to thrive and iron deficiency anaemia in an adolescent girl: a case report emphasising the imaging findings and review of the literature.

Authors:
Duncan Lyons

BJR Case Rep 2019 Jun 11;5(2):20180080. Epub 2019 Jan 11.

Launceston General Hospital, Launceston, TAS, Australia.

Failure to thrive, iron deficiency anaemia and abdominal pain are common paediatric presentations to general practitioners, outpatient clinics and are often referred to emergency departments. When young female patients suffering from psychiatric disorders, such as trichotillomania and trichophagia present to medical practitioners, the rare diagnosis of a trichobezoar, which is an accumulation of indigestible human hair in the gastrointestinal tract (90 % occurring in the stomach) needs to be suspected. Imaging is the mainstay of trichobezoar diagnosis and requires accurate interpretation to prevent complications. Read More

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http://dx.doi.org/10.1259/bjrcr.20180080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726174PMC
June 2019
2 Reads