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    [Rapunzel syndrome as a cause of obstruction and intestinal perforation].
    Acta Gastroenterol Latinoam 2016 06;46(2):114-7
    The following is a case report involving a 16 year old female with trichotillomania as an antecedent. This patient presented to the Emergency Room with a chief complaint of early satiety and persistent abdominal pain for the past 3 months. However, recently her abdominal pain has worsened and it is now complicated by nausea and vomiting. Read More

    Predictors of comorbid eating disorders and association with other obsessive-compulsive spectrum disorders in trichotillomania.
    Compr Psychiatry 2017 Jun 21;78:1-8. Epub 2017 Jun 21.
    Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA. Electronic address:
    Trichotillomania (TTM) and eating disorders (ED) share many phenomenological similarities, including ritualized compulsive behaviors. Given this, and that comorbid EDs may represent additional functional burden to hair pullers, we sought to identify factors that predict diagnosis of an ED in a TTM population. Subjects included 555 adult females (age range 18-65) with DSM-IV-TR TTM or chronic hair pullers recruited from multiple sites. Read More

    Cortical thickness abnormalities in trichotillomania: international multi-site analysis.
    Brain Imaging Behav 2017 Jun 29. Epub 2017 Jun 29.
    Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL, USA.
    Trichotillomania is a prevalent but often hidden psychiatric condition, characterized by repetitive hair pulling. The aim of this study was to confirm or refute structural brain abnormalities in trichotillomania by pooling all available global data. De-identified MRI scans were pooled by contacting authors of previous studies. Read More

    Placebo response in trichotillomania.
    Int Clin Psychopharmacol 2017 Jun 16. Epub 2017 Jun 16.
    aDepartment of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, Illinois bDepartment of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts cDepartment of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA dSchool of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen eH. Lundbeck A/S, Copenhagen fDepartment of Psychiatry, University of Cambridge gCambridge and Peterborough NHS Foundation Trust, Cambridge, UK hDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
    Trichotillomania is a functionally impairing, often overlooked disorder with no Food and Drug Administration-approved medications indicated for its treatment. The ability of clinical trials to detect the beneficial effects of pharmacologic treatment in trichotillomania has been hampered by the high placebo response rate. Very little is known about baseline demographic and clinical characteristics that may be predictive of placebo response in such patients. Read More

    Dissociation and conversion symptoms in dermatology.
    Clin Dermatol 2017 May - Jun;35(3):267-272. Epub 2017 Jan 21.
    Department of Medicine, Faculty of Medicine, University of Toronto, Ontario, Canada.
    Dissociation and conversion (defined as the somatic component of dissociation) can play an important mediating role in the exacerbation of the stress-reactive dermatoses (eg, psoriasis, idiopathic urticaria, atopic dermatitis), dermatoses that are exacerbated by excessive scratching (eg, lichen simplex chronicus, prurigo nodularis) and koebnerization, and the self-induced dermatoses (dermatitis artefacta, acne excoriée, skin picking disorder, trichotillomania, onychotillomania/onychophagia). Dissociative symptoms often coexist with obsessive-compulsive symptoms in the more severe cases of the self-induced dermatoses. Dissociation can play an important role in cutaneous sensory disorder (eg, scalp dysesthesia syndrome, stomatodynia/glossodynia, vulvodynia/scrotodynia, medically unexplained anesthesia). Read More

    Posttraumatic stress disorder (PTSD) and the dermatology patient.
    Clin Dermatol 2017 May - Jun;35(3):260-266. Epub 2017 Jan 22.
    Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
    Dermatologic symptoms can be associated with posttraumatic stress disorder (PTSD) in several situations: (1) as features of some core PTSD symptoms, such as intrusion symptoms manifesting as cutaneous sensory flashbacks, as autonomic arousal manifesting as night sweats and idiopathic urticaria, and as dissociation manifesting as numbness and dermatitis artefacta; (2) the cutaneous psychosomatic effects of emotional and physical neglect and sexual abuse (eg, infantile eczema, cutaneous self-injury, and body-focused repetitive behaviors such as trichotillomania and skin picking disorder) and eating disorders, which can have dermatologic effects; (3) the direct effect of physical or sexual abuse or catastrophic life events (eg, earthquakes) on the skin; and (4) as a result of significant alterations in hypothalamic-pituitary-adrenal and sympatho-adrenal medullary axes, which can affect neuroendocrine and immune functions, and can lead to exacerbations of stress-reactive inflammatory dermatoses such as psoriasis, chronic urticaria, and atopic dermatitis. Elevated levels of inflammatory biomarkers and impaired epidermal barrier function have been reported in situations involving sustained psychologic stress and sleep deprivation. Some PTSD patients show hypothalamic-pituitary-adrenal axis hyporesponsiveness and higher circulating T lymphocytes, which can exacerbate immune-mediated dermatologic disorders. Read More

    "Hair in the Bladder": An Unusual Finding.
    J Endourol Case Rep 2017 1;3(1):28-30. Epub 2017 Mar 1.
    Department of Urology, ASL 2 Abruzzo, Chieti, Italy.
    Trichobezoar is a rare condition whereby a hairball is found in the human stomach or gastrointestinal tract, most frequently in young women, mainly in association with a psychiatric disorder. Trichobezoar cases have also been reported in the bladder and represent a rare complication of foreign bodies, called "hair nidus or hair ball," in patients with chronic catheter. Approximately 10% to 15% of patients on long-term urethral catheter or clean intermittent self-catheterization develop urinary tract stones. Read More

    Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention.
    Neuropsychiatr Dis Treat 2017 21;13:1153-1162. Epub 2017 Apr 21.
    Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
    Background: Many patients suffering from trichotillomania (TTM) have never undergone treatment. Without treatment, TTM often presents with a chronic course. Characteristics of TTM individuals who have never been treated (untreated) remain largely unknown. Read More

    Attentiveness of Dermatologists in the Middle East to Psychocutaneous Medicine.
    Prim Care Companion CNS Disord 2017 Apr 27;19(2). Epub 2017 Apr 27.
    Department of Psychiatry and Behavioral Sciences, College of Medicine, Central Michigan University, Saginaw, Michigan, USA.
    Objective: Patients with skin diseases often have psychological problems and complications that require assessment and treatment. The main objective of this study was to explore attentiveness of dermatologists to psychiatric symptoms in their patients.

    Methods: A previously validated online questionnaire was used to explore the attitude and experience of dermatologists practicing in the Middle East toward the assessment of the psychiatric needs of their patients. Read More

    Trichobezoar presenting as a gastric outlet obstruction: A case report.
    Int J Surg Case Rep 2017 16;34:123-125. Epub 2017 Mar 16.
    Department of Surgery, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430, United States.
    Introduction: Rapunzel syndrome is a rare intestinal condition that starts with the ingestion of a trichobezoar. The condition is predominately found in females and can be associated with trichotillomania, or the compulsive urge to pull one's own hair out. There are less than 40 cases described in the literature with the prevention of recurrence aimed at psychological treatment. Read More

    Trichotillomania and its clinical relationship to depression and anxiety.
    Int J Psychiatry Clin Pract 2017 Apr 21:1-5. Epub 2017 Apr 21.
    e Department of Psychiatry , Massachusetts General Hospital/Harvard Medical School , Boston , MA , USA.
    Objective: Trichotillomania (TTM) is associated with high rates of co-occurring depression and anxiety disorders. What the co-occurrence of TTM, depression or anxiety disorders means clinically and cognitively, however, has garnered little research attention.

    Methods: About 530 adults with TTM were examined on a variety of clinical measures including symptom severity, psychosocial measures of functioning, psychiatric comorbidity and neurocognitive testing assessing motor inhibition and cognitive flexibility. Read More

    Preventing, treating, and predicting barbering: A fundamental role for biomarkers of oxidative stress in a mouse model of Trichotillomania.
    PLoS One 2017 20;12(4):e0175222. Epub 2017 Apr 20.
    Department of Comparative Medicine, Stanford University, Stanford, California, United States of America.
    Barbering, where a "barber" mouse plucks hair from its cagemates or itself, is both a spontaneously occurring abnormal behavior in mice and a well validated model of Trichotillomania (TTM). N-Acetylcysteine, (NAC) a cysteine derived food additive, is remarkably effective in treating TTM patients, but its mechanism of action is unknown. Reactive Oxygen Species (ROS), also known as free radicals, form as a natural byproduct of the normal metabolism of oxygen. Read More

    Psychocutaneous disease: Clinical perspectives.
    J Am Acad Dermatol 2017 May;76(5):779-791
    Department of Dermatology, Alpert Medical School of Brown University, Providence, Rhode Island; Department of Dermatology, Medical School of Jundiaí, São Paulo, Brazil; GK Dermatology, PC, South Weymouth, Massachusetts. Electronic address:
    Psychocutaneous disease, defined in this review as primary psychiatric disease with skin manifestations, is commonly encountered in dermatology. Dermatologists can play an important role in the management of psychocutaneous disease because patients visit dermatology for treatment of their skin problems but often refuse psychiatric intervention. This review describes common psychocutaneous syndromes, including delusional, factitious, obsessive-compulsive and related, and eating disorders, as well as psychogenic pruritus, cutaneous sensory (pain) syndromes, posttraumatic stress disorder, and sleep-wake disorders. Read More

    Trichotillomania: a case report with clinical and dermatoscopic differential diagnosis with alopecia areata.
    An Bras Dermatol 2017 Jan-Feb;92(1):118-120
    Department of Dermatology of the Instituto Lauro de Souza Lima (ILSL) - Bauru (SP), Brazil.
    Trichotillomania is a psychodermatologic disorder characterized by uncontrollable urge to pull one's own hair. Differential diagnoses include the most common forms of alopecia such as alopecia areata. It is usually associated with depression and obsessive-compulsive disorder. Read More

    [Psychosomatic disorders of the scalp].
    Hautarzt 2017 Jun;68(6):445-448
    Vivantes Netzwerk für Gesundheit GmbH, Klinik für Dermatologie und Allergologie, Immunonkologisches Zentrum, Schwerpunkt Männermedizin, Vivantes Klinikum Spandau, Akademisches Lehrkrankenhaus, Charité - Universitätsmedizin Berlin, Neue Bergstr. 6, 13585, Berlin, Deutschland.
    Psychosomatic disorders of the scalp have some special characteristics due to the visibility, possible stigmatization, and amount/patterns of hair. Of practical relevance is trichotillomania, which is now classified as an obsessive-compulsive disorder (OCD). Patients who are obsessed with normal physiological hair loss represent a further psychodermatological challenge. Read More

    Alternative Therapies for Excoriation (Skin Picking) Disorder: A Brief Update.
    Adv Mind Body Med 2017 Winter;31(1):10-13
    Context • Excoriation (skin picking) disorder is characterized by the need or urge to pick, scratch, pinch, touch, rub, scrub, squeeze, bite, or dig the skin, and it can be a perplexing condition for the inexperienced physician. Treatments include pharmacotherapy, psychotherapy, and alternative therapies. Alternative therapies for excoriation disorder and other body-focused repetitive behaviors include yoga, aerobic exercise, acupuncture, biofeedback, hypnosis, and inositol and N-acetylcysteine, among others. Read More

    Pulling your hair out in geriatric psychiatry: a case report.
    Int Psychogeriatr 2017 Apr 1;29(4):691-694. Epub 2017 Feb 1.
    Department of Psychiatry & Behavioral Neuroscience,University of Chicago,Pritzker School of Medicine,Chicago,Illinois,USA.
    Trichotillomania is a relatively understudied psychiatric disorder. Even less is known about this disorder in the elderly. We describe an unusual case of an elderly woman presenting for the first time with trichotillomania at age 70 and highlight the treatment complexities we encountered. Read More

    Behavioral Changes Associated with a Disruptive New Student in the Classroom.
    J Dev Behav Pediatr 2017 Feb/Mar;38 Suppl 1:S38-S40
    *Department of Pediatrics, University of California, San Francisco, CA; †Division of General Pediatrics, Child Development and Community Pediatrics, Department of Pediatrics, University of California, San Diego, San Diego, CA; ‡Preuss/UCSD Charter School, San Diego, CA.
    Case: Marcus is a 10-year-old boy who was followed by his pediatrician for several years. She knows him as a socially engaged, active athlete, playing soccer and baseball, out-going, and a good student. He has been in good health without a significant medical history. Read More

    Increased Trichotillomania Symptoms in a Child With Fluoxetine Treatment.
    Clin Neuropharmacol 2017 Mar/Apr;40(2):95-96
    *Child and Adolescent Psycihatry Department, Düzce University Medical Faculty, Düzce; and †Child and Adolescent Psycihatry Department, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey.
    Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pulling leading to hair loss, distress, and disordered functioning. Treatment choices include behavioral therapy (especially habit reversal training) and selective serotonin reuptake inhibitors. However, randomized controlled trials conducted with selective serotonin reuptake inhibitors have led to controversial results of effectiveness for TTM. Read More

    Endoscopic retrieval of gastric trichophytobezoar: Case report of a 12-year-old girl with trichophagia.
    Medicine (Baltimore) 2017 Jan;96(3):e5969
    aDepartment of Pediatrics, Tianjin Nankai Hospital bNankai Clinical School, Tianjin Medical University cDepartment of Endoscopy, Tianjin Nankai Hospital, Nankai, Tianjin, China.
    Rationale: Trichophytobezoars, which are composed of hair and plant fibers, are usually located in the stomach. They are often associated with trichophagia and trichotillomania. The most commonly reported methods of trichophytobezoar treatment are open surgery and laparoscopic retrieval; there are few reports of endoscopic removal of trichophytobezoars. Read More

    Trichoscopic clues for diagnosis of alopecia areata and trichotillomania in Asians.
    Int J Dermatol 2017 Feb;56(2):161-165
    Division of Dermatology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
    Background: Trichoscopy has become a useful diagnostic tool for various hair and scalp diseases, including alopecia areata (AA) and trichotillomania (TTM), which are sometimes difficult to distinguish clinically.

    Objectives: To describe trichoscopic findings of AA and TTM in an Asian population and to establish diagnostic clues for these conditions.

    Methods: Trichoscopy was performed with a handheld dermoscope in 52 patients diagnosed with AA and 23 patients diagnosed with TTM. Read More

    Preliminary Randomized Controlled Trial of Habit Reversal Training for Treatment of Hair Pulling in Youth.
    J Child Adolesc Psychopharmacol 2017 Mar 22;27(2):132-139. Epub 2016 Dec 22.
    1 Department of Pediatrics, University of South Florida , Tampa, Florida.
    Objectives: This study evaluated the treatment efficacy of habit reversal training (HRT) relative to treatment as usual (TAU) for children and adolescents aged 7-17 years with a primary diagnosis of trichotillomania (TTM).

    Method: An initial assessment consisting of semistructured interviews and rating scales was conducted. Participants (N = 40, 85% female) meeting diagnostic criteria for TTM were randomized to either 8 weekly sessions of HRT by trained therapists or 8 weeks of TAU. Read More

    Impulse control disorder, lysosomal malfunction and ATP13A2 insufficiency in Parkinsonism.
    Clin Exp Pharmacol Physiol 2017 Feb;44(2):172-179
    School of Medicine, Institute of Ageing Research, Hangzhou Normal University, Hangzhou, Zhejiang Province, China.
    Lysosomal transport of cargos in neurons is essential for neuronal proteostasis, transmission and functional motors and behaviours. Lysosomal malfunction including storage disorders is involved in the pathogenesis of Parkinson's disease (PD). Given the unclear molecular mechanisms of diverse defects in PD phenotypes, especially behavioural deficits, this mini review explores the cellular contexts of PD impulse control disorders and the molecular aspects of lysosomal cross-membrane transports. Read More

    Trichotillomania in Celiac Disease.
    Case Rep Gastroenterol 2016 Sep-Dec;10(3):613-616. Epub 2016 Oct 18.
    KSA-Madina Almownwara, Tiabah University, Madinah, Saudi Arabia.
    Trichotillomania is an underreported and underdiagnosed condition associated with significant impairments in social and functional relationships. The connection between celiac disease and trichotillomania is not yet established clearly. Only a few cases of trichotillomania have been reported to date. Read More

    Predictors of comorbid obsessive-compulsive disorder and skin-picking disorder in trichotillomania.
    Ann Clin Psychiatry 2016 Nov;28(4):280-288
    Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA USA. E-mail:
    Background: Trichotillomania (TTM), obsessive-compulsive disorder (OCD), and skin-picking disorder (SPD) frequently occur together and share overlapping phenomenology, pathophysiology, and possible genetic underpinnings. This study sought to identify factors that predict OCD and SPD in hair pullers.

    Methods: Five hundred fifty-five adult female hair pullers were recruited from specialty clinics and assessed using standardized, semi-structured interviews and self-reports. Read More

    Trichoscopy of Focal Alopecia in Children - New Trichoscopic Findings: Hair Bulbs Arranged Radially along Hair-Bearing Margins in Aplasia Cutis Congenita.
    Skin Appendage Disord 2016 Sep 30;2(1-2):1-6. Epub 2016 Apr 30.
    Department of Dermatology, Medical University of Warsaw, Warsaw, Poland.
    Purpose: To establish whether trichoscopy can be useful in the differential diagnosis of patchy alopecia in children.

    Procedures: The study was a retrospective analysis (2012-2015) and included 68 patients under 6 years of age. The inclusion criteria were age and the presence of 1-3 alopecia patches. Read More

    Trichotillomania as a Manifestation of Dementia.
    Case Rep Psychiatry 2016 20;2016:9782702. Epub 2016 Oct 20.
    Department of Neurology, David Geffen School of Medicine, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA; Department of Neurology, Neurobehavior Unit, VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA.
    Pathological hair-pulling or trichotillomania, which is commonly associated with anxiety and depression, obsessive-compulsive disorder, and neurodevelopmental disorders, has been rarely associated with dementing illnesses. Investigators have not clarified the neural correlates and treatment of trichotillomania in dementia. We report a patient who developed an early-onset cognitive decline with genetic, cerebrospinal fluid biomarker and structural and functional neuroimaging studies consistent with Alzheimer's disease. Read More

    Affective correlates of trichotillomania across the pulling cycle: Findings from an Italian sample of self-identified hair pullers.
    Psychiatry Res 2016 Dec 4;246:606-611. Epub 2016 Nov 4.
    Department of General Psychology, University of Padova, via Venezia 8, 35131 Padova, Italy.
    Etiological models of trichotillomania (TTM) conceptualize hair pulling as a dysfunctional emotion regulation strategy; accordingly, some research has found that affective states change differentially across the hair pulling cycle. We explored emotional changes in a sample of Italian individuals reporting TTM. Eighty-nine participants reporting TTM completed a 12-item section of the Italian Hair Pulling Questionnaire online and rated the extent to which they had experienced 12 affective states before, during, and after hair pulling. Read More

    Trichotillomania Among Young Adults: Prevalence and Comorbidity.
    Acta Derm Venereol 2017 Apr;97(4):509-512
    Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
    Trichotillomania is an impulse control disorder characterized by repetitive pulling out of one's hair. The aim of this study was to estimate the prevalence of trichotillomania in young adults and its association with anxiety and obsessive-compulsive disorders (OCD). A total of 339 individuals completed a questionnaire to determine the presence of trichotillomania. Read More

    A double-blind, placebo-controlled study of inositol in trichotillomania.
    Int Clin Psychopharmacol 2017 Mar;32(2):107-114
    Department of Psychiatry & Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
    Trichotillomania is characterized by repetitive pulling that causes noticeable hair loss. Data on the pharmacological treatment of trichotillomania are limited, with no clear first-line agent. The aim of the current study was to determine the efficacy and tolerability of inositol in adults with trichotillomania. Read More

    Parent Coping With Adolescent Trichotillomania.
    J Sch Nurs 2016 Dec 25;32(6):423-435. Epub 2016 Jul 25.
    School of Nursing, University of Minnesota, Minneapolis, MN, USA.
    Adolescents who struggle with trichotillomania (TTM; hairpulling disorder) are not alone, their parents also struggle. The focus of this qualitative study was to identify what parents (N = 30) perceive as stressful about parenting an adolescent with TTM and how they cope with these stressors. Parents described uncertainty about the course of the disorder and powerlessness in the ability to protect their adolescent from the reactions of others or assist them in curtailing the hairpulling as very distressing. Read More

    Obsessive-compulsive skin disorders: a novel classification based on degree of insight.
    J Dermatolog Treat 2017 Jun 24;28(4):342-346. Epub 2016 Oct 24.
    b Department of Dermatology, Psoriasis and Skin Treatment Center , University of California San Francisco , San Francisco , CA , USA.
    Individuals with obsessive-compulsive features frequently visit dermatologists for complaints of the skin, hair or nails, and often progress towards a chronic relapsing course due to the challenge associated with accurate diagnosis and management of their psychiatric symptoms. The current DSM-5 formally recognizes body dysmorphic disorder, trichotillomania, neurotic excoriation and body focused repetitive behavior disorder as psychodermatological disorders belonging to the category of Obsessive-Compulsive and Related Disorders. However there is evidence that other relevant skin diseases such as delusions of parasitosis, dermatitis artefacta, contamination dermatitis, AIDS phobia, trichotemnomania and even lichen simplex chronicus possess prominent obsessive-compulsive characteristics that do not necessarily fit the full diagnostic criteria of the DSM-5. Read More

    DSM-5 Trichotillomania: Perception of Adults With Trichotillomania After Psychosocial Treatment.
    Psychiatry 2016 ;79(2):164-169
    a Department of Psychology , Texas A&M University , College Station , Texas.
    Objective: Trichotillomania (TTM) is associated with significant embarrassment and is viewed negatively by others. A potentially important outcome variable that is often overlooked in treatment for TTM is appearance and social perception.

    Method: The present study tested whether participants in a randomized controlled trial (RCT) of psychotherapy for TTM are viewed more positively by others. Read More

    Treating Trichotillomania (Hair-Pulling Disorder) in a Child.
    J Clin Psychol 2016 Nov 4;72(11):1200-1208. Epub 2016 Oct 4.
    Marquette University.
    Although cognitive behavioral treatments (CBTs) have been recommended as first-line interventions for trichotillomania (hair-pulling disorder [HPD]), research on CBT for young children with HPD is limited. We illustrate the use of family-based CBT for HPD in an 8-year-old boy. The client had a 5-year history of chronic HPD and several large bald spots on the crown of his head. Read More

    A rare clinic entity: Huge trichobezoar.
    Int J Surg Case Rep 2016 28;28:127-130. Epub 2016 Sep 28.
    General Surgery and Oncology Department, Global Super-Specialty Hospital, Kabul, Afghanistan.
    Introduction: Trichobezoar is a rare clinical entity in which a ball of hair amasses within the alimentary tract. It can either be found as isolated mass in the stomach or may extend into the intestine. Trichobezoars mostly occur in young females with psychiatric disorders such as trichophagia and trichotillomania. Read More

    Rapunzel syndrome: a rare cause of hypoproteinaemia and review of literature.
    BMJ Case Rep 2016 Sep 26;2016. Epub 2016 Sep 26.
    Department of Hematology Oncology, University of Arizona Medical Center, Tucson, Arizona, USA.
    Rapunzel syndrome is an extremely rare condition associated with trichophagia (hair eating disorder) secondary to a psychiatric illness called trichotillomania (hair-pulling behaviour). It is most commonly seen in children and adolescents. Untreated cases can lead to a number of complications. Read More

    Trichotillomania and co-occurring anxiety.
    Compr Psychiatry 2017 Jan 16;72:1-5. Epub 2016 Sep 16.
    Department of Psychiatry, University of Cambridge; & Cambridge and Peterborough NHS Foundation Trust (CPFT), Cambridge, United Kingdom.
    Background: Trichotillomania appears to be a fairly common disorder, with high rates of co-occurring anxiety disorders. Many individuals with trichotillomania also report that pulling worsens during periods of increased anxiety. Even with these clinical links to anxiety, little research has explored whether trichotillomania with co-occurring anxiety is a meaningful subtype. Read More

    Factor analysis of the Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version.
    J Obsessive Compuls Relat Disord 2016 Oct 16;11:31-38. Epub 2016 Aug 16.
    Department of Psychology, Texas A&M University, 4235 TAMU, College Station, TX 77840, USA; Department of Psychology, Marquette University, 604 N. 16th St., Milwaukee, WI 53233, USA.
    The Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A; Flessner et al., 2008) measures the degree to which hair pulling in Trichotillomania (TTM) can be described as "automatic" (i.e. Read More

    Gastric Perforation due to Giant Trichobezoar in a 13-Year-Old Child.
    J Gastrointest Surg 2017 Jun 22;21(6):1093-1094. Epub 2016 Sep 22.
    Service de Chirurgie Digestive, Thoracique et Endocrine, 32, Boulevard du Jardin Botanique, B-1000, Brussels, Belgium.
    Trichotillomania and trichotillophagia can cause the formation of enormous intragastric hairballs. We report the case of a 13-year-old girl who was brought to the emergency service for evaluation of an acute abdomen. Abdominal CT scanner showed a giant gastric trichobezoar which had to be removed by susombilical laparotomy and transverse gastrotomy. Read More

    Relationship between impulsivity and obsession types in obsessive-compulsive disorder.
    Int J Psychiatry Clin Pract 2016 Nov;20(4):218-23
    a Psychiatry Department , Bakirkoy Research and Training Hospital for Psychiatry Neurology and Neurosurgery , İstanbul , Turkey ;
    Objective: Impulsivity is an important aspect of obsessive-compulsive disorder (OCD) which is classified under a new heading in DSM-5 with other impulsivity related disorders like trichotillomania. Due to its heterogeneous nature, different obsessions may be linked to varying impulsivity profiles. Aim of this study was to investigate the impulsivity traits and their relationship with obsession types by comparing OCD subjects who display sexual, religious and aggressive obsessions or other obsessions to healthy controls. Read More

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