1,488 results match your criteria Trichotillomania

Children with Trichotillomania in COVID-19 outbreak.

Ümran Öner

J Cosmet Dermatol 2021 May 5. Epub 2021 May 5.

Erzurum Bölge Training and Research Hospital, Department of Dermatology, Erzurum, Turkey.

Skin and oral mucosal findings of viral infections are significant both in diagnosis and follow-up. There have been many reports of direct skin findings in COVID-19, a severe viral infection. The cutaneous findings of COVID-19 were classified as macular eruption, vesicular eruption, pernio-like lesions, urticaria, livedoid, and necrotic lesions. Read More

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Spontaneous face- and eye-touching: Infection risk versus potential microbiome gain.

Ocul Surf 2021 Apr 30. Epub 2021 Apr 30.

Department of Ophthalmology, Prince of Wales Hospital, Sydney, Australia; University of New South Wales, Sydney, Australia. Electronic address:

The COVID-19 pandemic has compelled a review of possible routes of microbial infection, of particular importance since the ocular surface is a likely portal of human Coronavirus invasion. As hand contamination is considered an important and potentially preventable factor for transmission, we have reviewed face touching in the context of a group of disorders known as the Body-Focused Repetitive Behaviours (BFRPs). Spontaneous face-touching is a poorly understood, atavistic, ingrained habit for humans, who engage in this activity approximately 26 times per hour. Read More

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ACT-enhanced group behavior therapy for trichotillomania and skin-picking disorder: A feasibility study.

J Clin Psychol 2021 May 3. Epub 2021 May 3.

Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Region Stockholm, Sweden.

Objective: To evaluate the feasibility and efficacy of ACT-enhanced Group Behavior Therapy (AEGBT) for mixed diagnosis groups including patients with trichotillomania (TTM) and skin-picking disorder (SPD) in routine psychiatric care.

Method: Adult patients (N = 40) with TTM and/or SPD received 10 weeks of AEGBT followed by five booster sessions. The primary outcome measure for TTM was the Massachusetts General Hospital Hairpulling Scale (MGH-HPS) and for SPD the Skin Picking Scale-Revised (SPS-R), assessed at posttreatment and at booster sessions. Read More

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Personality traits and their clinical associations in trichotillomania and skin picking disorder.

BMC Psychiatry 2021 04 21;21(1):203. Epub 2021 Apr 21.

Department of Psychiatry, Faculty of Medicine, University of Southampton, Southampton, UK.

Background: Despite being discussed in the psychiatric literature for decades, very little is known about personality features associated with trichotillomania and skin picking disorder (known as body focused repetitive behavior disorders, BFRBs); and the contribution of personality traits to their clinical presentations.

Aim: The present study assessed personality traits in a large and well-characterized sample of adults with either trichotillomania or skin picking disorder or both.

Methods: Adults (n = 98, aged 18-65 years), with trichotillomania (n = 37), skin picking disorder (n = 32), both trichotillomania and skin picking disorder (n = 10), and controls (n = 19) were enrolled. Read More

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A Head-to-Head Comparison of Three Self-Help Techniques to Reduce Body-Focused Repetitive Behaviors.

Behav Modif 2021 Apr 21:1454455211010707. Epub 2021 Apr 21.

University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Body-focused repetitive behaviors (BFRBs) include skin picking, trichotillomania, nail biting and cavitadaxia/lip-cheek biting, among other behaviors. For the first time, we compared three different self-help techniques aimed at reducing BFRBs. We explored the acceptance and preliminary efficacy of the approaches and whether the techniques exerted differential effects depending on BFRB-type. Read More

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Association between obsessive-compulsive and related disorders and experiential avoidance: A systematic review and meta-analysis.

J Psychiatr Res 2021 Apr 3;138:228-239. Epub 2021 Apr 3.

Norfolk & Suffolk NHS Foundation Trust, UK.

The associations between the distinct types of obsessive-compulsive and related disorders and experiential avoidance have received mixed evidence. We, thus, undertook this meta-analysis to i) re-examine the association between obsessive-compulsive disorder and experiential avoidance, ii) extend this association to hoarding disorder, trichotillomania, and body dysmorphic disorder, and iii) identify potential variables affecting these associations. Five databases, including Medline, Embase, PsychINFO, Web of Science and CINAHL, were searched until March 15th, 2021. Read More

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The prevalence of screened trichotillomania in medical students of Saint-Joseph University.

Encephale 2021 Apr 13. Epub 2021 Apr 13.

Psychiatry department, Hôtel-Dieu de France, Faculty of Medicine, Université Saint-Joseph de Beyrouth, BP, 166830 Beirut, Lebanon.

Objectives: Our study aims to determine the prevalence of trichotillomania among medical students. Furthermore, we aim to determine the perception of trichotillomania in this population.

Methods: Our study is a cross-sectional study that aims to determine the prevalence and the perception of trichotillomania among medical students in, compared to a control population. Read More

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Valproate Monotherapy for Refractory Trichotillomania With Persistent Motor Tic Disorder.

Am J Ther 2021 Apr 7. Epub 2021 Apr 7.

Child/Adolescent Psychiatrist, Al-Manara CAP Centre, Kuwait Centre for Mental Health (KCMH), Jamal Abdul-Nassir St, Shuwaikh, State of Kuwait Professor of Psychiatry, University of Tasmania, Hobart, Australia Senior Professor of Psychiatry, and Consultant Psychiatrist, Alexandria Faculty of Medicine, Alexandria, Egypt Consultant General Adult Psychiatrist, Stoke on trent, United Kingdom Consultant Child/Adolescent Psychiatrist, Head of Al-Manara CAP Centre, KCMH, Kuwait, and, Assistant Professor, Tufts University, Medford, Massachusetts.

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The place of obsessive-compulsive and related disorders in the compulsive-impulsive spectrum: a cluster-analytic study.

CNS Spectr 2021 Apr 12:1-10. Epub 2021 Apr 12.

Department of Psychiatry, University of Southampton; and Department of Psychiatry, University of Cambridge, UK.

Background: The extent to which obsessive-compulsive and related disorders (OCRDs) are impulsive, compulsive, or both requires further investigation. We investigated the existence of different clusters in an online nonclinical sample and in which groups DSM-5 OCRDs and other related psychopathological symptoms are best placed.

Methods: Seven hundred and seventy-four adult participants completed online questionnaires including the Cambridge-Chicago Compulsivity Trait Scale (CHI-T), the Barratt Impulsiveness Scale (BIS-15), and a series of DSM-5 OCRDs symptom severity and other psychopathological measures. Read More

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Trichotillomania Incognito: Two Case Reports and Literature Review.

Skin Appendage Disord 2021 Feb 15;7(2):131-134. Epub 2020 Dec 15.

Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami School of Medicine, Miami, Florida, USA.

Trichotillomania is a compulsive disorder characterized by repetitive hairpulling. It is an important cause of patchy alopecia, especially in children between 9 and 13 years of age. The aim of this paper is to report 2 pediatric cases presenting with trichotillomania without patches. Read More

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February 2021

Dysregulation, Catastrophic Reactions, and the Anxiety Disorders.

Child Adolesc Psychiatr Clin N Am 2021 Apr;30(2):431-444

College of Medicine, University of Cincinnati, 260 Stetson Street, Suite 3200, Cincinnati, OH 45267, USA.

Normal developmental activities (eg, going to school, raising a hand in class, and managing typical life uncertainties) are 'triggers' for children and adolescents with anxiety disorders. To cope, children with anxiety avoid; however, when avoidance of developmentally appropriate activities is not possible, catastrophic responses can ensue. If these catastrophic reactions result in successful avoidance, they are likely to recur leading to a generalized pattern of dysregulated behavior. Read More

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[Classification of obsessivecompulsive disorder: evolution in the DSM-V].

Rev Prat 2020 Sep;70(7):774-776

Institut du Cerveau, et Sorbonne Université, Paris, France.

Classification of obsessive-compulsive disorder : evolution in the DSM V. Obsessive-compulsive disorder (OCD) criteria were first described in the third edition of Diagnostic and statistical manual of mental disorders (DSM), in the 1980's. OCD was then classified as an anxious disorder. Read More

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September 2020

Trichobezoar from bristles brush and Carpet yarn requiring emergency laparotomy. Case report.

Ann Med Surg (Lond) 2021 Mar 24;63:102192. Epub 2021 Feb 24.

Professor of surgery, Department of Surgery, Faculty of Medicine, University of Aleppo, Syria.

Introduction And Importance: When hair accumulates inside the stomach, it causes what is called a Trichobezoar, which leads to a stomach blockage, this condition is rare and more common in women and in patients with psychiatric disorders.

Case Presentation: The authors report an unusual case of a 16-year-old girl who has trichobezoar not only by ingestion of hair, it is also by bristle clothes brush and Carpet yarn. she presented with acute abdominal pain and gastrointestinal symptoms-like watery diarrhea, vomiting, hypercoria and weight loss attributed to Anorexia. Read More

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[Scalp disorders in black Africans treated in a dermatology department in Cotonou (Benin): age-sex-specific epidemiological and clinical features].

Pan Afr Med J 2020 2;37:303. Epub 2020 Dec 2.

Service de Dermatologie-Vénérologie, Faculté des Sciences de la Santé, Centre National Hospitalier et Universitaire de Cotonou, Université d´Abomey-Calavi, Cotonou, Bénin.

Introduction: scalp disorders are related to several factors including ethnicity, gender or age. In black people, they can be caused by intrinsic and extrinsic factors. Very few studies have been conducted in this ethnic group residing in black Africa, hence the purpose of our survey was to highlight the epidemiological and clinical features of age-sex-specific scalp disorders in patients treated in a dermatology department in Cotonou (Benin). Read More

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A huge abdominal mass revealing a depressive syndrome.

Ann R Coll Surg Engl 2021 Mar;103(3):e77-e80

Department of Visceral Surgery, Mohammed V Military Teaching Hospital, Rabat, Morocco.

Trichobezoar is a rare condition that occurs mostly in young women with psychiatric disorders such as trichotillomania and trichophagia. We report the case of a giant gastric trichobezoar in a 21-year-old woman who presented with chronic abdominal pain, vomiting and weight loss. Abdominal examination revealed a large epigastric mass. Read More

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Gender Differences in Impulse Control Disorders and Related Behaviors in Patients with Parkinson's Disease and its Impact on Quality of Life.

Ann Indian Acad Neurol 2020 Sep-Oct;23(5):632-637. Epub 2020 Dec 8.

Department of Critical Care Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Background: Dopaminergic medications administered to remedy motor symptoms in Parkinson's disease are associated with an enhanced risk for impulse control disorders (ICD) and related compulsive behaviors (ICD-RB). Thus, the present study focuses on investigating the gender difference in the prevalence of ICD-RBs in Indian PD patients on dopamine replacement therapy (DRT), its impact on quality of life and to identify ICDs relevant in Indian scenario apart from the criteria set in QUIP-RS.

Method: This was a hospital-based observational cross-sectional study in which Parkinson's disease patients attending neurology clinic were included. Read More

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December 2020

Shared and unique neural mechanisms underlying pediatric trichotillomania and obsessive compulsive disorder.

Psychiatry Res 2021 Apr 15;298:113653. Epub 2020 Dec 15.

Division of Child & Adolescent Psychiatry, Jane & Terry Semel Institute for Neuroscience at UCLA, Los Angeles, CA 90024, United States.

Background: Little is known about the neural underpinnings of pediatric trichotillomania (TTM). We examined error-related negativity (ERN)-amplitude and theta-EEG power differences among youth with TTM, OCD, and healthy controls (HC).

Methods: Forty channel EEG was recorded from 63 pediatric participants (22 with TTM, 22 with OCD, and 19 HC) during the Eriksen Flanker Task. Read More

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From biosociality to biosolidarity: the looping effects of finding and forming social networks for body-focused repetitive behaviours.

Bridget Bradley

Anthropol Med 2021 Feb 22:1-15. Epub 2021 Feb 22.

Social Anthropology, University of St Andrews, St Andrews, UK.

Anthropological accounts of biosociality reveal the importance of the social relations formed through shared biomedical conditions. In the context of body-focused repetitive behaviours (BFRBs), like compulsive hair pulling (trichotillomania) and skin picking (dermatillomania), biosociality moves people from isolation towards community. After diagnosis, the powerful moment of discovering 'you are not alone' can lead to immense personal transformations, demonstrating the 'looping effects' of diagnosis and biosociality. Read More

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February 2021

Trichotillomania in Children and the Different Approaches between Dermatological and Behavioral Health Professionals at an Urban Tertiary Care Center.

Skin Appendage Disord 2021 Jan 26;7(1):1-7. Epub 2020 Oct 26.

Section of Dermatology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Background: Trichotillomania (TTM) is a complex disease with varying clinical characteristics, and psychosocial impairment is noted in many TTM patients. Despite its prevalence in childhood, there is limited research on pediatric TTM.

Objective: To analyze the clinical and epidemiologic features of TTM in children evaluated by dermatologists and behavioral health specialists. Read More

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January 2021

Gastric perforation secondary to Rapunzel syndrome.

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

General Surgery, Queen's Medical Centre Nottingham University Hospital NHS Trust, Nottingham, UK.

Rapunzel syndrome is rare and describes a trichobezoar that extends through the pylorus into the jejunum, ileum or even the colon. Due to the large intraluminal size and weight they can attain, acute presentations of obstruction or perforation may occur. We report a case of a 17-year-old girl who presented to the emergency department following a syncopal episode. Read More

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February 2021

Genetics of OCD and Related Disorders; Searching for Shared Factors.

Edna Grünblatt

Curr Top Behav Neurosci 2021 Feb 6. Epub 2021 Feb 6.

Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Obsessive compulsive disorder (OCD) and several other obsessive-compulsive related disorders (OCRDs) including hoarding disorder, body dysmorphic disorder (BDD), skin picking disorder, trichotillomania and the newly arising public health conditions of online gaming and gambling disorders, under the umbrella of Problematic Usage of the Internet (PUI), not only share some common phenotypes, but there is evidence to suggest share some genetic risk factors. The simple fact that these disorders segregate within families points to this notion. However, the current data are still scarce. Read More

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February 2021

Cognitive Inflexibility in OCD and Related Disorders.

Curr Top Behav Neurosci 2021 Feb 6. Epub 2021 Feb 6.

Department of Psychology, University of Cambridge, Cambridge, UK.

Cognitive inflexibility is suggested by the hallmark symptoms of obsessive-compulsive disorder (OCD), namely the occurrence of repetitive thoughts and/or behaviours that persist despite being functionally impairing and egodystonic to the individual. As well as being implied by the top-level symptoms, cognitive inflexibility in OCD, and some related conditions, has also been objectively quantified in case-control studies using computerised cognitive tasks. This chapter begins by considering the objective measurement of different aspects of cognitive flexibility using neuropsychological paradigms, with a focus on neural and neurochemical substrates. Read More

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February 2021

Early-onset Trichotillomania with Habit Disorder in a 5-Year-Old-Girl - With Trichoscopic Findings.

Int J Trichology 2020 Sep-Oct;12(5):241-242. Epub 2020 Nov 3.

Department of Skin AND VD, Government Medical College, Kota, Rajasthan, India.

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November 2020

Trichotemnomania in an Adolescent Girl: A Case Report of an Asian Child and Literature Review.

Case Rep Dermatol Med 2020 8;2020:6615250. Epub 2020 Dec 8.

Department of Psychiatry, Base Hospital, Valaichenai, Sri Lanka.

Trichotemnomania (TT) refers to cutting or shaving of one's own hair as a compulsive act. This condition is reported rarely and may be indicative of an underlying obsessive-compulsive disorder. TT may be misdiagnosed with trichotillomania or other disorders such as alopecia areata, tinea capitis, and postinflammatory scars. Read More

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December 2020

Sex Differences in Age at Onset and Presentation of Trichotillomania and Trichobezoar: A 120-Year Systematic Review of Cases.

Child Psychiatry Hum Dev 2021 Jan 8. Epub 2021 Jan 8.

Department of Psychiatry, McLean Hospital/Harvard Medical School, Belmont, MA, USA.

Trichotillomania (hair-pulling disorder) has high female preponderance. It has been suggested that onset in early childhood represents a distinct developmental subtype that is characterized by higher prevalence of males compared to later onset cases. However, the empirical literature is scarce. Read More

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January 2021

Sleep quality and its clinical associations in trichotillomania and skin picking disorder.

Compr Psychiatry 2021 02 24;105:152221. Epub 2020 Dec 24.

University of Chicago, USA. Electronic address:

Background: Trichotillomania (TTM) is characterized by recurrent hair pulling and associated hair loss. Skin picking disorder (SPD) is characterized by recurrent skin picking and associated scarring or tissue damage. Both disorders are also accompanied by psychological distress and poor sleep. Read More

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February 2021

Acceptance and Commitment Therapy: A Systematic Literature Review of Prevention and Intervention Programs for Mental Health Difficulties in Children and Young People.

J Cogn Psychother 2020 11;34(4):280-305

School of Psychology, Cardiff University, Cardiff, UK.

Background: Acceptance and commitment therapy (ACT) is increasingly being used to treat mental health difficulties, however there is a paucity of reviews concerning ACT with children.

Aim: To examine the literature about ACT interventions for child and adolescent mental well-being.

Methods: Searches for articles reporting on ACT interventions to prevent/reduce child mental health difficulties were undertaken. Read More

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November 2020

Trichotillomania due to pica in a 23-month-old patient with concomitant iron deficiency anemia and lead poisoning.

JAAD Case Rep 2021 Jan 19;7:91-92. Epub 2020 Nov 19.

Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.

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January 2021

Rapunzel syndrome with cholangitis and pancreatitis - A rare case report.

Open Med (Wars) 2020 14;15(1):1137-1142. Epub 2020 Nov 14.

MCh Surgical Gastroenterology Resident, Department of Surgical Gastroenterology & Liver Transplant, Government Stanley Medical College EsoIndia Research Volunteer, Chennai 600001, India.

Rapunzel syndrome, defined by the presence of a trichobezoar extending from the stomach to the small intestine, is a rare cause of intestinal obstruction. It usually presents with vague symptoms; however, it can also present with complications such as perforation, peritonitis and obstructive jaundice. We report a rare case of a 37-year-old woman with Rapunzel syndrome complicated by acute cholangitis and pancreatitis and analyse the diagnosis and management of this complicated pathology. Read More

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November 2020

Psychodermatology knowledge and awareness in Chinese dermatologists: Results of a survey study.

Dermatol Ther 2021 Jan 5;34(1):e14668. Epub 2021 Jan 5.

Department of Dermatology, Xuanwu Hospital, Capital Medical University, Beijing, China.

To assess the knowledge, awareness, practice patterns, and attitudes of Chinese dermatologists toward psychocutaneous disorders and explore their interest in continuing medical education (CME) of psychodermatology. An online survey study was conducted from October to November 2019. The survey questionnaire link was sent to the members of the national and local association of dermatology through a social media App. Read More

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January 2021