Clinical Characteristics of Pediatric Trichotillomania: Comparisons with Obsessive–Compulsive and Tic Disorders

  title={Clinical Characteristics of Pediatric Trichotillomania: Comparisons with Obsessive–Compulsive and Tic Disorders},
  author={Michelle Rozenman and Tara S. Peris and Araceli Gonzalez and John Piacentini},
  journal={Child Psychiatry \& Human Development},
This study compared youth ages 5–17 years with a primary diagnosis of trichotillomania (TTM, n = 30) to those with primary OCD (n = 30) and tic disorder (n = 29) on demographic characteristics, internalizing, and externalizing symptoms. Findings suggest that youth with primary TTM score more comparably to youth with tics than those with OCD on internalizing and externalizing symptom measures. Compared to the OCD group, youth in the TTM group reported lower levels of anxiety and depression… 
Trichotillomania is more related to Tourette disorder than to obsessive-compulsive disorder
A closer relationship is found between trichotillomania and tic disorder from neurobiological (especially imaging) and therapeutic standpoints and several arguments are in favor of a closer relationship between these two disorders than between TTM and OCD, especially when considering implications for therapy.
Clinical Characteristics and Comorbidity of Pediatric Trichotillomania: the Study of 38 Cases in Croatia.
The results indicate that more than two thirds of participants isolate themselves during hair pulling and half of them try to hide consequences, which indicates that knowledge about this disorder and cooperation among pediatric experts is extremely important for recognizing it at an early stage and starting the treatment.
Prevalence and predictors of hair pulling disorder and excoriation disorder in Tourette syndrome
The prevalence of HPD and SPD in TS patients, and their association with increased tic severity and co-occurring OCD, suggests that clinicians should screen children with TS and related disorders for HPD/SPD, particularly in females and in those with co-Occurring OCD.
Psychopharmacotherapy of Obsessive-Compulsive Symptoms within the Framework of Tourette Syndrome
The complexity of drug treatment in patients comorbid with obsessive-compulsive disorder (OCD) and Tourette syndrome (TS) and other tic problems and there remain many uncertainties because of a scarce database for psychopharmacotherapy in OCD with TS is given.
Relationship of Body-Focused Repetitive Behavior Disorders to OCD
Opinion statementObsessive-compulsive disorder (OCD) and body-focused repetitive behaviors (BFRBs) have demonstrated considerable presence and impact among clinical populations. As consistent with
Valproate for the Treatment of Resistant Tourette Syndrome With ComorbidTrichotillomania: a Case Report
TS with comorbid trichotillomania is ubiquitous given the underlying neurocircuity in common, and medications used for refractory cases are legion.
Visual Diagnosis: The Case of the Balding Preschooler
An anxious mother brings her 4-year-old daughter for evaluation of hair loss that started several weeks ago and for which she was prescribed clobetasol cream at an urgent care center, and the child denies itching, pain, or burning sensation.
And next... Adnexa: Self-inflicted alopecias
The occurrence of reactive ESFA is described in immunosuppressed patient with cutaneous HPV infecion as the putative underlying condition and keratolytic ointments in combination with topical 5uorouracil are initiated.


A comparison of trichotillomania and obsessive-compulsive disorder
The validity of conceptualizing trichotillomania (TCM) and obsessive-compulsive disorder (OCD) as separate and distinct diagnoses was examined in a study of 20 patients with each disorder. A
Obsessive-compulsive disorder and trichotillomania: a phenomenological comparison
These findings support previous work demonstrating significant differences between OCD and TTM and support the classification of TTM as an impulse control disorder is also problematic, and T TM may have more in common with conditions characterized by stereotypical self-injurious symptoms, such as skin-picking.
Depression, anxiety, and functional impairment in children with trichotillomania
Data from this study suggests that symptoms of depression and anxiety may be pervasive among youth with TTM and likely impact functional impairment.
Pediatric Trichotillomania: Descriptive Psychopathology and an Open Trial of Cognitive Behavioral Therapy
Children and adolescents with trichotillomania who sought treatment at 2 specialty outpatient clinics were assessed and 22 of these children were enrolled in an open trial of individual cognitive behavioral therapy with particular attention to relapse prevention.
Clinical characteristics and psychiatric comorbidity in children with trichotillomania.
The DSM-III-R criteria for trichotillomania, which currently require an increasing sense of tension before hair pulling and gratification with hair pulling, may be overly restrictive and in need of redefinition.
Trichotillomania and related disorders in children and adolescents
  • G. Hanna
  • Psychology, Medicine
    Child psychiatry and human development
  • 1997
The results provide further evidence that trichotillomania in referred children and adolescents is usually a chronic disorder often associated with internalizing symptoms and psychiatric comorbidity.
The Trichotillomania Scale for Children: Development and Validation
The present results suggest that the TSC may be a useful measure of TTM for child and adolescent samples, although additional clarification of convergent validity is needed.
The Trichotillomania Impact Project in Young Children (TIP-YC): Clinical Characteristics, Comorbidity, Functional Impairment and Treatment Utilization
Clinical characteristics of childhood hair pulling are largely similar to adult/adolescent hair pulling problems, but there are some notable differences, particularly among pre-school aged children.