• Corpus ID: 198232956

Stimulus Regulation in Pediatric Trichotillomania

  title={Stimulus Regulation in Pediatric Trichotillomania},
  author={T. Lee},
Previous research on pediatric trichotillomania (TTM) has focused on the difference between two different subgroups of hair-pullers: “focused” pullers (i.e. those who pull within their awareness) and “automatic” pullers (i.e. those who pull outside of their awareness; Christenson et al., 1992; Flessner et al., 2008; Penzel, 2003). To date, only one other study has examined how sensory processing may differ between these two groups, or how these differences may impact these groups’ hair-pulling… 


Sensory over-responsivity in trichotillomania (hair-pulling disorder)
Findings collectively suggest SOR may be related to maladaptive emotion regulation processes in TTM, and was significantly and positively correlated with functional impairment when controlling for TTM severity.
Age and gender correlates of pulling in pediatric trichotillomania.
The cross-sectional findings suggest there may be a developmental progress of symptoms in trichotillomania, as children appeared to develop more focused pulling, to become more aware of their urges, and to experience more frequent urges to pull, as they get older.
Chronic hair-pulling: phenomenology-based subtypes.
Assessment of the validity and clinical utility of several putative hair-pulling subtypes found gender and disability due to pulling accounted for a number of important differences; for example, females more commonly had earlier age of onset of pulling, less comorbidity, and more disability than males.
Psychosocial issues for women with trichotillomania.
It is argued that identifying and integrating themes pertinent to negative affects, control, and triggering precipitants in current treatment protocols is the first step to improving the efficacy of treatment for trichotillomania.
Emotional regulation cycles in trichotillomania (hair-pulling disorder) across subtypes
Abstract The patterns of emotional regulation involved in trichotillomania (hair-pulling disorder; HPD) were studied across various subtypes of hair pulling. Using the Milwaukee Inventory for
Affective regulation in trichotillomania: Evidence from a large-scale internet survey.
The results showed a small-to-moderate relationship between affective regulation and problematic hair-pulling, and individual patterns of emotion regulation were systematically related to emotional cues for hair- pulling as well as overall hair- Pulling severity.
Identification of trichotillomania cue profiles.
Principal components analysis suggested two independent components which were important to hair pulling, one distinguished by negative affective states (NA) and the other by sedentary activities and contemplative attitudes (S).
Styles of pulling in youths with trichotillomania: exploring differences in symptom severity, phenomenology, and comorbid psychiatric symptoms.
Analysis of differences in TTM severity, phenomenology, comorbid psychiatric symptoms, and functional impact across youths with varying degrees of these pulling styles suggested those experiencing high levels of focused pulling but low levels of automatic pulling were more likely to engage in additional repetitive behaviors.
Childhood trichotillomania: clinical phenomenology, comorbidity, and family genetics.
These findings lend only partial support to the notion of trichotillomania as an OCD-spectrum disorder and suggest rising tension followed by relief or gratification may not be an appropriate diagnostic criterion for trichOTillomanic.
A comprehensive model for behavioral treatment of trichotillomania
Trichotillomania is a disorder characterized by repetitive pulling out of one's hair. In this paper, we explore the essential elements for effective treatment and propose a comprehensive model for