The Trichotillomania Impact Project (TIP): exploring phenomenology, functional impairment, and treatment utilization.

@article{Woods2006TheTI,
  title={The Trichotillomania Impact Project (TIP): exploring phenomenology, functional impairment, and treatment utilization.},
  author={Douglas W. Woods and Christopher A. Flessner and Martin E. Franklin and Nancy J. Keuthen and Renee D Goodwin and Dan J. Stein and Michael R. Walther},
  journal={The Journal of clinical psychiatry},
  year={2006},
  volume={67 12},
  pages={
          1877-88
        }
}
BACKGROUND Trichotillomania (TTM) occurs in 0.6% to 3.4% of adults. Questions remain about phenomenological features of the disorder, its impact on functioning, and treatment utilization. The current study (i.e., The Trichotillomania Impact Project) was designed to provide initial information regarding these issues. METHOD An Internet-based survey was completed by 1697 individuals who self-reported symptoms consistent with a diagnosis of TTM (DSM-IV-TR). The survey assessed phenomenological… Expand
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Highly Influential Citations
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Paper Mentions

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The goal of the proposed study is to evaluate the efficacy and safety of dronabinol in trichotillomania and other body-focused repetitive behaviors such as skin-picking disorder… Expand
ConditionsSkin-Picking, Trichotillomania
InterventionDrug
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219 Citations

Citation Type

Citation Type

The Child and Adolescent Trichotillomania Impact Project: Descriptive Psychopathology, Comorbidity, Functional Impairment, and Treatment Utilization
TLDR
This study represents the largest survey of youth with TTM conducted thus far, and thus provides the most comprehensive description of TTM in youth to date. Expand
Styles of pulling in trichotillomania: exploring differences in symptom severity, phenomenology, and functional impact.
TLDR
Differences in TTM severity, phenomenology, comorbid psychiatric symptoms, and functional impact were examined across individuals with varying combinations of "focused" and "automatic" pulling styles. Expand
Investigation of the Phenomenological and Psychopathological Features of Trichotillomania in an Italian Sample
TLDR
Interestingly, the online TTM group showed greater functional and psychological impairment, as well as more severe psychopathological characteristics (self-esteem, physiological and social anxiety, perfectionism, overestimation of threat, and control of thoughts), than the face-to-face one. Expand
Prevalence, Gender Correlates, and Co-morbidity of Trichotillomania
TLDR
This study suggests trichotillomania is relatively common in the general population and typically characterized by moderate-high distress and high rates of comorbidity. Expand
Depression, anxiety, and functional impairment in children with trichotillomania
TLDR
Data from this study suggests that symptoms of depression and anxiety may be pervasive among youth with TTM and likely impact functional impairment. Expand
The Trichotillomania Impact Project in Young Children (TIP-YC): Clinical Characteristics, Comorbidity, Functional Impairment and Treatment Utilization
TLDR
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. Expand
Symptom accommodation, trichotillomania-by-proxy, and interpersonal functioning in trichotillomania (hair-pulling disorder).
TLDR
Investigation of relationship functioning in trichotillomania as well as specific interpersonal behaviors that have received little attention in TTM research, including by-proxy pulling, symptom accommodation, and self-disclosure contribute data for future development of components of treatment that focus on interpersonal functioning. Expand
Skin picking and trichotillomania in adults with obsessive-compulsive disorder.
TLDR
The idea that OCD accompanied by PSP/trichotillomania characterizes a specific subgroup is supported, and patients with OCD without such comorbidities are compared for demographic and clinical characteristics. Expand
Validating indicators of treatment response: application to trichotillomania.
TLDR
Routine reporting of the proportion of patients who make clinically significant improvement on the MGH-HPS, supplemented by data on complete abstinence, would bolster the interpretability of TTM treatment outcome findings. Expand
Pediatric Trichotillomania
TLDR
Using the initial pediatric TTM studies as building blocks, future research is now needed to create a stronger body of knowledge about the relative and combined efficacy of potential interventions for TTM in youth, as well as to examine the effects of TTM phenomenology and comorbidity on treatment outcome. Expand
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References

SHOWING 1-10 OF 49 REFERENCES
Trichotillomania: impact on psychosocial functioning and quality of life.
TLDR
Results indicated that TTM patients reported more severe psychosocial impairments than did NC volunteers; however, these differences were mediated by differences in level of depression. Expand
Quality of Life and Functional Impairment in Individuals with Trichotillomania
TLDR
This study empirically documented quality of life (QOL) and its predictors in both non-clinical and clinical TTM samples using generic measures of QOL and found QOL was significantly worse in the patient cohort than in the matched general population sample. Expand
Psychosocial and Economic Implications of Trichotillomania: A Pilot Study in a South African Sample
Trichotillomania (TTM) is increasingly being recognized as a prevalent disorder. Nevertheless, few data are available regarding the effects of TTM on quality of life or the economic costs associated… Expand
The social and economic impact of trichotillomania: results from two nonreferred samples
Behavior therapy has been widely used as a treatment for trichotillomania. However, behavioral treatments for TTM have tended to focus on behavior reduction, while not paying as much attention to… Expand
Longitudinal follow-up of naturalistic treatment outcome in patients with trichotillomania.
TLDR
Although hair pullers exhibit initial improvement with treatment, scale scores plateau or worsen by second follow-up, which may be related to the absence of further improvements in hair-pulling severity. Expand
Personal toll of trichotillomania: behavioral and interpersonal sequelae.
TLDR
Self-esteem, shame, feelings of unattractiveness, depressed affect, and secretiveness were all interrelated, suggesting that these issues might best be conceptualized as a cluster that needs to be considered in the etiology, effects, and treatment of trichotillomania. Expand
Estimated lifetime prevalence of trichotillomania in college students.
BACKGROUND Trichotillomania, a disorder of hair pulling, has been considered a rare condition. Estimations of the prevalence of this disorder have been based largely on clinical experience, and there… Expand
Trichotillomania and self-esteem: a survey of 62 female hair pullers.
TLDR
Several factors, including the frequency of hair pulling, are associated with low self- esteem in patients with trichotillomania, and specific efforts should be made to address these issues in treatment. Expand
Characteristics and phenomenology of hair-pulling: an exploration of subtypes.
TLDR
The findings of the present study indicated that chronic hair-pulling (even in cases where DSM-IV criteria for TTM were not met) has a significant impact on quality of life. Expand
Affective correlates of trichotillomania.
TLDR
Affective correlates of hair pulling were investigated in a sample of 44 participants diagnosed with trichotillomania and indicated that patients with and without co-existent disorders differed only on patterns of anger across time, and therefore do not support affective subtypes of TM patients based on co- existed diagnosis. Expand
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