Trichotillomania (TTM) is associated with great psychosocial impairment and reduced quality of life and the lifetime prevalence is 1-3 %. The purpose of this review is to give an up-to-date overview of TTM. It describes the genesis and epidemiology of trichotillomania (TTM), including prevalence in terms of age and gender. The knowledge on the aetiology, phenomenology, and comorbidity of TTM is reviewed. The state of treatment options and implications, the effect of these and the clinical and research related perspectives are presented.
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Bridging the Gap between Dermatology and Psychiatry: A Review on Quality of Life in Trichotillomania and Special Considerations in Management.
Skin Appendage Disord
December 2024
Department of Dermatology, The University of Texas Medical Branch, Galveston, TX, USA.
Background: Trichotillomania (TTM), also known as hair pulling disorder, is a chronic disorder that often leads to considerable emotional distress and functional impairment in affected individuals. Despite the strong underlying psychiatric component of TTM, the majority of individuals suffering from TTM initially may present to dermatologists because of their hair loss. This necessitates awareness and early recognition of TTM as well as familiarity with the unique considerations for its management.
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J Psychiatr Res
November 2024
Loyola University of Chicago, Department of Psychology, Chicago, IL, USA.
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- - The study explores the relationship between body-focused repetitive behavior (BFRB) disorders, like trichotillomania and skin picking, and anxiety disorders, finding that comorbidity is common, with notable prevalence rates for various anxiety disorders.
- - A meta-analysis of 119 studies revealed that current and lifetime prevalence rates for anxiety disorders among individuals with BFRBs are significant, such as 19.2% for generalized anxiety disorder and 27.5% for any anxiety disorder.
- - Although comorbid anxiety is frequent in BFRB cases, the correlation between anxiety severity and BFRB severity is only low to moderate, indicating a complex relationship that warrants further research and consideration in clinical practice. *
[Translated article] Trichotillomania Treatment Update.
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November 2024
Trichology Unit, Grupo de Dermatología Pedro Jaén, Madrid, Spain; Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Departamento de Biología de Sistemas, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, Spain.
Trichotillomania (TTM) is an obsessive-compulsive disorder in which affected individuals recurrently pull-out hair from any region of the body, causing hair loss or alopecia. The management of TTM is a therapeutic challenge for dermatologists and consists of a combination of pharmacological and non-pharmacological alternatives. Cognitive-behavioral therapy has successfully been used to treat TTM.
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Department of Dermatology, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
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- Pediatric patients with trichotillomania (TTM) have a significantly increased risk of developing various psychiatric disorders compared to matched controls.
- The study involved a large case-control analysis using data from the TriNetX global research network, focusing on patients under 18 diagnosed with TTM.
- Results highlighted that TTM patients are particularly susceptible to conditions like ADHD, obsessive-compulsive disorder, and mood disorders, indicating the need for timely intervention and support from healthcare professionals.
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Thompson Anxiety Disorders Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, ON M4N 3M5, Canada.
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