Clinical Characteristics of Youth with Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder

Emily J. Ricketts; Tara S. Peris; Jon E. Grant; Stephanie Valle; Elizabeth Cavic; Juliette E. Lerner; Christine Lochner; Dan J. Stein; Darin D. Dougherty; Joseph O’Neill; Douglas W. Woods; Nancy J. Keuthen; John Piacentini

doi:10.1007/s10578-022-01458-w

Clinical Characteristics of Youth with Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder

Emily J. Ricketts
, Tara S. Peris
, Jon E. Grant
, Stephanie Valle
, Elizabeth Cavic
, Juliette E. Lerner
, Christine Lochner
, Dan J. Stein
, Darin D. Dougherty
, Joseph O’Neill
, Douglas W. Woods
, Nancy J. Keuthen
, John Piacentini

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

Body-focused repetitive disorders (BFRBDs) are understudied in youth and understanding of their underlying mechanisms is limited. This study evaluated BFRBD clinical characteristics, and two factors commonly implicated in their maintenance – emotion regulation and impulsivity – in 53 youth aged 11 to 17 years: 33 with BFRBDs and 20 controls. Evaluators administered psychiatric diagnostic interviews. Participants rated BFRBD severity, negative affect, quality of life, family functioning, emotion regulation, distress tolerance, and impulsivity. Youth with BFRBDs showed poorer distress tolerance and quality of life, and higher impulsivity and negative affect than controls, with no differences in family impairment. BFRBD distress/impairment, but not BFRBD severity, correlated with anxiety and depression, and poorer distress tolerance. Findings suggest youth with BFRBDs show clinical patterns aligning with prior research; highlight the role of distress tolerance in child BFRBDs; and suggest the utility of acceptance and mindfulness-based therapies for unpleasant emotions in BFRBDs. Continued research should evaluate factors underlying BFRBDs in youth.

Original language	English
Pages (from-to)	975-986
Number of pages	12
Journal	Child Psychiatry and Human Development
Volume	55
Issue number	4
DOIs	https://doi.org/10.1007/s10578-022-01458-w
State	Published - Aug 2024
Externally published	Yes

Keywords

adolescent
emotion
hair-pulling
impairment
skin-picking

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10.1007/s10578-022-01458-w

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Ricketts, E. J., Peris, T. S., Grant, J. E., Valle, S., Cavic, E., Lerner, J. E., Lochner, C., Stein, D. J., Dougherty, D. D., O’Neill, J., Woods, D. W., Keuthen, N. J., & Piacentini, J. (2024). Clinical Characteristics of Youth with Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder. Child Psychiatry and Human Development, 55(4), 975-986. https://doi.org/10.1007/s10578-022-01458-w

@article{fb266a77c9bf4139919a66f97b833fb6,

title = "Clinical Characteristics of Youth with Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder",

abstract = "Body-focused repetitive disorders (BFRBDs) are understudied in youth and understanding of their underlying mechanisms is limited. This study evaluated BFRBD clinical characteristics, and two factors commonly implicated in their maintenance – emotion regulation and impulsivity – in 53 youth aged 11 to 17 years: 33 with BFRBDs and 20 controls. Evaluators administered psychiatric diagnostic interviews. Participants rated BFRBD severity, negative affect, quality of life, family functioning, emotion regulation, distress tolerance, and impulsivity. Youth with BFRBDs showed poorer distress tolerance and quality of life, and higher impulsivity and negative affect than controls, with no differences in family impairment. BFRBD distress/impairment, but not BFRBD severity, correlated with anxiety and depression, and poorer distress tolerance. Findings suggest youth with BFRBDs show clinical patterns aligning with prior research; highlight the role of distress tolerance in child BFRBDs; and suggest the utility of acceptance and mindfulness-based therapies for unpleasant emotions in BFRBDs. Continued research should evaluate factors underlying BFRBDs in youth.",

keywords = "adolescent, emotion, hair-pulling, impairment, skin-picking",

author = "Ricketts, \{Emily J.\} and Peris, \{Tara S.\} and Grant, \{Jon E.\} and Stephanie Valle and Elizabeth Cavic and Lerner, \{Juliette E.\} and Christine Lochner and Stein, \{Dan J.\} and Dougherty, \{Darin D.\} and Joseph O{\textquoteright}Neill and Woods, \{Douglas W.\} and Keuthen, \{Nancy J.\} and John Piacentini",

note = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.",

year = "2024",

month = aug,

doi = "10.1007/s10578-022-01458-w",

language = "English",

volume = "55",

pages = "975--986",

journal = "Child Psychiatry and Human Development",

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Ricketts, EJ, Peris, TS, Grant, JE, Valle, S, Cavic, E, Lerner, JE, Lochner, C, Stein, DJ, Dougherty, DD, O’Neill, J, Woods, DW, Keuthen, NJ & Piacentini, J 2024, 'Clinical Characteristics of Youth with Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder', Child Psychiatry and Human Development, vol. 55, no. 4, pp. 975-986. https://doi.org/10.1007/s10578-022-01458-w

TY - JOUR

T1 - Clinical Characteristics of Youth with Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder

AU - Ricketts, Emily J.

AU - Peris, Tara S.

AU - Grant, Jon E.

AU - Valle, Stephanie

AU - Cavic, Elizabeth

AU - Lerner, Juliette E.

AU - Lochner, Christine

AU - Stein, Dan J.

AU - Dougherty, Darin D.

AU - O’Neill, Joseph

AU - Woods, Douglas W.

AU - Keuthen, Nancy J.

AU - Piacentini, John

N1 - Publisher Copyright: © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

PY - 2024/8

Y1 - 2024/8

N2 - Body-focused repetitive disorders (BFRBDs) are understudied in youth and understanding of their underlying mechanisms is limited. This study evaluated BFRBD clinical characteristics, and two factors commonly implicated in their maintenance – emotion regulation and impulsivity – in 53 youth aged 11 to 17 years: 33 with BFRBDs and 20 controls. Evaluators administered psychiatric diagnostic interviews. Participants rated BFRBD severity, negative affect, quality of life, family functioning, emotion regulation, distress tolerance, and impulsivity. Youth with BFRBDs showed poorer distress tolerance and quality of life, and higher impulsivity and negative affect than controls, with no differences in family impairment. BFRBD distress/impairment, but not BFRBD severity, correlated with anxiety and depression, and poorer distress tolerance. Findings suggest youth with BFRBDs show clinical patterns aligning with prior research; highlight the role of distress tolerance in child BFRBDs; and suggest the utility of acceptance and mindfulness-based therapies for unpleasant emotions in BFRBDs. Continued research should evaluate factors underlying BFRBDs in youth.

AB - Body-focused repetitive disorders (BFRBDs) are understudied in youth and understanding of their underlying mechanisms is limited. This study evaluated BFRBD clinical characteristics, and two factors commonly implicated in their maintenance – emotion regulation and impulsivity – in 53 youth aged 11 to 17 years: 33 with BFRBDs and 20 controls. Evaluators administered psychiatric diagnostic interviews. Participants rated BFRBD severity, negative affect, quality of life, family functioning, emotion regulation, distress tolerance, and impulsivity. Youth with BFRBDs showed poorer distress tolerance and quality of life, and higher impulsivity and negative affect than controls, with no differences in family impairment. BFRBD distress/impairment, but not BFRBD severity, correlated with anxiety and depression, and poorer distress tolerance. Findings suggest youth with BFRBDs show clinical patterns aligning with prior research; highlight the role of distress tolerance in child BFRBDs; and suggest the utility of acceptance and mindfulness-based therapies for unpleasant emotions in BFRBDs. Continued research should evaluate factors underlying BFRBDs in youth.

KW - adolescent

KW - emotion

KW - hair-pulling

KW - impairment

KW - skin-picking

UR - https://www.scopus.com/pages/publications/85140997877

U2 - 10.1007/s10578-022-01458-w

DO - 10.1007/s10578-022-01458-w

M3 - Article

AN - SCOPUS:85140997877

SN - 0009-398X

VL - 55

SP - 975

EP - 986

JO - Child Psychiatry and Human Development

JF - Child Psychiatry and Human Development

IS - 4

ER -

Clinical Characteristics of Youth with Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder

Abstract

Keywords

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