Preferences help
enabled [disable] Abstract
Number of results
2018 | 20 | 208-214
Article title

Trichotillomania: Hair Pulling Disorder

Title variants
Languages of publication
Trichotillomania, also known as hair pulling disorder, is a chronic psychiatric condition common among women. It is a condition that causes impairment in social, occupational, or other important areas of functioning. The rate of presentation of such cases to medical practitioners is low, as affected individuals conceal it because of the shame associated with hair pulling behaviour. This makes the aetiology and management of the condition to be fairly understood; creating the need for extensive empirical research. This paper discusses the clinical and epidemiological features of trichotillomania and its management.
Physical description
  • Department of Medicine and Surgery, University of Ibadan, Ibadan, Nigeria
  • Department of Physiotherapy, University of Ibadan, Ibadan, Nigeria
  • Cephas Health Research Initiative Inc, Ibadan, Nigeria
  • [1] Ahlawat P. Trichotillomania. Int J Sci Res 3 (2015) 2319-706.
  • [2] American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th Edition (DSM 5). Arlington, VA: American Psychiatric Publishing, (2013).
  • [3] Begotka AM, Woods DW, Wetterneck CT. The relationship between experiential avoidance and the severity of trichotillomania in a nonreferred sample. J Behav Ther Experiment Psychiatry 35 (2004) 17-24.
  • [4] Bhandare S, Kotade K, Bhavar S, Bhangale C, Wagh V. Trichotillomania: A Hair Pulling Disorder. World J Pharm Pharmaceutic Sci. 5(5) (2016) 596-615
  • [5] Chamberlain SR, Menzies L, Sahakian BJ, Fineberg NA. Lifting the Veil on Trichotillomania. Am J Psychiatry 164(4) (2007) 568-74.
  • [6] Chawla O, Singh GP, Kansa NK. New avenues in management of trichotillomania. Indian J Psychol Med 35(4) (2013) 425-7.
  • [7] Christenson GA, Mackenzie TB, Mitchell JE. Characteristics of 60 adult chronic hair pullers. Am J Psychiatry 148 (1991) 365-70.
  • [8] Christenson GA, Mansueto CS. Trichotillomania. Descriptive characteristics and phenomenology. In D Stein, GA Christenson, E Hollander (Eds). Trichotillomania (pp. 1-42). Washington, DC: American Pyschiatric Press (1999).
  • [9] Diefenbach G, Tolin D, Hannan S, Crocetto J, Worhunsky P. Trichotillomania: impact on psychosocial functioning and quality of life. Behav Res Ther 43 (2005) 869-84.
  • [10] Diefenbach GJ, Tolin DF, Franklin M. Affective and sensory correlates of hair pulling in pediatric trichotillomania. Behav Modif 33(3) (2009) 396-407.
  • [11] Duke DC, Keeley ML, Geffken GR, Storch EA. Trichotillomania: A current review. Clin Psychol Rev 30(2) (2010) 181-93.
  • [12] Franklin ME, Zagrabbe K, Benavides KL. Trichotillomania and its treatment: a review and recommendations. Expert Rev Neurother 11(8) (2011) 1165-74.
  • [13] Flessner CA, Woods DW, Franklin ME, Keuthen NJ, Piacentini J, Cashin SE, et al. The Milwaukee inventory for styles of trichotillomania-child version (MIST-C): Initial development and psychometric properties. Behav Modific 31 (2007) 896-918.
  • [14] Greer JM, Capecchi MR. Hoxb8 is required for normal grooming behaviour in mice. Neuron (33) (2002) 23-34.
  • [15] Hautmann G, Hercogova J, Lotti T. Trichotillomania. J Am Acad Dermatol 46 (2002) 807-20.
  • [16] Hemmings SM, Kinnear CJ, Lochner C, Seedat S, Corfield VA, Moolman-Smook JC, Stein DJ. Genetic correlates in trichotillomania: a case-control association study in the South African Caucasian population. Isr J Psychiatr Relat Sci 43 (2006) 93–101.
  • [17] Huynh M, Gavino AC, Magid M. Trichotillomania. Semin Cutan Med Surg 32(2) (2013) 88-94.
  • [18] King RA, Scahill L, Vitulano LA, Schwab-Stone M, Tercyak KP Jr, Riddle MA. Childhood trichotillomania: clinical phenomenology, comorbidity, and family genetics. J Am Acad Child Adolesc Psychiatr 34 (1995)1451–1459.
  • [19] Millard LG. Trichotillomania. In M Lebwohl, WR Heymann, J Derth, I Coulson (Eds). Treatment of skin disease. Mosby: London, (2002) 637-9.
  • [20] Ninan PT, Rothbaum BO, Marsteller FA, Knight BT, Eccard MB. Placebo-controlled trial of cognitive-behavioral therapy and clomipramine in trichotillomania. J Clin Psychiatry 61 (2000) 47-50.
  • [21] O’Sullivan RL, Keuthen NJ, Christenson GA, Mansueto CS, Stein DJ, Swedo SE. Trichotillomania: Behavioral Symptom or Clinical Syndrome? Am J Psychiatry 154(10) (1997) 1142-49.
  • [22] Sah DE, Koo J, Price VH. Trichotillomania. Dermatol Ther 21 (1) (2008) 13-21.
  • [23] Sayar GH, Kagan G. Habit Reversal Training in Trichotillomania. J Neurobehav Sci 1(1) (2014) 17-19.
  • [24] Schreiber LRN, Odlaug BL, Grant JE. Diagnosis and Treatment of Trichotillomania. Neuropyschiatr 1(2) (2011) 123-132.
  • [25] Stemberger RMT, Stein DJ, Mansueto CS. Behavioural and Pharmacological Treatment of Trichotillomania. Brief Treatment Crisis Intervention 3(3) (2003) 339-52.
  • [26] Swedo SE, Leonard HL, Rapoport JL, Lenane MC, Goldberg EL, Cheslow DL. A double-blind comparison of clomipramine and desipramine in the treatment of trichotillomania (hair pulling). N Engl J Med 321 (1989) 297-501.
  • [27] van Minnen A, Hoodguin KA, Keijsers GP, Hellenbrand I, Hendriks GJ. Treatment of trichotillomania with behavioural therapy or fluoxetine: a randomized, waiting-list controlled study. Arch Gen Psychiatry 60 (2003) 517-22.
  • [28] Woods DW, Flessner CA, Franklin ME, et al. The trichotillomania impact project (TIP): exploring phenomenology, functional impairment, and treatment utilization. J Clin Psychol 67 (2006) 1877-88.
  • [29] Woods DW, Houghton DC. Diagnosis, evaluation, and management of Trichotillomania. Psychiatr Clin North Am 37(3) (2014) 301-17.
  • [30] Woods DW, Wetterneck CT, Flessner CA. A controlled evaluation of acceptance and commitment therapy plus habit reversal as a treatment for trichotillomania. Behav Res Ther 44 (2006) 639-56.
  • [31] Yik YI, How AK. A ‘Hairy’ problem: trichotillomania, trichophagia and trichobezoar. Singapore Med J. 57(7) (2016) 411. doi: 10.11622/smedj.2016125
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.