TY - JOUR
T1 - The phenomenology of hairpulling in a community sample
AU - Duke, Danny C.
AU - Bodzin, Danielle K.
AU - Tavares, Priscilla
AU - Geffken, Gary R.
AU - Storch, Eric A.
PY - 2009/12
Y1 - 2009/12
N2 - Assessment and treatment of trichotillomania (TTM) has evolved substantially over the past decade. However, standardized assessment and empirically supported treatment for TTM is still in early stages of development. We proposed that information important to the ongoing evolution of assessment and treatment could be obtained through the study of hairpulling across its range of severity. Hairpulling phenomenology was assessed in a large community sample across its range of presentation. Although the estimated prevalence rate of .6% for TTM is congruent with past studies, the 1.2% prevalence estimated for clinically significant hairpulling suggests that the current diagnostic criteria are overly restrictive. Overall, hairpulling occurred at a rate of 6.5%, while age of onset was 15.92 years. Symptoms of depression, anxiety, and history of teasing were positively associated with hairpulling, while self-esteem was negatively related to hairpulling. Cognitions most commonly associated with hairpulling were "feels coarse" (53.3%), "doesn't feel right" (30.0%), "is curly" (26.7%), and "doesn't look right" (23.3%). Environments most commonly associated with hairpulling included "while reading" (38.9%), "while watching television" (37.0%), and "in class" (35.25). Applications of findings to assessment and intervention formulation are suggested, and limitations and future directions are discussed.
AB - Assessment and treatment of trichotillomania (TTM) has evolved substantially over the past decade. However, standardized assessment and empirically supported treatment for TTM is still in early stages of development. We proposed that information important to the ongoing evolution of assessment and treatment could be obtained through the study of hairpulling across its range of severity. Hairpulling phenomenology was assessed in a large community sample across its range of presentation. Although the estimated prevalence rate of .6% for TTM is congruent with past studies, the 1.2% prevalence estimated for clinically significant hairpulling suggests that the current diagnostic criteria are overly restrictive. Overall, hairpulling occurred at a rate of 6.5%, while age of onset was 15.92 years. Symptoms of depression, anxiety, and history of teasing were positively associated with hairpulling, while self-esteem was negatively related to hairpulling. Cognitions most commonly associated with hairpulling were "feels coarse" (53.3%), "doesn't feel right" (30.0%), "is curly" (26.7%), and "doesn't look right" (23.3%). Environments most commonly associated with hairpulling included "while reading" (38.9%), "while watching television" (37.0%), and "in class" (35.25). Applications of findings to assessment and intervention formulation are suggested, and limitations and future directions are discussed.
KW - Hairpulling
KW - Phenomenology
KW - Trichotillomania
UR - http://www.scopus.com/inward/record.url?scp=70349769184&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=70349769184&partnerID=8YFLogxK
U2 - 10.1016/j.janxdis.2009.07.015
DO - 10.1016/j.janxdis.2009.07.015
M3 - Article
C2 - 19651487
AN - SCOPUS:70349769184
SN - 0887-6185
VL - 23
SP - 1118
EP - 1125
JO - Journal of Anxiety Disorders
JF - Journal of Anxiety Disorders
IS - 8
ER -