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Trichotillomania

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https://www.readbyqxmd.com/read/28925637/hair-loss-common-causes-and-treatment
#1
T Grant Phillips, W Paul Slomiany, Robert Allison
Hair loss is often distressing and can have a significant effect on the patient's quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily diagnosed and treated in the family physician's office. Androgenetic alopecia can be diagnosed clinically and treated with minoxidil. Alopecia areata is diagnosed by typical patches of hair loss and is self-limited. Tinea capitis causes patches of alopecia that may be erythematous and scaly and must be treated systemically...
September 15, 2017: American Family Physician
https://www.readbyqxmd.com/read/28903787/a-preliminary-investigation-of-metacognitive-therapy-and-habit-reversal-as-a-treatment-for-trichotillomania
#2
Hossein Shareh
BACKGROUND: Not all patients suffering from trichotillomania (TTM) recover completely using CBT and of those that do, only a few maintain their recovery over time. AIMS: The purpose of the present study was to investigate the effectiveness of metacognitive methods combined with habit reversal (MCT/HRT) in trichotillomania with a relatively long-term follow-up. METHOD: A case series (n = 8) and a randomized wait-list controlled trial (n = 34) design were conducted in this study...
September 14, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28902896/pathological-grooming-evidence-for-a-single-factor-behind-trichotillomania-skin-picking-and-nail-biting
#3
Aniko Maraz, Borbála Hende, Róbert Urbán, Zsolt Demetrovics
Although trichotillomania (TTM), skin picking (SP), and nail biting (NB) have been receiving growing scientific attention, the question as to whether these disorders can be regarded as separate entities or they are different manifestations of the same underlying tendency is unclear. Data were collected online in a community survey, yielding a sample of 2705 participants (66% women, mean age: 29.1, SD: 8.6). Hierarchical factor analysis was used to identify a common latent factor and the multiple indicators and multiple causes (MIMIC) modelling was applied to test the predictive effect of borderline personality disorder symptoms, impulsivity, distress and self-esteem on pathological grooming...
2017: PloS One
https://www.readbyqxmd.com/read/28877518/naltrexone-in-the-treatment-of-broadly-defined-behavioral-addictions-a-review-and-meta-analysis-of-randomized-controlled-trials
#4
Fayçal Mouaffak, Claudio Leite, Sonia Hamzaoui, Amine Benyamina, Xavier Laqueille, Oussama Kebir
INTRODUCTION: Broadly defined behavioral addiction is a conceptual framework including behaviors characterized by loss of control and continuation despite significant negative consequences. Broadly defined behavioral addictions share many similarities with substance use disorders. As naltrexone is one of the most studied treatment for substance use disorders, we conducted a meta-analysis of randomized placebo-controlled trials (RCT) assessing the effectiveness of naltrexone in the treatment of broadly defined behavioral addictions...
September 7, 2017: European Addiction Research
https://www.readbyqxmd.com/read/28876576/rapunzel-syndrome-african-variations-on-a-european-fairytale
#5
J Plaskett, G Chinnery, D Thomson, B Dedekind, E Jonas, S Thomson
BACKGROUND: Trichobezoars are intraluminal accretions of ingested hair. Rapunzel syndrome is a rare and extreme presentation with extension down through into the small intestine. Most frequently reported in children and psychiatric patients, we report on an African series of five patients. METHOD: Five patients presenting with trichobezoars were retrospectively reviewed and analysed with regard to patient background, demographics, clinical presentation, diagnosis, surgical management and complications...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28839386/gastric-trichobezoars-in-children-surgical-overview
#6
Alisha Gupta, Deepak Mittal, Maddur Srinivas
BACKGROUND: Development of trichobezoars in children is primarily a psychiatric issue more than a pediatric surgical ailment. A definite history of trichotillomania and trichophagia may or may not be elicited. Surgical removal is required in patients presenting with huge bezoars. Psychiatric follow-up is of utmost importance to avoid recurrence. MATERIALS AND METHODS: Records of children who were diagnosed and managed for the presence of gastric trichobezoars were retrospectively reviewed...
April 2017: International Journal of Trichology
https://www.readbyqxmd.com/read/28835311/systematic-review-of-published-primary-studies-of-neuropsychology-and-neuroimaging-in-trichotillomania
#7
Reneta Slikboer, Maree P Reser, Maja Nedeljkovic, David J Castle, Susan L Rossell
OBJECTIVES: Existing models of trichotillomania (TTM; hair pulling disorder) rely heavily on a biological predisposition or biological pathogenesis of the disorder, but fail to capture the specific neuropsychological mechanisms involved. The present systematic review aims to scope existing neuropsychological studies of TTM to explore gaps in current models. METHODS: A systematic literature search was conducted to detect all published primary studies using neuropsychological and neuroimaging measures in a cohort of individuals experiencing TTM...
August 24, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/28827858/making-sense-of-the-role-of-sense-organs-in-trichotillomania
#8
EDITORIAL
Anil Kakunje, T S Sathyanarayana Rao
No abstract text is available yet for this article.
April 2017: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28791288/a-practical-approach-to-the-diagnosis-and-management-of-hair-loss-in-children-and-adolescents
#9
REVIEW
Liwen Xu, Kevin X Liu, Maryanne M Senna
Hair loss or alopecia is a common and distressing clinical complaint in the primary care setting and can arise from heterogeneous etiologies. In the pediatric population, hair loss often presents with patterns that are different from that of their adult counterparts. Given the psychosocial complications that may arise from pediatric alopecia, prompt diagnosis and management is particularly important. Common causes of alopecia in children and adolescents include alopecia areata, tinea capitis, androgenetic alopecia, traction alopecia, trichotillomania, hair cycle disturbances, and congenital alopecia conditions...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/28761349/excoriation-skin-picking-disorder-a-systematic-review-of-treatment-options
#10
REVIEW
Christine Lochner, Annerine Roos, Dan J Stein
Although pathological skin-picking has been documented in the medical literature since the 19th century, it has only recently been included as a distinct entity in psychiatric classification systems. In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and the proposed International Classification of Diseases, Eleventh Revision, excoriation (skin-picking) disorder (ED), also known as neurotic excoriation, psychogenic excoriation, or dermatillomania), is described as recurrent picking of skin, leading to skin lesions and significant distress or functional impairment...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28761268/burnt-matchstick-sign-a-new-trichoscopic-finding-in-trichotillomania
#11
Subrata Malakar, Samipa Samir Mukherjee
No abstract text is available yet for this article.
January 2017: International Journal of Trichology
https://www.readbyqxmd.com/read/28722460/-psychological-consequences-of-hair-loss
#12
Zora Dubská
Hair plays an important role in human life. Quantitative or qualitative changes of hair are therefore perceived unfavorably. The psychological consequences of hair loss are described in both androgenic alopecia and alopecia areata. Alopecia areata should be distinguished from other diagnostic units such as trichotillomania. The issue of hair disease requires a multidisciplinary collaboration, in which the dermatologist has a key role to play.
2017: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/28667830/predictors-of-comorbid-eating-disorders-and-association-with-other-obsessive-compulsive-spectrum-disorders-in-trichotillomania
#13
Erica Greenberg, Jon E Grant, Erin E Curley, Christine Lochner, Douglas W Woods, Esther S Tung, Dan J Stein, Sarah A Redden, Jeremiah M Scharf, Nancy J Keuthen
Trichotillomania (TTM) and eating disorders (ED) share many phenomenological similarities, including ritualized compulsive behaviors. Given this, and that comorbid EDs may represent additional functional burden to hair pullers, we sought to identify factors that predict diagnosis of an ED in a TTM population. Subjects included 555 adult females (age range 18-65) with DSM-IV-TR TTM or chronic hair pullers recruited from multiple sites. 7.2% (N=40) of our TTM subjects met criteria for an ED in their lifetime...
June 21, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28664230/cortical-thickness-abnormalities-in-trichotillomania-international-multi-site-analysis
#14
Samuel R Chamberlain, Michael Harries, Sarah A Redden, Nancy J Keuthen, Dan J Stein, Christine Lochner, Jon E Grant
Trichotillomania is a prevalent but often hidden psychiatric condition, characterized by repetitive hair pulling. The aim of this study was to confirm or refute structural brain abnormalities in trichotillomania by pooling all available global data. De-identified MRI scans were pooled by contacting authors of previous studies. Cortical thickness and sub-cortical volumes were compared between patients and controls. Patients (n = 76) and controls (n = 41) were well-matched in terms of demographic characteristics...
June 29, 2017: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/28628502/placebo-response-in-trichotillomania
#15
Jon E Grant, Samuel R Chamberlain, Sarah A Redden, Brian L Odlaug, Michael van Ameringen, Darin D Dougherty, Nancy J Keuthen, Suck W Kim
Trichotillomania is a functionally impairing, often overlooked disorder with no Food and Drug Administration-approved medications indicated for its treatment. The ability of clinical trials to detect the beneficial effects of pharmacologic treatment in trichotillomania has been hampered by the high placebo response rate. Very little is known about baseline demographic and clinical characteristics that may be predictive of placebo response in such patients. Overall, 104 participants assigned to placebo were pooled from five double-blind trials conducted at three sites in the USA and Canada...
June 16, 2017: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/28621120/self-inflicted-skin-lesions-and-trichotillomania-due-to-rolled-hair
#16
Camilla Loi, Bianca M Piraccini, Cosimo Misciali, Michela Starace, Carlotta Gurioli, Annalisa Patrizi
No abstract text is available yet for this article.
August 2017: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/28511823/dissociation-and-conversion-symptoms-in-dermatology
#17
Madhulika A Gupta, Branka Vujcic, Aditya K Gupta
Dissociation and conversion (defined as the somatic component of dissociation) can play an important mediating role in the exacerbation of the stress-reactive dermatoses (eg, psoriasis, idiopathic urticaria, atopic dermatitis), dermatoses that are exacerbated by excessive scratching (eg, lichen simplex chronicus, prurigo nodularis) and koebnerization, and the self-induced dermatoses (dermatitis artefacta, acne excoriée, skin picking disorder, trichotillomania, onychotillomania/onychophagia). Dissociative symptoms often coexist with obsessive-compulsive symptoms in the more severe cases of the self-induced dermatoses...
May 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/28511822/posttraumatic-stress-disorder-ptsd-and-the-dermatology-patient
#18
Madhulika A Gupta, Patricia Jarosz, Aditya K Gupta
Dermatologic symptoms can be associated with posttraumatic stress disorder (PTSD) in several situations: (1) as features of some core PTSD symptoms, such as intrusion symptoms manifesting as cutaneous sensory flashbacks, as autonomic arousal manifesting as night sweats and idiopathic urticaria, and as dissociation manifesting as numbness and dermatitis artefacta; (2) the cutaneous psychosomatic effects of emotional and physical neglect and sexual abuse (eg, infantile eczema, cutaneous self-injury, and body-focused repetitive behaviors such as trichotillomania and skin picking disorder) and eating disorders, which can have dermatologic effects; (3) the direct effect of physical or sexual abuse or catastrophic life events (eg, earthquakes) on the skin; and (4) as a result of significant alterations in hypothalamic-pituitary-adrenal and sympatho-adrenal medullary axes, which can affect neuroendocrine and immune functions, and can lead to exacerbations of stress-reactive inflammatory dermatoses such as psoriasis, chronic urticaria, and atopic dermatitis...
May 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/28492426/trichotillomania-in-attention-deficit-hyperactivity-disorder-under-methylphenidate-treatment
#19
Tayfun Kara, İsmail Akaltun
No abstract text is available yet for this article.
August 2017: Journal of Clinical Psychopharmacology
https://www.readbyqxmd.com/read/28461751/trichotillomania-the-impact-of-treatment-history-on-the-outcome-of-an-internet-based-intervention
#20
Steffi Weidt, Annette Beatrix Bruehl, Aba Delsignore, Gwyneth Zai, Alexa Kuenburg, Richard Klaghofer, Michael Rufer
BACKGROUND: Many patients suffering from trichotillomania (TTM) have never undergone treatment. Without treatment, TTM often presents with a chronic course. Characteristics of TTM individuals who have never been treated (untreated) remain largely unknown. Whether treatment history impacts Internet-based interventions has not yet been investigated. We aimed to answer whether Internet-based interventions can reach untreated individuals and whether treatment history is associated with certain characteristics and impacts on the outcome of an Internet-based intervention...
2017: Neuropsychiatric Disease and Treatment
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