The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
Affective regulation in trichotillomania: Evidence from a large-scale internet survey
Abstract
Trichotillomania (TTM), a repetitive hair-pulling disorder, is underrepresented in the clinical literature. The current project explores the relationship between affective regulation and disordered hair-pulling. Previous research suggests that cycles of emotional states are correlated with the disorder and may induce, reinforce, or otherwise contribute to hair-pulling behavior. We use anonymous internet survey responses from 1162 self-identified hair-pullers to address four questions about affective regulation in people with TTM: (1) Do hair-pullers experience greater difficulty "snapping out" of affective states than non-pullers? (2) Does difficulty with emotional control correlate with TTM severity? (3) Are subtypes identifiable based on the emotions that trigger hair-pulling behavior? (4) Does difficulty "snapping out" of an emotion predict whether that emotion triggers pulling behavior? The results showed a small-to-moderate relationship between affective regulation and problematic hair-pulling. In addition, individual patterns of emotion regulation were systematically related to emotional cues for hair-pulling as well as overall hair-pulling severity. These findings contribute to an understanding of the phenomenology of TTM and provide empirical support for treatments focused on affect regulation.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Additionally, using latent class analysis, we identified four subtypes consisting of unique emotional profiles and demonstrated that cluster membership predicted hair pulling severity.”
From Dbt-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial (2012) · cites this paper as Shusterman et al., 2009
In the citing paper
“Our findings from a large Internet survey of TTM demonstrated that hair pullers had more difficulty than normal controls in managing their emotions, with a small to moderate relationship between affective regulation and hair pulling severity (Shusterman et al., 2009).”
From Dbt-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial (2012) · cites this paper as Shusterman et al., 2009
In the citing paper
“This finding is consistent with Shusterman et al.'s (2009) argument that more idiographic assessment of ER difficulties is warranted for hair pullers.”
From Dbt-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial (2012) · cites this paper as Shusterman et al.'s (2009)
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,766
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942
Development and validation of the Penn State Worry Questionnaire
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90135-6 · Cited by 5,099
The dimensions of perfectionism
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990) · Cognitive Therapy and Research · doi:10.1007/bf01172967 · Cited by 4,279
Measuring experiential avoidance: A preliminary test of a working model
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., et al. (2004) · The Psychological Record · doi:10.1007/bf03395492 · Cited by 2,140
Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder
Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.08.008 · Cited by 919
Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual
Barnaby, B. (2015) · Occupational Medicine · doi:10.1093/occmed/kqv128 · Cited by 813
Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual
Barlow, D. H. (2001) · Cited by 782
Cited by
Sorted by citations
The structure of common emotion regulation strategies: A meta-analytic examination
Naragon-Gainey, K., McMahon, T. P., & Chacko, T. P. (2017) · Psychological Bulletin · doi:10.1037/bul0000093 · Cited by 588
Grant, J. E., & Chamberlain, S. R. (2016) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2016.15111432 · Cited by 252
“found that these individuals have greater difficulty regulating negative affective states than do healthy comparison subjects (51).”
BackgroundTrichotillomania: A current review
Duke, D. C., Keeley, M. L., Geffken, G. R., & Storch, E. A. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.10.008 · Cited by 214
Dialectical Behavior Therapy for Adolescents: Theory, Treatment Adaptations, and Empirical Outcomes
MacPherson, H. A., Cheavens, J. S., & Fristad, M. A. (2012) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-012-0126-7 · Cited by 202
“…indicates hair pulling is automatic/habitual or functions to regulate emotions, with the latter cued by negative emotions, intense thoughts or urges, or attempts to create symmetry (Christenson and Mackenzie 1994; Diefenbach et al. 2008; Flessner et al. 2007, 2008, 2009; Shusterman et al. 2009).”
BackgroundSnorrason, I., Belleau, E. L., & Woods, D. W. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.05.008 · Cited by 174
“Both hair pulling and skin pickingmodulate affective states as well as providing pleasurable stimulation, and it appears that affective experiences play an important role inmaintaining and possibly causing these problems (Shusterman et al., 2009; Snorrason et al., 2010).”
Background
Metadata
- Authors
- Shusterman, A., Feld, L., Baer, L., & Keuthen, N.
- Affiliations
- Wesleyan University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Shusterman, Anna
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2009-08
- Volume
- 47
- Issue
- 8
- Pages
- 637-644
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2053285253
- Cited by
- 127
- References
- 34
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 27 · 2022: 3 · 2021: 6 · 2020: 10 · 2019: 6 · 2018: 5 · 2017: 14 · 2016: 13 · 2015: 13 · 2014: 4 · 2013: 3 · 2012: 6
- FWCI
- 5.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- trichotillomania, emotion regulation, emotional triggers, symptom severity
- MeSH terms
- Adolescent, Adult, Affect, Aged, Aged, 80 and over, Female, Health Surveys, Humans, Male, Middle Aged, Surveys and Questionnaires, Trichotillomania, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
