The Skin Picking Impact Project: phenomenology, interference, and treatment utilization of pathological skin picking in a population-based sample
Abstract
The current study examined the characteristics of pathological skin picking (PSP) in a population-based sample. Participants were recruited through several online resources for PSP and related conditions to complete a web-based survey assessing the functional and topographical phenomenology, physical and psychosocial impact, treatment utilization, and associated psychopathology of PSP. A total of 1663 participants consented, of whom 760 were over 18 and met study criteria for PSP. Results showed considerable heterogeneity in picking methods, body sites, and function (e.g., regulation of emotional, sensory, and cognitive states). Participants generally reported moderate psychosocial and physical impact from picking and tended to perceive available treatment as poor in quality. Severity of associated symptoms of psychopathology (depression, anxiety, and stress) was comparable to severity levels found in previous samples of persons with trichotillomania and obsessive-compulsive disorder. Severity of PSP was a statistically significant predictor of overall impairment after controlling for depression and anxiety symptoms. Results suggest that PSP is a significant public health concern in need of further rigorous investigation.
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Many sufferers (74-85%) of TTM and SPD do not receive behavior therapy.
“many sufferers (74–85 %) of TTM and SPD do not receive this treatment (Tucker et al., 2011; Woods et al., 2006a)”
From Internet-delivered acceptance-based behavior therapy for trichotillomania and skin-picking disorder in a psychiatric setting: A feasibility trial (2022) · cites this paper as Tucker et al., 2011
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- Authors
- Tucker, B. T. P., Woods, D. W., Flessner, C. A., Franklin, S. A., & Franklin, M. E.
- Affiliations
- University of Wisconsin–Milwaukee (US)
- Brown University (US)
- University of Pennsylvania (US)
- Corresponding author
- Woods, Douglas W.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 25
- Issue
- 1
- Pages
- 88-95
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2098730022
- Cited by
- 187
- References
- 33
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 14 · 2023: 23 · 2022: 15 · 2021: 12 · 2020: 9 · 2019: 17 · 2018: 10 · 2017: 21 · 2016: 8 · 2015: 15 · 2014: 10 · 2013: 5 · 2012: 11
- FWCI
- 5.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- trichotillomania, obsessive-compulsive disorder, psychosocial impact, physical impact, treatment utilization, treatment quality, psychopathology, depression, anxiety, stress, functional disability, public health problem
- MeSH terms
- Adolescent, Adult, Aged, Female, Health Surveys, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, Skin, Internet
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