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Cited by 14Obsessive-Compulsive Spectrum DisordersBody Image and Dysmorphia StudiesPsychosomatic Disorders and Their Treatments

Does Comorbidity Matter in Body-Focused Repetitive Behavior Disorders?

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Grant, Jon E., Leppink, Eric W., Tsai, Jerry, Chamberlain, Samuel R., Redden, Sarah A., Curley, Erin E., Odlaug, Brian L., Keuthen, Nancy J.·2016·Annals of Clinical Psychiatry
DOI 10.1177/104012371602800306PMC PMC5341762
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Abstract

Background: Trichotillomania (TTM) and skin-picking disorder (SPD) have been characterized as body-focused repetitive behavior disorders (BFRBs). Because BFRBs frequently co-occur, we sought to discover the similarities and differences for individuals having both TTM and SPD as opposed to 1 of these disorders. Methods: Participants with primary TTM (N = 421) were evaluated regarding the comorbidity of SPD, and participants with primary SPD (N = 124) were evaluated regarding the comorbidity of TTM. The effects of comor-bidity overlap on demographic and clinical measures were evaluated. Results: Of the 421 participants with primary TTM, 61 (14.5%) had co-occurring SPD. Of 124 participants with primary SPD, 21 (16.9%) had comorbid TTM. Participants with primary TTM and comorbid SPD had significantly more severe trichotillomania symptoms and were more likely to have major depressive disorder than those with TTM alone. Participants with primary SPD and comorbid TTM reported significantly more severe skin-picking symptoms than those who had only SPD. Conclusions: Individuals with co-occurring TTM and SPD may have more problematic symptoms with the primary repetitive behavior. Hair pullers with comorbid SPD were more likely to have comorbid depression. Evaluating patients for multiple BFRBs may be important to assess the severity of symptoms and may have treatment implications.

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  • Trichotillomania frequently co-occurs with skin picking disorder, and when it does, people tend to have more severe trichotillomania symptoms.

    “Trichotillomania also frequently co-occurs with skin picking disorder, and when it does, people tend to have more severe trichotillomania symptoms.[17]”

    From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [17]

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Cited by

Sorted by citations

Authors
Grant, J. E., Leppink, E. W., Tsai, J., Chamberlain, S. R., Redden, S. A., Curley, E. E., Odlaug, B. L., & Keuthen, N. J.
Affiliations
  • University of Chicago (US)
  • University of Cambridge (GB)
  • Harvard University (US)
  • University of Copenhagen (DK)
ORCID
Venue
Annals of Clinical Psychiatry
Publisher
SAGE Publications
Published
2016-08
Volume
28
Issue
3
Pages
175-181
ISSN
  • 1040-1237 (ISSN-L)
  • 1547-3325
DOI
10.1177/104012371602800306
PMC
PMC5341762
OpenAlex
W2525864944
Cited by
14
References
4
Citations by year
2026: 1 · 2025: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 3
FWCI
2.23
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Annals of Clinical Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • PubMed
Funders
Wellcome Trust (110,049/Z/15/Z, 110049)
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, skin picking disorder, comorbidities, major depressive disorder, symptom severity, hair pulling, psychiatric comorbidity
MeSH terms
Adult, Compulsive Behavior, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Skin, Trichotillomania, Comorbidity

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