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The Demography, Phenomenology, and Family History of 22 Persons with Compulsive Hair Pulling
Abstract
This study reports on the demographics, phenomenology, and family history of 22 compulsive hair pullers. Subjects were recruited through a psychiatric outpatient clinic as well as newspaper advertisements. Subjects completed a semistructured interview focused on hair-pulling behavior and demographics, the Diagnostic Interview Schedule to assess major (Axis I) mental disorders, and the Structured Interview for DSM-III-R Personality Disorders to assess Axis II disorders. The typical subject was a 33-year-old woman who had completed 1 or more years of college and had been pulling her hair for 19 years. Nearly two-thirds met the criteria for a major mental disorder (particularly anxiety and mood disorders), and more than one-half met the criteria for a personality disorder. Nearly three-quarters of first-degree relatives were reported to have a psychiatric disorder, and about 5% were reported to be hair pullers.
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“Several family studies have reported elevated rates of trichotillomania in first-degree relatives of probands with trichotillomania, along with elevated rates of mood and anxiety disorders.[18]”
From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [18]
In the citing paper
“Data regarding the pathophysiology of trichotillomania are limited, but there is a familial component.”
From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [18]
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Metadata
- Authors
- Schlosser, S., Black, D., Blum, N., & Goldstein, R.
- Affiliations
- University of Iowa (US)
- ORCID
- Black, Donald
- Venue
- Annals of Clinical Psychiatry
- Publisher
- SAGE Publications
- Published
- 1994-09-01
- Volume
- 6
- Issue
- 3
- Pages
- 147-152
- ISSN
- 1040-1237 (ISSN-L)
- OpenAlex
- W2019830565
- Cited by
- 178
- References
- 6
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 8 · 2015: 5 · 2014: 5 · 2013: 5 · 2012: 38
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Dermatology › Hair Growth and Disorders
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- compulsive hair pulling, trichotillomania, family history (medicine), first-degree relatives, psychiatric comorbidity, anxiety disorders, mood disorders, personality disorders, phenomenology, prevalence, gender differences
- MeSH terms
- Adolescent, Adult, Affective Disorders, Psychotic, Feeding and Eating Disorders, Demography, Family, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Trichotillomania, Comorbidity, Substance-Related Disorders
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