The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
The Trichotillomania Impact Project (TIP): Exploring Phenomenology, Functional Impairment, and Treatment Utilization
Abstract
Background Trichotillomania (TTM) occurs in 0.6% to 3.4% of adults. Questions remain about phenomenological features of the disorder, its impact on functioning, and treatment utilization. The current study (i.e., The Trichotillomania Impact Project) was designed to provide initial information regarding these issues. Method An Internet-based survey was completed by 1697 individuals who self-reported symptoms consistent with a diagnosis of TTM (DSM-IV-TR). The survey assessed phenomenological experiences; social, occupational, academic, and psychological impact; as well as treatment-seeking experiences. The survey link operated from April 2005 through May 2005. Results Survey results suggest considerable variability in TTM phenomenology. Individuals with more severe TTM symptoms endorsed more frequent phenomenological experiences of physical or mental anxiety prior to pulling and relief, pleasure, or gratification after pulling. Mild to moderate life impairment in social, occupational, academic, and psychological functioning was reported for the entire study sample. These impairments were more pronounced as TTM symptoms became more severe. A summary of treatment seeking in the sample suggests that pharmacotherapy was the most commonly received treatment, followed by behavior therapy. Unfortunately, treatment in general was perceived as relatively ineffective. Conclusion This study underscores the clinical significance of severe hair pulling and highlights the need for research…
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“Cues to pulling may include stress, boredom, or “downtime.””
From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [2]
In the citing paper
“In addition, many people not being fully aware of their pulling behaviors also referred to as “automatic” pulling and comprise a more habitual form of the disorder.[2]”
From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [2]
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“Abbreviation: MGH-HS = Massachusetts General Hospital Hairpulling Scale.”
BackgroundMethodInfluentialSelf-citationWoods, D. W., Wetterneck, C. T., & Flessner, C. A. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.05.006 · Cited by 381 · cited 2×
“Recent research has indicated that TTM is more common than previously believed,(2) may serve an affect regulation function,(3) is associated with functional impairment and psychiatric comorbidity, and appears to be responsive to cognitive-behavioral treatment, at least in the short run.(8,9) These developments notwith…”
BackgroundSelf-citationGrant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Patricia Chou, S., June Ruan, W., & Huang, B. (2005) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2004.05.004 · Cited by 335 · cited 1×
“Despite the limitations, these results provide initial and compelling evidence of the potential importance of including TTM in large-scale psychiatric epidemiologic studies in order to assess the public health impact of this disorder in the general population, as such studies have done for major depression(40,41) and…”
ResultA placebo-controlled trial of cognitive-behavioral therapy and clomipramine in trichotillomania
Ninan, P. T., Rothbaum, B. O., Marsteller, F. A., Knight, B. T., & Eccard, M. B. (2000) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v61n0111 · Cited by 303
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“Recent research has indicated that TTM is more common than previously believed,(2) may serve an affect regulation function,(3) is associated with functional impairment and psychiatric comorbidity, and appears to be responsive to cognitive-behavioral treatment, at least in the short run.(8,9) These developments notwith…”
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Items 101–200 of 283
Rehm, I. C., Nedeljkovic, M., Thomas, A. C., & Moulding, R. (2015) · Behaviour Change · doi:10.1017/bec.2015.11 · Cited by 30
“Indeed, experts have called upon research on change mechanisms in TTM in order to identify the specific cognitive-affective components that may be responsible for the promising treatment outcomes observed in ACT- and DBT-enhanced therapies (Franklin et al., 2011; Woods et al., 2006).”
BackgroundHarrison, J. P., & Franklin, M. E. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-012-0269-8 · Cited by 25
“Most participants in these studies have indicated feelings of tension or other unpleasant sensations that precede their pulling behaviors [19].”
BackgroundInfluentialSelf-citationShareh, H. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465817000546 · Cited by 25
ACT-enhanced behavior therapy in group format for Trichotillomania: An effectiveness study
Haaland, Å., Eskeland, S. O., Moen, E. M., Vogel, P. A., Haseth, S., Mellingen, K., Himle, J. A., Woods, D. W., & Hummelen, B. (2017) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.01.005 · Cited by 25
“, 2012), and acceptance and commitment therapy (ACT-Woods et al., 2006Twohig & Woods, 2004). A recent meta-analysis by McGuire et al. (2014) found greater effect sizes from both DBT- and ACTenhanced behavioral treatment protocols compared to standard BT.”
BackgroundInfluentialSelf-citationEmotion regulation in individuals with and without trichotillomania
Arabatzoudis, T., Rehm, I. C., Nedeljkovic, M., & Moulding, R. (2017) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.01.003 · Cited by 48
A Latent Profile Analysis of Age of Onset in Trichotillomania
Ricketts, E., Snorrason, I., Kircanski, K., Alexander, J. R., Stiede, J. T., Thamrin, H., Flessner, C., Franklin, M., Keuthen, N., Walther, M. R., et al. (2019) · Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · doi:10.1177/154733251903100313 · Cited by 23
“The Trichotillomania Impact Survey was designed by Woods et al 20 to assess hair pulling phenomenology, impairment, and treatment his tory.”
Self-citationLöchner, C., Stein, D. J., Woods, D. W., Pauls, D. L., Franklin, M. E., Loerke, E. H., & Keuthen, N. J. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2011.07.022 · Cited by 29
“…or TTM) is increasingly recognized as a serious condition, given its relatively high prevalence (Duke et al., 2010), significant comorbidity with psychiatric disorders such as depression, obsessive–compulsive disorder and Tourette's syndrome, and associated impairment (Woods et al., 2006).”
BackgroundMethodInfluentialSelf-citationReversal of trichotillomania with aripiprazole
Jefferys, D., & Burrows, G. (2008) · Depression and Anxiety · doi:10.1002/da.20395 · Cited by 23
“It was reported recently that 40% avoid social events, 36% avoid group activities, 20% avoid taking vacations, 23% report daily interference with employment, 15% declined job advancements, and 4% resigned from their employment specifically because of their TTM [Woods et al., 2006].”
Predictors of life disability in trichotillomania
Tung, E. S., Flessner, C. A., Grant, J. E., & Keuthen, N. J. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.09.018 · Cited by 23
Self-citationCortical thickness abnormalities in trichotillomania: international multi-site analysis
Chamberlain, S. R., Harries, M., Redden, S. A., Keuthen, N. J., Stein, D. J., Lochner, C., & Grant, J. E. (2018) · Brain Imaging and Behavior · doi:10.1007/s11682-017-9746-3 · Cited by 22
“The condition is typically associated with impairment across domains of social, occupational, academic, and psychological functioning (Woods et al. 2006).”
BackgroundSelf-citationBody focused repetitive behavior disorders: Significance of family history
Redden, S. A., Leppink, E. W., & Grant, J. E. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.02.003 · Cited by 27
“Trichotillomania is an often debilitating psychiatric condition characterized by recurrent pulling out of one's own hair, leading to hair loss and marked functional impairment [1,2].”
BackgroundBottesi, G., Cerea, S., Razzetti, E., Sica, C., Frost, R., & Ghisi, M. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00256 · Cited by 22
Krooks, J., Weatherall, A. G., & Holland, P. J. (2017) · Journal of Dermatological Treatment · doi:10.1080/09546634.2017.1395389 · Cited by 27
Himle, J. A., Bybee, D., O'Donnell, L., Weaver, A., Vlnka, S., DeSena, D., & Rimer, J. M. (2017) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.10.007 · Cited by 21
White matter integrity in hair-pulling disorder (trichotillomania)
Roos, A., Fouché, J., Stein, D. J., & Löchner, C. (2012) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2012.08.005 · Cited by 26
“HPD may interfere with social relationships, family life and work, and has been associated with significant functional impairment (Woods et al., 2006).”
BackgroundSelf-citationCapel, L. K., Petersen, J. M., Becker, M. R., Levin, M. E., & Twohig, M. P. (2023) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2023.100800 · Cited by 20
Crowe, E., Staiger, P. K., Bowe, S. J., Rehm, I. C., Moulding, R., Herrick, C. A., & Hallford, D. J. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.11.010 · Cited by 31
Houghton, D. C., Tommerdahl, M., & Woods, D. W. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103433 · Cited by 27
Self-citationBody focused repetitive behaviors among Salvadorian youth: Incidence and clinical correlates
Selles, R., Nelson, R. S., Zepeda, R., Dane, B. F., Wu, M. S., Novoa, J. C. C., Guttfreund, D. G., & Storch, E. (2015) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2015.01.008 · Cited by 20
Comorbid trichotillomania and attention-deficit hyperactivity disorder in adults
Chesivoir, E. K., Valle, S., & Grant, J. E. (2022) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2022.152317 · Cited by 20
Rozenman, M. S., Peris, T. S., González, A., & Piacentini, J. C. (2015) · Child Psychiatry & Human Development · doi:10.1007/s10578-015-0550-2 · Cited by 22
“Children and adolescents suffering from TTM often report an inability to control their pulling behavior, as well as embarrassment and shame due to resultant hair loss [4, 5].”
BackgroundAn ethological analysis of barbering behavior
Dufour, B. D., & Garner, J. P. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511676109.011 · Cited by 18
Trichotillomania: A Case of Response to Valproic Acid
Adewuya, E. C., Zinser, W., & THOMAS, C. R. (2008) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2008.076 · Cited by 20
“A cross-sectional survey of medications currently being used to treat TTM symptoms is quite varied and spans various drug classes of psychopharmacological agents (Woods et al. 2006).”
InfluentialPrototype awareness enhancing and monitoring device for trichotillomania
Himle, J. A., Perlman, D. M., & Lokers, L. M. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.06.013 · Cited by 18
“TTM also has a significant impact on quality of life including interference with work, school, home-management tasks, social life, and close relationships (Woods et al., 2006). partment of Psychiatry, 4250 4 764 5348; fax: þ1 734 764 All rights reserved.”
BackgroundInfluentialNeuropsychiatric Aspects of Impulse Control Disorders
Silva, B., Canas‐Simião, H., & Cavanna, A. E. (2020) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2020.02.001 · Cited by 22
Examination of Gender in Pathologic Grooming Behaviors
Grant, J. E., & Christenson, G. (2007) · Psychiatric Quarterly · doi:10.1007/s11126-007-9045-z · Cited by 24
Validating indicators of treatment response: application to trichotillomania
Nelson, S. O., Rogers, K., Rusch, N., McDonough, L., Malloy, E. J., Falkenstein, M. J., Banis, M., & Haaga, D. A. F. (2014) · Psychological Assessment · doi:10.1037/a0036333 · Cited by 17
“As in Woods, Wetterneck, and Flessner (2006), prospective participants were also excluded if they were in concurrent psychotherapy for TTM, or if they were taking medication for TTM and had not been on a stable dose for at least 4 weeks.”
BackgroundPsychocutaneous disease: Clinical perspectives.
Kuhn, H., Mennella, C., Magid, M., Stamu‐O'Brien, C., & Kroumpouzos, G. (2017) · Journal of American Academy of Dermatology · doi:10.1016/j.jaad.2016.11.013 · Cited by 16
Psychological treatments for trichotillomania: Update and future directions
Rehm, I., Moulding, R., & Nedeljkovic, M. (2015) · Australasian Psychiatry · doi:10.1177/1039856215590029 · Cited by 16
Marques, L., Weingarden, H., LeBlanc, N., Siev, J., & Wilhelm, S. (2011) · Revista Brasileira de Psiquiatria · doi:10.1590/s1516-44462011000300006 · Cited by 16
“Additionally, these results are consistent with other Internet studies, which seem to draw more female than male participants.(44) Future studies might consider additional recruiting strategies targeting males that might help address this sampling bias.”
ResultGhisi, M., Bottesi, G., Sica, C., Ouimet, A., & Sanavio, E. (2013) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2012.09.003 · Cited by 16
“…& Crow, 1996; Christenson et al., 1994, 1991, 1993; Diefenbach et al., 2002; du Toit et al., 2001; Flessner et al., 2008; Flessner et al., 2008; Mansueto, Townsley-Stemberger, McCombs-Thomas, & Goldfinger-Golomb, 1997; Woods et al., 2006): focused-pulling and automatic/habitual-pulling.”
BackgroundGrant, J., Valle, S., Chesivoir, E. K., & Ehsan, D. (2021) · International Clinical Psychopharmacology · doi:10.1097/yic.0000000000000382 · Cited by 15
“…trichotillomania and skin picking disorder generally starts in childhood or late adolescence, are associated with distress and reduced quality of life, and may even result in serious medical consequences (Diefenbach et al., 2005; Flessner and Woods, 2006; Odlaug et al., 2010; Veloso et al., 2013).”
BackgroundLochner, C., Demetriou, S., Kidd, M., Coetzee, B., & Stein, D. J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.675468 · Cited by 15
Self-citationLongitudinal Course of Body-Focused Repetitive Behaviors in Obsessive-Compulsive Disorder
Grant, J., Mancebo, M., Mooney, M. E., Eisen, J., & Rasmussen, S. (2015) · Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · doi:10.1177/104012371502700304 · Cited by 15
The phenomenology of self-reported body dysmorphic disorder by proxy
Greenberg, J., Falkenstein, M. J., Reuman, L., Fama, J. M., Marques, L., & Wilhelm, S. (2013) · Body image · doi:10.1016/j.bodyim.2013.01.001 · Cited by 15
“Internet studies have many strengths, including providing anonymity to a severely ill population who may avoid seeking treatment due to shame/embarrassment about the condition (Woods et al., 2006); however, the medium inherently excludes individuals without computer access.”
BackgroundBadenoch, J., Searle, T., Watson, I., & Cavanna, A. E. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.10.008 · Cited by 20
Neal-Barnett, A. M., Woods, D. W., Espil, F. M., Davis, M., Alexander, J. R., Compton, S. N., Walther, M. R., Twohig, M. P., Saunders, S. M., Cahill, S. P., et al. (2019) · Bulletin of the Menninger Clinic · doi:10.1521/bumc_2019_83_04 · Cited by 15
Self-citationReliability and validity of the Trichotillomania Dimensional Scale (TTM-D)
Cheyne, J. E., de Bolger, A. D. P., & Wootton, B. M. (2018) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2018.08.004 · Cited by 13
Ricketts, E., Snorrason, I., Rozenman, M., Colwell, C., McCracken, J., & Piacentini, J. (2017) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.01.006 · Cited by 14
“…individuals, including damaging physical effects (i.e., hair loss, scars, etc.), emotional distress (i.e., guilt, shame, embarrassment), social avoidance, or isolation, and comorbid depression and anxiety (Tucker, Woods, Flessner, Franklin, and Franklin, 2011; Woods, Flessner, and Franklin, 2006).”
BackgroundMethodBottesi, G., Cerea, S., Ouimet, A., Sica, C., & Ghisi, M. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.10.080 · Cited by 14
“…that these criteria are excessively rigid and have little clinical and diagnostic validity (e.g., Duke et al., 2009; Franklin et al., 2008; Lochner et al., 2010; Woods et al., 2006), the DSM-5 criteria for TTM no longer include any reference to specific affective states characterizing the behavior.”
BackgroundMethodResultInfluentialEmotional regulation cycles in trichotillomania (hair-pulling disorder) across subtypes
Siwiec, S., & Mcbride, D. (2016) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2016.06.003 · Cited by 14
The effects of severity and causal explanation on social perceptions of hair loss
Ricketts, E., Brandt, B. C., & Woods, D. W. (2012) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2012.07.007 · Cited by 14
Self-citationEffects of acute modafinil on cognition in trichotillomania
Chamberlain, S. R., Grant, J. E., Costa, A. C. L., Müller, U., & Sahakian, B. J. (2010) · Psychopharmacology · doi:10.1007/s00213-010-1981-x · Cited by 14
“There are currently no formally approved pharmacological treatments for trichotillomania and people with the disorder often report disappointing outcomes with available treatments (Woods et al. 2006; Chamberlain et al. 2009).”
BackgroundPsychometric Properties of Trichotillomania Severity Measures
Barber, K. E., Woods, D. W., Bauer, C. C., Twohig, M. P., Saunders, S. M., Compton, S. N., & Franklin, M. E. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10406-4 · Cited by 14
“This notion aligns with literature underscoring the heterogeneity of hair pulling symptoms seen across individuals with TTM (Duke et al., 2010; Mansueto et al., 1997; Woods et al., 2006; Woods & Houghton, 2014).”
Self-citationKeuthen, N., Tung, E. S., Reese, H. E., Raikes, J., Lee, L., & Mansueto, C. (2015) · Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · doi:10.1177/104012371502700103 · Cited by 13
Self-citationPark, J. M., Rahman, O., Murphy, T., & Storch, E. (2012) · Infant Mental Health Journal · doi:10.1002/imhj.21317 · Cited by 13
Clinical presentation of body-focused repetitive behaviors in minority ethnic groups
Grant, J. E., Valle, S., Aslan, I. H., & Chamberlain, S. R. (2021) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2021.152272 · Cited by 13
“Even though trichotillomania and skin picking interfere with a person's quality of life, the majority (about 65% or higher) of individuals never seek treatment [7].”
BackgroundSex Differences in Trichotillomania
Grant, J., Redden, S., Leppink, E. W., Chamberlain, S., Curley, E. E., Tung, E. S., & Keuthen, N. (2016) · Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · doi:10.1177/104012371602800205 · Cited by 12
Self-citationFalkenstein, M. J., Rogers, K., Malloy, E., & Haaga, D. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22171 · Cited by 12
“The SDS also correlates positively with TTM symptom severity (Woods et al., 2006).”
BackgroundWhere on the obsessive impulsive–compulsive spectrum does hair-pulling sisorder belong?
Odlaug, B. L., Chamberlain, S. R., Schreiber, L. R. N., & Grant, J. E. (2013) · International Journal of Psychiatry in Clinical Practice · doi:10.3109/13651501.2013.828079 · Cited by 15
“Th e demographic and clinical characteristics of our sample, however, closely match other, larger samples of HPD individuals in the literature (Lochner et al. 2010; Woods et al. 2006).”
BackgroundResultPilot trial of a technology assisted treatment for trichotillomania
Stiede, J. T., Woods, D. W., Idnani, A., Pritchard, J., Klobe, K., & Kumar, S. (2022) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2022.100726 · Cited by 11
Self-citationThe Influence of Hair Pulling Styles in the Treatment of Trichotillomania.
McGuire, J., Myers, N., Lewin, A., Storch, E., & Rahman, O. (2020) · The Behavior Therapist · doi:10.1016/j.beth.2019.12.003 · Cited by 11
Body Focused Repetitive Behaviors (BFRBs) and Personality Features
Chamberlain, S., & Odlaug, B. (2014) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-013-0003-9 · Cited by 11
Conelea, C. A., Walther, M. R., Flessner, C., Woods, D. W., Franklin, M., Keuthen, N., & Piacentini, J. (2012) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2012.01.004 · Cited by 11
Self-citationBarber, K. E., Cram, I. F., Smith, E. C., Capel, L., Snorrason, I., & Woods, D. W. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.11.062 · Cited by 10
Self-citationThermal sensors improve wrist-worn position tracking
Son, J. J., Clucas, J. C., White, C., Krishnakumar, A., Vogelstein, J. T., Milham, M. P., & Klein, A. (2019) · npj Digital Medicine · doi:10.1038/s41746-019-0092-2 · Cited by 18
Falkenstein, M. J., & Haaga, D. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.10.007 · Cited by 10
Body focused repetitive behavior disorders and perceived stress: Clinical and cognitive associations
Grant, J., Leppink, E. W., & Chamberlain, S. (2015) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2015.02.001 · Cited by 10
CAN WE IMPROVE PSYCHOSOCIAL TREATMENTS FOR CHILD ANXIETY?
Storch, E. A. (2014) · Depression and Anxiety · doi:10.1002/da.22283 · Cited by 14
“Indeed, when family-based CBT has yielded benefit, protocols have been theoretically designed to work with parents and children conjointly to develop parents as the child’s “coach”[16] and/or have reduced time spent on nonexposure anxiety management skills.[17] In sum, it is unclear if current treatments have fully ma…”
BackgroundDepression in men: Development of the male depression risk scale
Rice, S. (2011) · Research Bank (Australian Catholic University) · doi:10.4226/66/5a96219dc6874 · Cited by 10
“Similarly, several studies using online data collection report notably higher mean ratings for the DASS-21 D subscale than those reported in community samples using standard paper and pencil responding (e.g., Eakman, 2011; Migliorini, New, & Tonge, 2009; Woods et al., 2006).”
Farhat, L. C., Isomura, K., de la Cruz, L. F., Sidorchuk, A., Kuja‐Halkola, R., Brikell, I., Chang, Z., D'Onofrio, B. M., Larsson, H., Lichtenstein, P., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-95416-w · Cited by 8
Psychosocial Treatment of Trichotillomania: A Review
Capel, L., Woolley, M. G., & Twohig, M. (2024) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2024.05.003 · Cited by 9
Barber, K. E., Capel, L., Merl, N., Twohig, M., Saunders, S., Compton, S., Franklin, M., & Woods, D. W. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10419-z · Cited by 9
“Internet-based studies of individuals with self-reported trichotillomania found higher rates of pulling from the pubic region compared to studies conducted in person or with non-clinical samples (Bottesi et al., 2016; Flessner et al., 2009; Wetterneck et al., 2020; Woods et al., 2006).”
InfluentialSelf-citationLatent class analysis of emotions experienced during compulsive hair-pulling episodes.
Hicks, M. M., Mouton-Odum, S., Patyk, K. C., Zamora, R. J., & Nadai, A. D. D. (2023) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2023.101882 · Cited by 9
“, pulling to relieve anxiety) for pulling in individuals with more severe symptoms (Woods et al., 2006).”
BackgroundValle, S., Chesivoir, E. K., & Grant, J. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114706 · Cited by 9
Ricketts, E. J., Rozenman, M. S., Snorrason, Í., Perez, J. B., Peng, M. G., Kim, J., & Piacentini, J. C. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.01.022 · Cited by 8
Slikboer, R., Castle, D., Nedeljkovic, M., & Rossell, S. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2017.12.056 · Cited by 9
Trichotillomania and Skin-Picking Disorder: Different Kinds of OCD
Grant, J., & Chamberlain, S. (2015) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.130212 · Cited by 9
Relations between impulsivity, anxiety, and obsessive–compulsive symptoms in a non-clinical sample
Sulkowski, M. L., Jordan, C., Reid, A. M., Graziano, P. A., Shalev, I., & Storch, E. A. (2009) · Personality and Individual Differences · doi:10.1016/j.paid.2009.05.020 · Cited by 9
“Perhaps, our results obtained with a college sample might have differed from those obtained with clinical samples due to possible gender-related treatment seeking biases in favor of females seeking treatment (Woods et al., 2006) or due to”
Systematic Review of Psychodermatologic Assessment Tools: Diagnostic Accuracy and Clinical Utility
Clark, C., Abdi, P., Li, K., Turk, T., & Dytoc, M. (2025) · Journal of Cutaneous Medicine and Surgery · doi:10.1177/12034754241311267 · Cited by 8
“34 People with BDD often believe that pulling hair will enhance their appearance, whereas individuals with trichotillomania are frequently embarrassed or ashamed of the results of their hair pulling.”
Suicidal Ideation and Attempts in Trichotillomania
Grant, J., Collins, M., Chesivoir, E. K., & Chamberlain, S. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115245 · Cited by 8
White matter volume alterations in hair-pulling disorder (trichotillomania)
Uhlmann, A., Dias, Â., Taljaard, L., Stein, D. J., Brooks, S. J., & Lochner, C. (2019) · Brain Imaging and Behavior · doi:10.1007/s11682-019-00170-z · Cited by 8
Self-citationDSM-5 Trichotillomania: Perception of Adults with Trichotillomania After Psychosocial Treatment
Houghton, D., McFarland, C. S., Franklin, M., Twohig, M., Compton, S., Neal-Barnett, A., Saunders, S., & Woods, D. W. (2016) · Psychiatry · doi:10.1080/00332747.2016.1144438 · Cited by 8
“Trichotillomania (TTM) is characterized by chronic hair pulling, resulting in significant hair loss (American Psychiatric Association, 2013) and negative psychosocial consequences including depression, anxiety, and lowered quality of life (Odlaug, Kim, & Grant, 2010; Woods et al., 2006).”
BackgroundSelf-citationKhumalo, N., Shaboodien, G., Hemmings, S., Moolman-Smook, J., & Stein, D. J. (2016) · JAAD Case Reports · doi:10.1016/j.jdcr.2015.11.002 · Cited by 8
“In particular, studies find that these are prevalent conditions that are associatedwith significant impairment and reduced quality of life and are responsive to specific pharmacotherapeutic and psychotherapeutic interventions.(6,7) Studies emphasize that there is significant comorbidity between these conditions and th…”
BackgroundSelf-citationHoughton, D., Balsis, S., Stein, D., Compton, S., Twohig, M., Saunders, S., Franklin, M., Neal-Barnett, A., & Woods, D. W. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.04.011 · Cited by 8
“Between 4–20% of clinical hair pullers do not endorse symptoms corresponding to either criteria, there are few significant clinical differences between TTM patients who do and do not meet criteria B and C, and individuals who pull hair report varying frequencies of these symptoms, suggesting these experiences are not…”
Self-citationResearch progress in the treatment of non-scarring alopecia: mechanism and treatment
Guo, R.-X., Zhao, Y.-K., Hu, K.-J., Jia, K., Shi, W., Yi, Y., Gong, H.-Y., Wang, J.-B., & Gao, Y. (2025) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1544068 · Cited by 7
Clinical Characteristics of Trichotillomania
Grant, J., Collins, M., & Chamberlain, S. (2023) · Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · doi:10.12788/acp.0120 · Cited by 7
“22 Based on previous research, several aspects of trichotil-lomania have emerged based on this literature.”
Trichotillomania: a perspective synthesised from neuroscience and lived experience
Mackay, C. (2023) · BMJ Mental Health · doi:10.1136/bmjment-2023-300795 · Cited by 7
Statistical predictors of psychosocial impairment in body-focused repetitive behaviors
Grant, J. E., Aslan, I. H., & Chamberlain, S. R. (2021) · CNS Spectrums · doi:10.1017/s1092852921000468 · Cited by 13
Slikboer, R., Rehm, I., Smillie, L., Rossell, S., & Nedeljkovic, M. (2019) · Clinical Psychology · doi:10.1111/cp.12160 · Cited by 7
Affective regulation in trichotillomania before and after self-help interventions.
Weidt, S., Zai, G., Drabe, N., Delsignore, A., Bruehl, A., Klaghofer, R., & Rufer, M. (2016) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2015.12.020 · Cited by 7
The Phenomenology of Hair Pulling Urges in Trichotillomania: A Comparative Approach
Madjar, S., & Sripada, C. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00199 · Cited by 7
Aydın, E. P., Bi̇lge, Y., Demirci, H., & Ozer, O. (2024) · Current Psychology · doi:10.1007/s12144-024-06274-0 · Cited by 6
“In addition, hair pulling causes patients to become withdrawn, social isola - tion, some difficulties in work, academic and social life, and a general decrease in the quality of life (Grant 2019; Woods et al., 2006; Woods & Houghton, 2014).”
Pendo, K., Swisher, V., Leman, T. Y., Rissman, A. J., Peris, T. S., Piacentini, J. C., Snorrason, I., & Ricketts, E. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10435-z · Cited by 6
“…children and adults, with many reporting rising tension or anxiety preceding a BFRB episode and gratification, relief, or reduction in tension during and/or following the episode (Diefenbach et al., 2002; Franklin et al., 2008; Meunier et al., 2009; Neziroglu et al., 2008; Woods et al., 2006).”
InfluentialStructural brain network connectivity in trichotillomania (hair-pulling disorder)
Roos, A., Fouché, J., Stein, D. J., & Löchner, C. (2023) · Brain Imaging and Behavior · doi:10.1007/s11682-023-00767-5 · Cited by 5
“First, the study included women only, in line with epidemiological data suggesting that the majority of individuals with TTM are female (American Psychiatric Association, 2013; Lochner et al., 2010; Woods et al., 2006).”
ResultSelf-citationSignificance of family history in understanding and subtyping trichotillomania
Zhang, J., & Grant, J. E. (2022) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2022.152349 · Cited by 6
Petersen, J. M., Barney, J. L., Fruge, J. E., Lee, E. B., Levin, M. E., & Twohig, M. (2022) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2022.100725 · Cited by 6
Natural Recovery in Trichotillomania
Grant, J., & Chamberlain, S. (2021) · Australian and New Zealand journal of psychiatry (Print) · doi:10.1177/00048674211066004 · Cited by 6
“In fact, one study found that less than 20% of individuals with trichotillomania received psychotherapy for their pulling, despite its status as the first-line treatment approach (Woods et al., 2006).”
BackgroundInfluentialTrichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
Weidt, S., Bruehl, A., Delsignore, A., Zai, G., Kuenburg, A., Klaghofer, R., & Rufer, M. (2017) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s128592 · Cited by 6
“1) Because of the feeling of shamefulness(5) and fear of negative reactions from others,(20) the attempt to conceal hairpulling symptoms often delays treatment seeking in individuals with TTM.(3,7) However, due to effective health education and global awareness on depressive symptoms over the last decade, the shame an…”
InfluentialAdaletli, H., Gunes, H., Tanıdır, C., Mutlu, C., Aytemiz, T., Kilicoglu, A. G., Bahali, K., Kurban, S., & Üneri, Ö. (2016) · Anatolian Journal of Psychiatry · doi:10.5455/apd.191791 · Cited by 6
Factor Structure, Validity and Reliability of the Massachusetts General Hospital Hair Pulling Scale
Rabiei, M., Nikfarjam, M., Khoramdel, K., & Movassagh, M. T. (2014) · Psychology and Behavioral Sciences · doi:10.11648/j.pbs.20140301.13 · Cited by 6
“(4) Hair pulling may be from any region of the body but the most common areas include the scalp, eyebrows, and eyelashes, and TTM more commonly affects women, and onset usually occurs in adolescence.(5) Individuals with TTM experience deterioration in several psychosocial domains, including self-esteem, body image, em…”
BackgroundClinical Aspects of Hair Pulling, Skin Picking, and Nail Biting
Falkenstein, M. J. (2016) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-016-0096-3 · Cited by 5
Mindfulness-Based Cognitive Therapy for Trichotillomania: A Bayesian Case-Control Study
Heeren, A., Busana, C., Coussement, C., & Philippot, P. (2015) · Psychologica Belgica · doi:10.5334/pb.bj · Cited by 5
Hazardous Alcohol Use in Trichotillomania
Grant, J. E., Collins, M., Chesivoir, E. K., & Chamberlain, S. R. (2023) · Psychiatric Quarterly · doi:10.1007/s11126-023-10042-x · Cited by 4
Roodt, C. A., Turner, M., Edmondson, A. J., Keeley, P., & Kendal, S. (2021) · Journal of Patient Experience · doi:10.1177/23743735211060792 · Cited by 5
“Functional outcomes associated with TTM include impairment in social, occupational, academic and psychological functioning (1).”
BackgroundInfluentialPharmacotherapy for trichotillomania in adults
Baczynski, C., & Sharma, V. (2020) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2020.1761324 · Cited by 5
Trichotillomania: awareness and advances.
Woods, D. W. (2011) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1016/j.jaac.2011.05.008 · Cited by 5
Self-citationCapel, L. K., Bowers, E. M., Becker, M. R., Davis, M. P., Levin, M. E., & Twohig, M. P. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100908 · Cited by 4
Banafshi, Z., & Khatony, A. (2025) · BMC Psychology · doi:10.1186/s40359-025-03427-z · Cited by 5
“As a result, social withdrawal, isolation, and feelings of shame are common social consequences associated with TTM [64].”
Investigating the familiality of trichotillomania and excoriation disorder
Chen, D., Farhat, L., Lebowitz, E. R., Silverman, W., Bloch, M. H., Fernandez, T., & Olfson, E. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116560 · Cited by 4
Metadata
- Authors
- Woods, D. W., Flessner, C. A., Franklin, M. E., Keuthen, N. J., Goodwin, R. D., Stein, D. J., Walther, M. R., & Trichotillomania Learning Center-Scientific Advisory Board
- Affiliations
- University of Wisconsin–Milwaukee (US)
- ORCID
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2006-12-15
- Volume
- 67
- Issue
- 12
- Pages
- 1877-1888
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W2042276786
- Cited by
- 317
- References
- 0
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 15 · 2023: 25 · 2022: 16 · 2021: 19 · 2020: 10 · 2019: 9 · 2018: 16 · 2017: 25 · 2016: 20 · 2015: 29 · 2014: 11 · 2013: 9 · 2012: 14
- FWCI
- 13.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (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 › Dermatology › Hair Growth and Disorders
- Keywords
- trichotillomania, hair pulling, phenomenology, symptom severity, functional disability, social functioning, occupational functioning, academic functioning, psychological functioning, treatment seeking, pharmacotherapy, behavior therapy, treatment effectiveness, perceived treatment effectiveness
- MeSH terms
- Activities of Daily Living, Adolescent, Adult, Aged, Behavior Therapy, Drug Therapy, Female, Health Surveys, Humans, Male, Mental Health, Mental Health Services, Middle Aged, Severity of Illness Index, Trichotillomania
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