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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In the citing paper
“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]
Citations
Cites
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998) · Psychological Assessment · doi:10.1037/1040-3590.10.2.176 · Cited by 4,874
Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004) · American Psychologist · doi:10.1037/0003-066x.59.2.93 · Cited by 2,932
Assessing Psychiatric Impairment in Primary Care with the Sheehan Disability Scale
Leon, A. C., Olfson, M., Portera, L., Farber, L., & Sheehan, D. V. (1997) · The International Journal of Psychiatry in Medicine · doi:10.2190/t8em-c8yh-373n-1uwd · Cited by 987
Characteristics of 60 adult chronic hair pullers
(1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.3.365 · Cited by 570
The Massachusetts General Hospital (MGH) Hairpulling Scale: 1. Development and Factor Analyses
Keuthen, N. J., O’Sullivan, R. L., Ricciardi, J. N., Shera, D., Savage, C. R., Borgmann, A. S., Jenike, M. A., & Baer, L. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000289003 · Cited by 444 · cited 3×
“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
van Minnen, A., Hoogduin, K. A. L., Keijsers, G. P. J., Hellenbrand, I., & Hendriks, G.-J. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.5.517 · Cited by 234 · cited 1×
“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…”
BackgroundThe Massachusetts General Hospital (MGH) hairpulling scale: 2. Reliability and validity
O’Sullivan, R. L., Keuthen, N. J., Hayday, C. F., Ricciardi, J. N., Buttolph, L., Jenike, M. A., & Baer, L. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000289004 · Cited by 191 · cited 1×
“Male 6.5 (110) 7.8 ( 33 ) 5.5 (26) Female 93.2 (1581) 92.0 (390) 94.0 (442) Unspecified 0.4 (6) 0.2 (1) 0.4 (2)”
InfluentialSelf-citationAssessment of trichotillomania: A psychometric evaluation of hair-pulling scales
Diefenbach, G. J., Tolin, D. F., Crocetto, J., Maltby, N., & Hannan, S. (2005) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-005-0633-7 · Cited by 109
Cited by
Sorted by citations
The economic and social burden of compulsive hoarding
Tolin, D. F., Frost, R. O., Steketee, G., Gray, K. D., & Fitch, K. E. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2007.08.008 · Cited by 445
“, 2007), and OCD spectrum disorders (Woods et al., 2006).”
BackgroundGrant, J. E., Odlaug, B. L., & Won Kim, S. (2009) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.60 · Cited by 424
“and include significantly reduced quality of life, reduced work productivity, and impaired social functioning.(2,3)”
BackgroundResultMarques, L., LeBlanc, N. J., Weingarden, H. M., Timpano, K. R., Jenike, M., & Wilhelm, S. (2010) · Depression and Anxiety · doi:10.1002/da.20694 · Cited by 283
“Consistent with other internet studies, the majority of the current sample was female and Caucasian.”
BackgroundResultInfluentialSystematic Review: Pharmacological and Behavioral Treatment for Trichotillomania
Bloch, M. H., Landeros-Weisenberger, A., Dombrowski, P., Kelmendi, B., Wegner, R., Nudel, J., Pittenger, C., Leckman, J. F., & Coric, V. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.05.019 · Cited by 280
Impulse Control Disorders: Updated Review of Clinical Characteristics and Pharmacological Management
Schreiber, L. R. N., Odlaug, B., & Grant, J. (2011) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2011.00001 · Cited by 271
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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