The phenomenology of hairpulling in a community sample

Danny Duke, Danielle K. Bodzin, Priscilla Tavares, Gary R. Geffken, Eric A. Storch

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Assessment and treatment of trichotillomania (TTM) has evolved substantially over the past decade. However, standardized assessment and empirically supported treatment for TTM is still in early stages of development. We proposed that information important to the ongoing evolution of assessment and treatment could be obtained through the study of hairpulling across its range of severity. Hairpulling phenomenology was assessed in a large community sample across its range of presentation. Although the estimated prevalence rate of .6% for TTM is congruent with past studies, the 1.2% prevalence estimated for clinically significant hairpulling suggests that the current diagnostic criteria are overly restrictive. Overall, hairpulling occurred at a rate of 6.5%, while age of onset was 15.92 years. Symptoms of depression, anxiety, and history of teasing were positively associated with hairpulling, while self-esteem was negatively related to hairpulling. Cognitions most commonly associated with hairpulling were "feels coarse" (53.3%), "doesn't feel right" (30.0%), "is curly" (26.7%), and "doesn't look right" (23.3%). Environments most commonly associated with hairpulling included "while reading" (38.9%), "while watching television" (37.0%), and "in class" (35.25). Applications of findings to assessment and intervention formulation are suggested, and limitations and future directions are discussed.

Original languageEnglish (US)
Pages (from-to)1118-1125
Number of pages8
JournalJournal of Anxiety Disorders
Volume23
Issue number8
DOIs
StatePublished - Dec 2009

Fingerprint

Trichotillomania
Television
Age of Onset
Self Concept
Cognition
Reading
Anxiety
Cross-Sectional Studies
Depression

Keywords

  • Hairpulling
  • Phenomenology
  • Trichotillomania

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Duke, D., Bodzin, D. K., Tavares, P., Geffken, G. R., & Storch, E. A. (2009). The phenomenology of hairpulling in a community sample. Journal of Anxiety Disorders, 23(8), 1118-1125. https://doi.org/10.1016/j.janxdis.2009.07.015

The phenomenology of hairpulling in a community sample. / Duke, Danny; Bodzin, Danielle K.; Tavares, Priscilla; Geffken, Gary R.; Storch, Eric A.

In: Journal of Anxiety Disorders, Vol. 23, No. 8, 12.2009, p. 1118-1125.

Research output: Contribution to journalArticle

Duke, D, Bodzin, DK, Tavares, P, Geffken, GR & Storch, EA 2009, 'The phenomenology of hairpulling in a community sample', Journal of Anxiety Disorders, vol. 23, no. 8, pp. 1118-1125. https://doi.org/10.1016/j.janxdis.2009.07.015
Duke, Danny ; Bodzin, Danielle K. ; Tavares, Priscilla ; Geffken, Gary R. ; Storch, Eric A. / The phenomenology of hairpulling in a community sample. In: Journal of Anxiety Disorders. 2009 ; Vol. 23, No. 8. pp. 1118-1125.
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