The Demography, Phenomenology, and Family History of 22 Persons with Compulsive Hair Pulling

Steven Schlosser · Donald W. Black · Nancee S. Blum · Risë B. Goldstein

178 citations0/0 files storedAnnals of Clinical Psychiatry

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Obsessive-Compulsive Spectrum Disorders Hair Growth and Disorders Body Image and Dysmorphia Studies

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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References

1978Research Diagnostic Criteria 1984Six-Month Prevalence of Psychiatric Disorders in Three Communities 1989A Double-Blind Comparison of Clomipramine and Desipramine in the Treatment of Trichotillomania (Hair Pulling)1991Estimated lifetime prevalence of trichotillomania in college students.1989DSM-III Personality Disorder Diagnoses in a Nonpatient Sample

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