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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder

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Trichotillomania in children.

Savita Malhotra¹, Sandeep Grover, Raman Baweja

¹Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India. dr.savita.malhotra@gmail.com

Indian Pediatrics

|June 3, 2008

Summary

This study examined 20 children with trichotillomania, finding that most were female and benefited from continued treatment. Early intervention in pediatric trichotillomania is crucial for positive outcomes.

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Area of Science:

Child and Adolescent Psychiatry
Dermatology
Behavioral Science

Background:

Trichotillomania is a disorder characterized by compulsive hair pulling.
Understanding the sociodemographic and clinical profile of pediatric trichotillomania is essential for targeted interventions.

Purpose of the Study:

To describe the sociodemographic profile, clinical characteristics, and treatment outcomes of children diagnosed with trichotillomania.
To determine the prevalence of trichotillomania in a child and adolescent psychiatry clinic population.

Main Methods:

Retrospective case series analysis of 20 children with trichotillomania.
Data collected over a 6-year period from a Child Adolescent Psychiatry Clinic.
Evaluation of sociodemographic factors, clinical presentation, comorbidities, and treatment response.

Main Results:

Prevalence of trichotillomania was 1.24% in the studied population.
The majority of subjects were female (85%), Hindu (65%), and from urban nuclear families (70%).
Mean age at presentation was 10.1 years; 40% had comorbid psychiatric illness, and 20% had a family history of psychiatric disorders. Improvement was observed in children who continued treatment.

Conclusions:

Trichotillomania in children predominantly affects females and is associated with specific sociodemographic factors.
Comorbidities and family history are significant considerations in the management of pediatric trichotillomania.
Continued treatment adherence is associated with positive clinical outcomes in children with trichotillomania.