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Published on: March 15, 2019
Affective and sensory correlates of hair pulling in pediatric trichotillomania
Suzanne A Meunier1, David F Tolin, Martin Franklin
1Anxiety Disorders Center, The Institute of Living/Hartford Hospital, Hartford, CT 06106, USA. smeunie@harthosp.org
Insights
Children
Area of Science:
- Psychology
- Pediatric Psychiatry
- Behavioral Science
Background:
- Hair pulling in children lacks sufficient empirical investigation.
- Understanding affective and sensory states is crucial for classifying trichotillomania (TTM).
- TTM is debated as an impulse control disorder or obsessive-compulsive spectrum disorder.
Purpose of the Study:
- To examine children's self-reported affective and sensory states during hair pulling.
- To investigate the differences between first-time and recent hair pulling experiences.
- To contribute to the classification of trichotillomania.
Main Methods:
- A questionnaire was administered to 15 pediatric participants.
- Participants reported on affective and sensory experiences during hair pulling episodes.
- Data focused on first and recent hair pulling instances.
Main Results:
- Initial hair pulling was linked to both pleasure and pain.
- Subsequent hair pulling episodes were primarily associated with pleasure.
- The negative sensory aspects of hair pulling may decrease with repetition.
Conclusions:
- Hair pulling in children may be reinforced by pleasure, diminishing punitive qualities over time.
- Findings support classifying hair pulling as an impulse control disorder.
- Further research on pediatric hair pulling is warranted.
Abstract:
Hair pulling in pediatric populations has not received adequate empirical study. Investigations of the affective and sensory states contributing to the etiology and maintenance of hair pulling may help to elucidate the classification of trichotillomania (TTM) as an impulse control disorder or obsessive-compulsive spectrum disorder. The current study aimed to examine children's self-reported affective and sensory states associated with hair pulling. Fifteen participants completed a questionnaire assessing children's experiences during first and recent hair pulling episodes. Results revealed that pulling hair for the first time was associated with pleasure and pain whereas recent hair pulling was associated with pleasure only, suggesting that the punishing quality of hair pulling may diminish over time. The findings also support the notion that hair pulling may be maintained primarily through positive reinforcement, which is consistent with its classification as an impulse control disorder.
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