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

Behavior Modification
|January 14, 2009
PubMed

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.

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