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[Skin-picking disorder].

V Niemeier1,2, E Peters3, U Gieler4

  • 1Institut für Psychoanalyse und Psychotherapie Gießen, Ludwigstraße 73, 35392, Gießen, Deutschland. Volker.niemeier@derma.med.uni-giessen.de.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|September 23, 2015
PubMed
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Skin picking disorder involves compulsive skin self-injury, causing significant life impairment. It is now recognized as an independent impulse-control disorder, often with co-occurring emotional conditions.

Area of Science:

  • Psychiatry
  • Dermatology
  • Psychology

Background:

  • Skin picking (SP) is a disorder characterized by repetitive, compulsive self-injury leading to skin lesions.
  • Patients often make repeated attempts to cease or reduce the behavior.
  • The disorder causes significant functional impairment in social, occupational, and other life areas.

Purpose of the Study:

  • To define and characterize skin picking disorder.
  • To differentiate SP from other disorders.
  • To highlight the importance of diagnosis and treatment.

Main Methods:

  • Diagnostic criteria for skin picking disorder were reviewed.
  • Classification within the DSM-V was examined.
  • Comorbidities and treatment implications were considered.
Keywords:
PsychePsychodermatologyPsychosomatic disordersSelf-harmSkin-picking disorder

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Main Results:

  • Skin picking disorder is characterized by compulsive skin picking resulting in lesions.
  • It requires significant attempts to stop and causes functional impairment.
  • It is classified as an impulse-control disorder in the DSM-V, distinct from compulsive disorders.
  • Emotional comorbidities are frequent.

Conclusions:

  • Skin picking disorder is a distinct entity within impulse-control disorders.
  • Diagnosis requires ruling out other conditions and assessing functional impairment.
  • Interdisciplinary treatment involving psychotherapy and/or psychiatry is indicated for significant psychosocial limitations.