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Sex differences in trichotillomania.

Jon E Grant¹, Sarah A Redden, Eric W Leppink

¹Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA

Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists

|June 11, 2016

Summary

This summary is machine-generated.

Males with trichotillomania (TTM) pull hair from different body areas and have higher rates of substance use disorders. Understanding these sex differences is crucial for effective TTM assessment and treatment.

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Area of Science:

Psychiatry
Clinical Psychology
Behavioral Science

Background:

Trichotillomania (TTM) is a common disorder, but its clinical presentation differences between sexes are not well understood.
Historically, TTM has been perceived as predominantly affecting females, potentially masking unique male presentations.

Purpose of the Study:

To investigate and compare the clinical features of trichotillomania between male and female patients.
To identify potential sex-specific differences in symptom presentation, functioning, and comorbidity in TTM.

Main Methods:

A cohort of 462 participants diagnosed with TTM was assessed using various clinical measures.
Clinical characteristics, including symptom severity, functional impairment, and psychiatric comorbidities, were compared between male (n=27) and female (n=435) participants.

Main Results:

While many clinical aspects of TTM were similar between sexes, significant differences emerged.
Males with TTM were more prone to pulling hair from the face, arms, and torso.
Males also exhibited a higher likelihood of co-occurring substance use disorders, whereas females were younger and less frequently married.

Conclusions:

Sex differences represent a potentially important factor in the clinical assessment and treatment of trichotillomania, even though fewer males seek treatment.
Further research is warranted to confirm these findings and explore the need for sex-tailored treatment approaches for TTM.