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Parent Coping With Adolescent Trichotillomania.

Marcia S Stevens¹, Susan O'Conner-Von²

¹School of Nursing, College of Allied Health and Nursing, Minnesota State University, Mankato, Mankato, MN, USA marcia.stevens@mnsu.edu.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses

|July 27, 2016

Summary

Parents of adolescents with trichotillomania (hairpulling disorder) face unique stressors, including uncertainty and powerlessness. They cope through information gathering, seeking support, acceptance, and guiding their children.

Keywords:

psychological adaptation qualitative research trichotillomania

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Area of Science:

Psychology
Pediatric Mental Health
Family Studies

Background:

Trichotillomania (TTM), or hairpulling disorder, significantly impacts adolescents and their families.
Parental experiences of stress and coping mechanisms associated with TTM are not well-documented.

Purpose of the Study:

To identify parental stressors when parenting an adolescent with TTM.
To explore coping strategies employed by parents of adolescents with TTM.

Main Methods:

Qualitative study involving 30 parents of adolescents with TTM.
Thematic analysis of parental perceptions of stress and coping.

Main Results:

Key stressors include uncertainty about TTM's course and powerlessness in helping their child.
Eight coping strategies were identified: information gathering, anticipatory guidance, crying, hypervigilance, seeking support, acceptance, goal revision, and guiding rather than protecting.

Conclusions:

Parental stress in TTM is linked to disorder uncertainty and perceived helplessness.
Understanding these stressors and coping mechanisms can inform family-centered care, particularly for school nurses.