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Trichotillomania Prevalence in an Arab Middle Eastern Population
Ahmed H Subki1, Hazim A Khatib2, Nadeem S Butt3
1Department of Internal Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Journal of Family Medicine and Primary Care
|November 17, 2022
Summary
Trichotillomania (hair-pulling disorder) affects 1.8% of adults in western Saudi Arabia, with higher prevalence in women. A history of hair-pulling is common, but diagnosed TTM is less so.
Area of Science:
- Psychiatry
- Epidemiology
Background:
- Trichotillomania (TTM), or hair-pulling disorder, is a psychiatric condition with limited research in Middle Eastern populations.
- Understanding the prevalence and correlates of TTM in Saudi Arabia is crucial for public health initiatives.
Purpose of the Study:
- To determine the prevalence and associated factors of TTM in a community sample in Jeddah, Saudi Arabia.
- To investigate the frequency of hair-pulling behaviors and their characteristics within this population.
Main Methods:
- An observational, cross-sectional study involving 511 adults in Jeddah, Saudi Arabia.
- Demographic data and psychiatric history were collected, and the Massachusetts General Hospital Hair-Pulling Scale (MGH-HPS) was used to assess TTM symptoms.
Main Results:
- 1.8% of participants (9/511) screened positive for TTM using the MGH-HPS.
- A history of hair-pulling was reported by 39.7% of participants.
- Suspected TTM was more prevalent in females (2.8% vs. 0.4% in males) and potentially linked to a history of obsessive-compulsive disorder (OCD).
Conclusions:
- While a history of hair-pulling is common (39.7%), diagnosed TTM is less prevalent (<2%) in this Saudi Arabian community.
- TTM appears more common in women and may be associated with OCD.
- Further research is needed to understand TTM in this demographic.
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