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Trichotillomania in childhood.
Journal of the American Academy of Dermatology
|October 1, 1986
Summary
Childhood trichotillomania, a hair-pulling disorder, often stems from family psychosocial stress, including major life events and developmental issues. Understanding these triggers is key to addressing this condition in children.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Psychology
- Pediatric Psychology
Background:
- Trichotillomania is a disorder characterized by the recurrent, irresistible urge to pull out one's own hair.
- While often appearing as a simple habit, its underlying causes in children warrant deeper investigation.
Purpose of the Study:
- To describe and discuss various aspects of childhood trichotillomania.
- To identify potential contributing factors to the development of trichotillomania in pediatric patients.
Main Methods:
- Retrospective case record analysis of 21 children diagnosed with trichotillomania.
- Patients were under 15 years of age and seen within a 5-year period.
Main Results:
- The study included 15 girls and 6 boys, with an age range of 2 to 15 years.
- Trichotillomania was frequently associated with significant psychosocial stressors within the family environment.
- Identified stressors included child or maternal hospitalizations, moving, sibling rivalry, and academic or developmental challenges.
Conclusions:
- Childhood trichotillomania is often linked to a family's psychosocial stress.
- Recognizing and addressing family dynamics and developmental issues is crucial for managing pediatric trichotillomania.