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Hair Care and Hair-Focused Repetitive Behaviors: A Descriptive Cross-Sectional Study
Linda Hollatz1, Alexander L Gerlach1
1Clinical Psychology and Psychotherapy, University of Cologne Cologne Germany.
Health Science Reports
|January 23, 2026
Summary
Hair care routines like washing and haircuts can help manage hair pulling in individuals with Hair-Focused Repetitive Behavior Disorders (HFRBDs). Integrating tailored strategies with professional support may improve condition management.
Area of Science:
- Psychiatry and Behavioral Science
- Dermatology
- Trichology
Background:
- Hair-Focused Repetitive Behavior Disorders (HFRBDs), including trichotillomania (TTM), cause significant distress.
- Understanding associated behaviors is crucial for effective intervention.
Purpose of the Study:
- Identify hair care practices in individuals with HFRBDs.
- Explore the relationship between hair care and hair pulling.
- Examine the role of hair professionals in supporting affected individuals.
Main Methods:
- Online survey of 195 adults with HFRBDs involving scalp hair.
- Assessed hair pulling, personal/professional hair care routines, and perceived effects.
- Utilized quantitative and qualitative data analysis.
Main Results:
- Washing (54.1%) and haircuts (34.1%) reduced pulling urges; styling and combing had less effect.
- Self-touch increased urges for 27.7%, while another's touch reduced them for 9.8%.
- Thematic analysis revealed pre-pulling routines, sensory responses, and salon experiences.
Conclusions:
- A complex interplay exists between hair care practices and HFRBDs.
- Tailored hair care strategies can support individuals with HFRBDs.
- Collaboration between clinicians, dermatologists, and hair professionals is recommended for personalized interventions.
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