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Sexual functioning in trichotillomania and skin picking disorder
1Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Pritzker School of Medicine, Chicago, IL, United States.
Frontiers in Psychiatry
|July 2, 2026
Summary
This study found that adults with trichotillomania and skin picking disorder may experience sexual dysfunction, particularly impacting orgasm. Worse skin picking symptoms correlated with poorer sexual functioning.
Area of Science:
- Psychiatry
- Sexual Health
- Dermatology
Background:
- Trichotillomania (hair-pulling disorder) and skin picking disorder are body-focused repetitive behaviors.
- Sexual functioning in these populations remains understudied.
Purpose of the Study:
- To investigate sexual functioning in adults diagnosed with trichotillomania and/or skin picking disorder.
- To explore the relationship between symptom severity and sexual dysfunction.
Main Methods:
- 334 adults recruited from online communities completed surveys on demographics, sexual functioning (Changes in Sexual Functioning Questionnaire - Short Form), and pulling/picking severity.
- Comorbidities and treatment history were assessed.
Main Results:
- 27.1% of participants met criteria for sexual dysfunction.
- Worse current skin picking severity was significantly associated with lower scores on the Orgasm/Completion subscale.
- No significant associations were found between sexual dysfunction and comorbidities or treatment variables.
Conclusions:
- Worse skin picking symptoms are linked to poorer sexual functioning, especially concerning orgasm.
- Further research is needed to explore the impact of comorbidities on sexual functioning in this population.
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