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  1. Article ; Online: Trichotillomania in childhood: case series and review.

    Tay, Yong-Kwang / Levy, Moise L / Metry, Denise W

    Pediatrics

    2004  Volume 113, Issue 5, Page(s) e494–8

    Abstract: ... differential diagnosis to exclude from trichotillomania is alopecia areata, which was seen concomitantly in 1 patient and ... the scalp and eyelashes in 1 case, and the eyelashes alone in 1 case. The frontal scalp and vertex were ... in 1 case, and headaches in another case. Noted precipitating factors in 3 patients included "stress ...

    Abstract Trichotillomania is a relatively common cause of childhood alopecia. We report our observations of 10 children with trichotillomania seen over a 2-year period at Texas Children's Hospital. Patient ages ranged from 9 to 14 years (mean: 11.3 years) with an equal gender ratio. The duration of hair-pulling ranged from 1 month to 10 years (median: 4.6 months). The scalp alone was affected in 8 cases, the scalp and eyelashes in 1 case, and the eyelashes alone in 1 case. The frontal scalp and vertex were the most common sites affected. Associated findings included nail-biting in 2 cases, "picking" of the skin in 1 case, and headaches in another case. Noted precipitating factors in 3 patients included "stress" at home and school. Associated psychopathology included major depression in 1 case, attention-deficit/hyperactivity disorder in 1 case, and an "anxious and nervous personality" in 1 case. The most important differential diagnosis to exclude from trichotillomania is alopecia areata, which was seen concomitantly in 1 patient and preceded the onset of hair-pulling by 11 months. Eight patients were referred to a child psychologist for additional management, of which 2 were subsequently treated with antidepressant medication. Trichotillomania is a disorder of multifaceted pathology, and an interdisciplinary approach to management is often helpful. The common prepubertal age of onset provides an important opportunity for the pediatrician to lend support to affected patients and their families.
    MeSH term(s) Adolescent ; Child ; Female ; Humans ; Male ; Trichotillomania/epidemiology ; Trichotillomania/psychology ; Trichotillomania/therapy
    Language English
    Publishing date 2004-04-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.113.5.e494
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Trichotillomania: clinical aspects and treatment strategies.

    Minichiello, W E / O'Sullivan, R L / Osgood-Hynes, D / Baer, L

    Harvard review of psychiatry

    1994  Volume 1, Issue 6, Page(s) 336–344

    Abstract: ... 16 years. Trichotillomania can occur in a wide variety of psychiatric disorders, and patients ... but several treatment series suggest efficacy. At least three reports also suggest that behavior therapy and ... studied. A case illustrating the combination of behavior therapy techniques and pharmacotherapy ...

    Abstract Trichotillomania is a disorder of compulsive hair pulling that often results in alopecia. The clinical features include the pulling of hair from the scalp, eyebrows, and eyelashes, sometimes symmetrically; pubic and other bodily hair may also be plucked. The disorder is present in 0.6% of college students. The majority of sufferers who seek treatment are female, with usual age of onset between 11 and 16 years. Trichotillomania can occur in a wide variety of psychiatric disorders, and patients with the condition may be more likely to have a lifetime diagnosis of depression or an anxiety, eating, or substance abuse disorder. Although empirically derived treatment guidelines are still lacking, the current literature suggests that behavior therapy and pharmacotherapy are the most efficacious treatments for adult trichotillomania. Controlled trials with pharmacotherapy (clomipramine) have shown significant reductions in hair pulling over the short term. Controlled investigations of behavior therapy have not been conducted, but several treatment series suggest efficacy. At least three reports also suggest that behavior therapy and pharmacotherapy bring some improvement in childhood trichotillomania, although this has not been empirically studied. A case illustrating the combination of behavior therapy techniques and pharmacotherapy in the treatment of trichotillomania is presented.
    MeSH term(s) Adolescent ; Adult ; Behavior Therapy ; Child ; Clomipramine/therapeutic use ; Combined Modality Therapy ; Comorbidity ; Female ; Fluoxetine/therapeutic use ; Humans ; Male ; Mental Disorders/diagnosis ; Mental Disorders/psychology ; Mental Disorders/therapy ; Serotonin Uptake Inhibitors/therapeutic use ; Treatment Outcome ; Trichotillomania/diagnosis ; Trichotillomania/psychology ; Trichotillomania/therapy
    Chemical Substances Serotonin Uptake Inhibitors ; Fluoxetine (01K63SUP8D) ; Clomipramine (NUV44L116D)
    Language English
    Publishing date 1994-03
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1174775-4
    ISSN 1465-7309 ; 1067-3229
    ISSN (online) 1465-7309
    ISSN 1067-3229
    DOI 10.3109/10673229409017100
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3888: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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