Stein Dan J, Chamberlain Samuel R, Fineberg Naomi
Department of Mental Health and Psychiatry, University of Cape Town, South Africa.
CNS Spectr. 2006 Nov;11(11):824-7. doi: 10.1017/s1092852900014978.
Severe hair-pulling is characteristic of trichotillomania, an impulse control disorder not otherwise classified. Other pathological habits, including severe nail-biting and skin-picking, are also prevalent and are potentially diagnosable as stereotypic movement disorder. There is increasing awareness of the morbidity associated with these kind of habit disorders but, to date, relatively few randomized controlled trials of pharmacotherapy or psychotherapy have been undertaken. Advances in the understanding of the underlying cognitive-affective mechanisms driving stereotypies in animals and humans may ultimately lead to new approaches. An affect regulation, behavioral addiction, and cognitive control (A-B-C) approach is outlined to conceptualizing and managing these conditions.
严重拔毛是拔毛癖的特征，拔毛癖是一种未另作分类的冲动控制障碍。其他病态习惯，包括严重咬指甲和抠皮肤，也很普遍，有可能被诊断为刻板运动障碍。人们越来越意识到与这类习惯障碍相关的发病率，但迄今为止，针对药物治疗或心理治疗的随机对照试验相对较少。对驱动动物和人类刻板行为的潜在认知 - 情感机制理解的进展最终可能会带来新方法。本文概述了一种情感调节、行为成瘾和认知控制（A - B - C）方法，用于对这些病症进行概念化和管理。
