Anwar Sarah, Jafferany Mohammad
Tufts University, Boston, MA, United States.
Central Michigan University, Saginaw, MI, United States.
Acta Dermatovenerol Alp Pannonica Adriat. 2019 Mar;28(1):33-36.
Trichotillomania, or hair-pulling disorder, is classified as an obsessive-compulsive spectrum disorder and is seen predominantly in females. This is a non-systematic review article focusing on the psychopathological features of hair pulling. It is speculated that hair pulling may function to provide short-term relief from stress and other unwanted emotional states, thus serving as a method of emotion regulation. The prevalence of trichotillomania ranges from 1 to 3%. The most targeted site is the scalp, and other common areas include pubic hair and facial regions such as the eyebrows, eyelashes, and beard. Individuals suffering from this disorder tend to avoid social environments due to embarrassment regarding their appearance and fears of being judged by peers. Trichotillomania is associated with significant functional impairment and increased risks of comorbid psychiatric disorders such as other body-focused repetitive behaviors, depression, anxiety, and addictive disorders. This article reviews the epidemiology, clinical features, diagnostic criteria, and psychopathology of trichotillomania with an emphasis on psychopathology and psychiatric comorbidity.
拔毛癖，又称拔毛障碍，被归类为一种强迫谱系障碍，主要见于女性。这是一篇非系统性综述文章，聚焦于拔毛的精神病理学特征。据推测，拔毛可能起到从压力和其他不良情绪状态中提供短期缓解的作用，从而作为一种情绪调节方法。拔毛癖的患病率在1%至3%之间。最常被拔毛的部位是头皮，其他常见部位包括阴毛以及面部区域，如眉毛、睫毛和胡须。患有这种障碍的个体往往由于对外表的尴尬以及害怕被同龄人评判而避免社交环境。拔毛癖与显著的功能损害以及共病精神障碍风险增加有关，如其他专注于身体的重复行为、抑郁、焦虑和成瘾性障碍。本文综述了拔毛癖的流行病学、临床特征、诊断标准和精神病理学，重点是精神病理学和精神共病。
