Weill Cornell Medical College, New York, NY, USA.
Department of Dermatology, Weill Cornell Medical College, 1305 York Ave, 9th Floor, New York, NY, 10021, USA.
Arch Dermatol Res. 2020 Nov;312(9):629-634. doi: 10.1007/s00403-020-02045-6. Epub 2020 Feb 20.
In September 2019, the New York Times (NYT) published the article "Fighting the Shame of Skin Picking," which discussed the cosmetic, social and emotional impacts of body-focused repetitive behaviors (BFRBs). BFRBs, including excoriation disorder, trichotillomania, onychotillomania, and onychophagia, are recurring actions that damage one's physical appearance. The aim of this study is to characterize the demographic information provided and themes raised in the 166 comments posted in response to the article. The most commonly reported condition was skin picking (38.2%), followed by trichotillomania and/or trichophagia (30.3%), onychotillomania (24.7%), and onychophagia (23.6%). All conditions had a female predominance. Treatment of body-focused repetitive behaviors was the most common topic of discussion, followed by shame and impact on appearance. Since commenters described significant impairments to quality of life, larger randomized controlled trials on skin picking, trichotillomania, onychophagia, and onychotillomania are necessary to provide evidence-based management to patients.
2019 年 9 月，《纽约时报》（NYT）发表了一篇题为“克服皮肤搔抓的羞耻感”的文章，讨论了身体关注的重复行为（BFRBs）对美容、社交和情感的影响。BFRBs 包括拔毛癖、拔甲癖、咬甲癖等，是反复出现的损害外貌的行为。本研究旨在描述对该文章发表的 166 条评论中提供的人口统计学信息和提出的主题。报告最多的疾病是皮肤搔抓（38.2%），其次是拔毛癖和/或咬甲癖（30.3%）、咬甲癖（24.7%）和咬甲癖（23.6%）。所有疾病均以女性为主。治疗身体关注的重复行为是讨论最多的话题，其次是羞耻感和对外貌的影响。由于评论者描述了对生活质量的显著损害，因此有必要对皮肤搔抓、拔毛癖、咬甲癖和咬甲癖进行更大规模的随机对照试验，为患者提供基于证据的管理。
