Oranje A P, Peereboom-Wynia J D, De Raeymaecker D M
J Am Acad Dermatol. 1986 Oct;15(4 Pt 1):614-9. doi: 10.1016/s0190-9622(86)70213-2.
Several aspects of trichotillomania in childhood are described and discussed. Case records of twenty-one children not older than 15 years of age, who were seen in the previous 5 years, were examined. The female/male ratio was 2.5:1 (fifteen girls and six boys); the age range was 2 to 15 years. Although trichotillomania may, at first sight, often impress as an apparently inexplicable persistent habit, further analysis shows that this symptom often develops in a climate of psychosocial stress in the family, e.g., hospitalizations of child or mother, the additional stress inherent in moving to a new house, or developmental problems such as sibling rivalry, inability to focus activities and play in the younger child, and school problems in the older child.
本文描述并讨论了儿童拔毛癖的几个方面。对过去5年中接诊的21名15岁及以下儿童的病例记录进行了检查。男女比例为2.5:1（15名女孩和6名男孩）；年龄范围为2至15岁。虽然乍一看，拔毛癖可能常常表现为一种明显无法解释的持续习惯，但进一步分析表明，这种症状往往在家庭心理社会压力的环境中出现，例如儿童或母亲住院、搬到新家所带来的额外压力，或者诸如兄弟姐妹竞争、年幼儿童无法集中精力活动和玩耍以及年长儿童的学校问题等发育问题。
