Stein D J, Mullen L, Islam M N, Cohen L, DeCaria C M, Hollander E
Department of Psychiatry, University of Stellenbosch, Tygerberg, South Africa.
Psychopathology. 1995;28(4):208-13. doi: 10.1159/000284923.
Although classified as a disorder of impulse control, trichotillomania (hair pulling) may have some phenomenological overlap with obsessive-compulsive disorder (OCD). The question arises as to whether trichotillomania is best conceptualized as a disorder characterized by impulsivity or compulsivity. Impulsive and compulsive symptoms and traits were compared in 43 patients who presented for treatment of trichotillomania, OCD or impulsive personality disorder. Trichotillomania patients had significantly lower scores of obsessive-compulsive symptoms than OCD patients, and significantly higher impulsiveness scores than this group. Measures of aggression did not differ significantly between groups.
尽管拔毛癖（拔头发）被归类为一种冲动控制障碍，但它可能在现象学上与强迫症（OCD）存在一些重叠。由此产生的问题是，拔毛癖是否最好被概念化为一种以冲动性或强迫性为特征的障碍。对43名因拔毛癖、强迫症或冲动型人格障碍前来治疗的患者的冲动和强迫症状及特质进行了比较。拔毛癖患者的强迫症状得分显著低于强迫症患者，冲动得分则显著高于该组。各组之间的攻击性测量结果没有显著差异。
