Soriano J L, O'Sullivan R L, Baer L, Phillips K A, McNally R J, Jenike M A
Department of Psychology, Harvard University, Cambridge, MA, USA.
J Clin Psychiatry. 1996 Feb;57(2):77-82.
The psychological features of trichotillomania have received little empirical attention, despite the fact that sufferers commonly report negative self-image to be one of the most disturbing aspects of the disorder. We conducted the current study to identify specific factors that predict self-esteem problems in hair pullers.
Sixty-two women with trichotillomania or repetitive hair pulling completed self-report forms assessing factors possibly related to self-esteem in hair pullers. The survey included questions related to demographics, hair-pulling symptoms, mood and anxiety symptoms, and body image concerns.
Self-esteem did not appear to be directly related to age at onset of hair pulling or severity of hair loss. However, self-esteem was related to level of depression, frequency of hair pulling, level of anxiety, and body dissatisfaction unrelated to hair pulling.
Several factors, including the frequency of hair pulling, are associated with low self- esteem in patients with trichotillomania. Specific efforts should be made to address these issues in treatment.
尽管拔毛癖患者通常报告负面自我形象是该疾病最困扰人的方面之一，但拔毛癖的心理特征很少受到实证关注。我们开展了本研究以确定预测拔毛者自尊问题的具体因素。
62名患有拔毛癖或反复拔毛的女性填写了自我报告表格，评估可能与拔毛者自尊相关的因素。该调查包括与人口统计学、拔毛症状、情绪和焦虑症状以及身体形象担忧相关的问题。
自尊似乎与开始拔毛的年龄或脱发严重程度没有直接关系。然而，自尊与抑郁程度、拔毛频率、焦虑程度以及与拔毛无关的身体不满有关。
包括拔毛频率在内的几个因素与拔毛癖患者的低自尊有关。在治疗中应做出具体努力来解决这些问题。
