Keuthen N J, O'Sullivan R L, Sprich-Buckminster S
Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, Mass., USA.
Psychother Psychosom. 1998 Jul-Oct;67(4-5):202-13. doi: 10.1159/000012282.
Trichotillomania is a little-known disorder with wider prevalence and more significant consequences than previously believed. While sharing similarities with obsessive-compulsive disorder, compelling differences from it have also been noted. This fact, coupled with recognized overlap with other obsessive-compulsive spectrum disorders, has resulted in the ongoing evolution of our conceptualization of this illness. While empirical evidence supports the use of behavioral treatment and pharmacotherapy, considerable research is still needed before we can promise highly effective interventions tailored to the individual hairpuller. This review will summarize the evidence supporting, as well as challenging, a hypothesized link with obsessive-compulsive disorder. Current treatment approaches will be reviewed, as well as evidence for their efficacy. Suggestions will be made for future directions in this field.
拔毛癖是一种鲜为人知的疾病，其患病率比之前认为的更高，后果也更严重。虽然它与强迫症有相似之处，但也存在明显差异。这一事实，再加上与其他强迫症谱系障碍的公认重叠，导致我们对这种疾病的概念化一直在不断演变。虽然实证证据支持行为治疗和药物治疗的使用，但在我们能够承诺为个体拔毛者量身定制高效干预措施之前，仍需要大量研究。本综述将总结支持以及质疑与强迫症存在假设联系的证据。还将回顾当前的治疗方法及其疗效证据。并对该领域的未来方向提出建议。
