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Dissociation in skin picking disorder and trichotillomania

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Název: Dissociation in skin picking disorder and trichotillomania
Autoři: Zharia C. Crisp, Jon E. Grant
Zdroj: Front Psychiatry
Frontiers in Psychiatry, Vol 16 (2025)
Informace o vydavateli: Frontiers Media SA, 2025.
Rok vydání: 2025
Témata: Psychiatry, hair pulling, transdiagnostic, RC435-571, dissociation, trichotillomania, skin picking disorder
Popis: IntroductionDissociation involves a lapse in normal perception of reality or awareness; it has Q6 been associated with multiple psychiatric disorders and has been suggested as a contributing factor in trichotillomania and skin picking disorder. This study aimed to explore the relationship between dissociation and trichotillomania and/or skin picking disorder. MethodsThree hundred and seventy adults with trichotillomania, skin picking disorder, or both (aged 18-65 years) were enrolled as part of an online survey. Participants completed a questionnaire on demographics, clinical characteristics, comorbidities, medications, and suicidality. Participants completed the Generic Body-Focused Repetitive Behaviors (BFRB) Scale-8 (GBS-8) and the Dissociative Experience Scale (DES). Regression analysis was used to examine the relationship between DES scores and GBS-8 scores, as well as clinical characteristics. ResultsDES scores significantly predicted GBS-8 impairment scores, suicidal ideation, non-suicidal self-injury, and suicide attempts. DiscussionDissociation may be either a driving force for many with hair pulling or skin picking, or pulling and picking may create a dissociative trance-like state. These findings suggest that dissociation is associated with greater impairment and worse clinical outcomes. Further research may elucidate whether there is benefit in treating dissociation in these patients.
Druh dokumentu: Article
Other literature type
ISSN: 1664-0640
DOI: 10.3389/fpsyt.2025.1490785
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/40248602
https://doaj.org/article/5ed89109eed749bd84981d934f46ab01
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....aa1759150f613e9828355dfa69a67e98
Databáze: OpenAIRE
Popis
Abstrakt:IntroductionDissociation involves a lapse in normal perception of reality or awareness; it has Q6 been associated with multiple psychiatric disorders and has been suggested as a contributing factor in trichotillomania and skin picking disorder. This study aimed to explore the relationship between dissociation and trichotillomania and/or skin picking disorder. MethodsThree hundred and seventy adults with trichotillomania, skin picking disorder, or both (aged 18-65 years) were enrolled as part of an online survey. Participants completed a questionnaire on demographics, clinical characteristics, comorbidities, medications, and suicidality. Participants completed the Generic Body-Focused Repetitive Behaviors (BFRB) Scale-8 (GBS-8) and the Dissociative Experience Scale (DES). Regression analysis was used to examine the relationship between DES scores and GBS-8 scores, as well as clinical characteristics. ResultsDES scores significantly predicted GBS-8 impairment scores, suicidal ideation, non-suicidal self-injury, and suicide attempts. DiscussionDissociation may be either a driving force for many with hair pulling or skin picking, or pulling and picking may create a dissociative trance-like state. These findings suggest that dissociation is associated with greater impairment and worse clinical outcomes. Further research may elucidate whether there is benefit in treating dissociation in these patients.
ISSN:16640640
DOI:10.3389/fpsyt.2025.1490785