Przegląd Dermatologiczny

Pełna treść

3/2026 vol. 113
Artykuł przeglądowy

Pediatric Trichotillomania (Hair-Pulling Disorder): Etiology, Diagnosis, Quality of Life, and Treatment

  1. Independent authors, Wroclaw, Poland

Dermatol Rev/Przegl Dermatol 2026, 113, 158–163

Data publikacji online: 2026/09/09
Plik artykułu
Pediatric Trichotillomania.pdf
Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Publishin; Arlington 2013.
  2. Grant J.E.: Trichotillomania (hair pulling disorder). Indian J Psychiatry 2019, 61 (Suppl 1), S136-S1396.
  3. Thomson H., Farhat L.C., Olfson E., Levine J.L.S., Bloch M.H.: Prevalence and gender distribution of trichotillomania: a systematic review and meta-analysis. J Psychiatr Res 2022, 153, 73-81.
  4. Grant J.E., Chamberlain S.R.: Trichotillomania. Am J Psychiatry 2016, 173, 868-874.
  5. Peris T.S., Piacentini J., Vreeland A., Salgari G.C., Levitt J.G., Alger J.R., et al.: Neurochemical correlates of behavioral treatment of pediatric trichotillomania. J Affect Disord 2020, 273, 552-561.
  6. Grant J.E., Bethlehem R.A.I., Chamberlain S.R., Peris T.S., Ricketts E.J., O’Neill J., et al.: Neurobiology of subtypes of trichotillomania and skin picking disorder. CNS Spectr 2023, 28, 98-103.
  7. Chamberlain S.R., Odlaug B.L., Boulougouris V., Fineberg N.A., Grant J.E.: Trichotillomania: neurobiology and treatment. Neurosci Biobehav Rev 2009, 33, 831-842.
  8. Arabatzoudis T., Rehm I.C., Nedeljkovic M., Moulding R.: Emotion regulation in individuals with and without trichotillomania. J Obsessive Compuls Relat Disord 2017, 12, 87-94.
  9. Grant J.E., Dougherty D.D., Chamberlain S.R.: Prevalence, gender correlates, and co-morbidity of trichotillomania. Psychiatry Res 2020, 288, 112948.
  10. Grant J.E., Collins M., Chamberlain S.R.: Clinical characteristics of trichotillomania. Ann Clin Psychiatry 2023, 35, 228-233.
  11. Tay Y.K., Levy M.L., Metry D.W.: Trichotillomania in childhood: case series and review. Pediatrics 2004, 113, e494-e498.
  12. Wright H.H., Holmes G.R.: Trichotillomania (hair pulling) in toddlers. Psychol Rep 2003, 92, 228-230.
  13. Melo D.F., Lima C.S., Piraccini B.M., Tosti A.: Trichotillomania: what do we know so far? Skin Appendage Disord 2022, 8, 1-7.
  14. Sah D.E., Koo J., Price V.H.: Trichotillomania. Dermatol Ther 2008, 21, 13-21.
  15. Chandran N.S., Novak J., Iorizzo M., Grimalt R., Oranje A.P.: Trichotillomania in children. Skin Appendage Disord 2015, 1, 18-24.
  16. Franklin M.E., Zagrabbe K., Benavides K.L.: Trichotillomania and its treatment: a review and recommendations. Expert Rev Neurother 2011, 11, 1165-1174.
  17. World Health Organization. ICD-11: International Classification of Diseases. 11th rev. World Health Organization, Geneva 2022.
  18. Woods D.W., Houghton D.C.: Diagnosis, evaluation, and management of trichotillomania. Psychiatr Clin North Am 2014, 37, 301-317.
  19. Scahill L., Riddle M.A., McSwiggin-Hardin M., Ort S.I., King R.A., Goodman W.K., et al.: Children’s Yale-Brown Obsessive Compulsive Scale: reliability and validity. J Am Acad Child Adolesc Psychiatry 1997, 36, 844-852.
  20. Ankad B.S., Naidu M.V., Beergouder S.L., Sujana L.: Trichoscopy in trichotillomania: a useful diagnostic tool. Int J Trichology 2014, 6, 160-163.
  21. Al-Refu K.: Clinical significance of trichoscopy in common causes of hair loss in children: analysis of 134 cases. Int J Trichology 2018, 10, 154-161.
  22. Malakar S., Mehta P., Mukherjee S.: Trichoscopy in pediatric age group. Indian J Paediatr Dermatol 2018, 19, 93-101.
  23. Valle S., Grant J.E.: Quality of life in trichotillomania: an assessment of specific life domains. Ann Clin Psychiatry 2022, 34, 27-32.
  24. Ricketts E.J., Peris T.S., Grant J.E., Valle S., Cavic E., Lerner J.E., et al.: Clinical characteristics of youth with trichotillomania (hair-pulling disorder) and excoriation (skin-picking) disorder. Child Psychiatry Hum Dev 2024, 55, 975-986.
  25. Zyla A., Jacques R.: Fatal Rapunzel syndrome: gastric and intestinal trichobezoars in a child with trichotillomania. Am J Forensic Med Pathol 2023, 44, 210-215.
  26. Sharma N.L. Sharma R.C., Mahajan V.K., Sharma R.C., Chauhan D., Sharma A.K.: Trichotillomania and trichophagia leading to trichobezoar. J Dermatol 2000, 27, 24-26.
  27. Franklin M.E., Flessner C.A., Woods D.W., Keuthen N.J., Piacentini J.C., Moore P., et al.: The Child and Adolescent Trichotillomania Impact Project: descriptive psychopathology, comorbidity, functional impairment, and treatment utilization. J Dev Behav Pediatr 2008, 29, 493-500.
  28. Glazier K., Wetterneck C.T.: Stigma and shame as barriers to treatment for obsessive-compulsive and related disorders. J Depress Anxiety 2015, 4, 1000191.
  29. Diefenbach G.J., Tolin D.F., Hannan S., Crocetto J., Worhunsky P.: Trichotillomania: impact on psychosocial functioning and quality of life. Behav Res Ther 2005, 43, 869-884.
  30. Bezerra A., Machado M.O., Maes M., Marazziti D., Nunes-Neto P.R., Solmi M., et al.: Trichotillomania: psychopathological correlates and associations with health-related quality of life in a large sample. CNS Spectr 2021, 26, 282-289.
  31. Flessner C.A., Brennan E., Murphy Y.E., Francazio S.: Impaired executive functioning in pediatric trichotillomania (hair pulling disorder). Depress Anxiety 2016, 33, 219-228.
  32. Peris T.S., Rozenman M., Gonzalez A., Vreeland A., Piacentini J., Tan P.Z., et al.: Family functioning in pediatric trichotillomania, obsessive-compulsive disorder, and healthy comparison youth. Psychiatry Res 2019, 281, 112578.
  33. Farhat L.C., Olfson E., Levine J.L.S., Li F., Franklin M.E., Lee H.J., et al.: Measuring treatment response in pediatric trichotillomania: a meta-analysis of clinical trials. J Child Adolesc Psychopharmacol 2020, 30, 306-315.
  34. Henkel E.D., Jaquez S.D., Diaz L.Z.: Pediatric trichotillomania: review of management. Pediatr Dermatol 2019, 36, 803-807.
  35. Van Minnen A., Hoogduin K., Keijsers G.P.J., Hellenbrand I., Hendriks G.J.: Treatment of trichotillomania with behavioral therapy or fluoxetine: a randomized, waiting-list controlled study. Arch Gen Psychiatry 2003, 60, 517-522.
  36. Dougherty D.D., Loh R., Jenike M.A., Keuthen N.J.: Single modality <i>versus</i> dual modality treatment for trichotillomania: sertraline, behavioral therapy, or both? J Clin Psychiatry 2006, 67, 1086-1092.
  37. Grant J.E., Odlaug B.L., Kim S.W.: N-acetylcysteine, a glutamate modulator, in the treatment of trichotillomania: a double-blind, <i>placebo</i>-controlled study. Arch Gen Psychiatry 2009, 66, 756-763.
  38. Bloch M.H., Panza K.E., Grant J.E., Pittenger C., Leckman J.F.: N-acetylcysteine in the treatment of pediatric trichotillomania: a randomized, double-blind, <i>placebo</i>-controlled add-on trial. J Am Acad Child Adolesc Psychiatry 2013, 52, 231-240.
  39. Popova L., Mancuso J.: Dramatic improvement of trichotillomania with 6 months of treatment with N-acetylcysteine. Glob Pediatr Health 2022, 9, 2333794X221086576.
  40. Schumer M.C., Panza K.E., Mulqueen J.M., Jakubovski E., Bloch M.H.: Long-term outcome in pediatric trichotillomania. Depress Anxiety 2015, 32, 737-743.
  41. Barroso L.A.L., Sternberg F., Souza M.N., Nunes G.J.B.: Trichotillomania: a good response to treatment with N-acetylcysteine. An Bras Dermatol 2017, 92, 537-539.
  42. Ninan P.T., Rothbaum B.O., Marsteller F.A., Knight B.T., Eccard M.B.: A <i>placebo</i>-controlled trial of cognitive-behavioral therapy and clomipramine in trichotillomania. J Clin Psychiatry 2000, 61, 47-50.
  43. White M.P., Koran L.M.: Open-label trial of aripiprazole in the treatment of trichotillomania. J Clin Psychopharmacol 2011, 31, 503-506.
  44. Sandoz GmbH. Charakterystyka produktu leczniczego: Acetylcysteine Sandoz 100 mg/ml, roztwór do infuzji. Section 4. Kundl: Sandoz GmbH; 2021.
  45. Pittenger C., Bloch M.H.: Pharmacological treatment of obsessive-compulsive disorder. Psychiatr Clin North Am 2014, 37, 375-391.
  46. Niwiński P.: Leki przeciwdepresyjne i przeciwpsychotyczne zarejestrowane u dzieci i młodzieży. Trudności prawne i etyczne związane z zakresem rejestracji leków. Psychiatr Psychol Klin 2017, 17, 274-278.
  47. Mierzejewski P.: The unique effects of aripiprazole on cognitive functions: a place in the treatment of adolescents and elderly patients. Psychiatria 2017, 14, 78-84.
Copyright: © 2026 Polish Dermatological Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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