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The relationship of psychological trauma with trichotillomania and skin picking.

Özten E, Sayar GH, Eryılmaz G, Kağan G, Işık S, Karamustafalıoğlu O - Neuropsychiatr Dis Treat (2015)

Bottom Line: There was no statistical significance between three groups in terms of Dissociative Experiences Scale scores (P=0.07).Subjects with a diagnosis of trichotillomania and skin picking reported statistically significantly higher numbers of traumatic and negative events in childhood compared to healthy subjects.We can conclude that trauma may play a role in development of both trichotillomania and skin picking.

View Article: PubMed Central - PubMed

Affiliation: Neuropsychiatry Health, Practice, and Research Center, Üsküdar University, Istanbul, Turkey.

ABSTRACT

Objective: Interactions between psychological, biological and environmental factors are important in development of trichotillomania and skin picking. The aim of this study is to determine the relationship of traumatic life events, symptoms of post-traumatic stress disorder and dissociation in patients with diagnoses of trichotillomania and skin picking disorder.

Methods: The study included patients who was diagnosed with trichotillomania (n=23) or skin picking disorder (n=44), and healthy controls (n=37). Beck Depression Inventory, Traumatic Stress Symptoms Scale and Dissociative Experiences Scale were administered. All groups checked a list of traumatic life events to determine the exposed traumatic events.

Results: There was no statistical significance between three groups in terms of Dissociative Experiences Scale scores (P=0.07). But Beck Depression Inventory and Traumatic Stress Symptoms Scale scores of trichotillomania and skin picking groups were significantly higher than the control group. Subjects with a diagnosis of trichotillomania and skin picking reported statistically significantly higher numbers of traumatic and negative events in childhood compared to healthy subjects.

Conclusion: We can conclude that trauma may play a role in development of both trichotillomania and skin picking. Increased duration of trichotillomania or skin picking was correlated with decreased presence of post-traumatic stress symptoms. The reason for the negatively correlation of severity of post-traumatic stress symptoms and self-harming behavior may be speculated as developing trichotillomania or skin picking symptoms helps the patient to cope with intrusive thoughts related to trauma. Future longitudinal research must focus on whether trauma and post-traumatic stress or trichotillomania and skin picking precede the development of mental disorder.

No MeSH data available.


Related in: MedlinePlus

Distribution of groups in traumatic life events.Notes: Group 1, TTM group; Group 2, SP group; Group 3, healthy group.Abbreviations: TTM, trichotillomania; SP, skin picking.
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f1-ndt-11-1203: Distribution of groups in traumatic life events.Notes: Group 1, TTM group; Group 2, SP group; Group 3, healthy group.Abbreviations: TTM, trichotillomania; SP, skin picking.

Mentions: There was no statistically significant difference between the three groups in terms of the types of trauma such as natural disasters (P=0.93), fire explosion (P=0.47), traffic accident (P=0.28), physically attacked (P=0.21), sexual assault (P=0.23), being in war (P=0.17), exposure to torture and other ill-treatment (P=0.25), death incidents such as murder–suicide (P=0.82), unexpected serious illness of a loved one (P=0.17), unexpected sudden death of a loved one (P=0.72), sudden unexpected separation from a loved one (P=0.89), domestic violence (P=0.16), serious economic difficulties (P=0.29), and accidents at work (P=0.17). The difference between the three groups in terms of bad and negative events in childhood (neglect, abuse, extreme violence, sexual harassment, and intercourse = childhood traumatic experiences) was statistically significant (P=0.01). Childhood traumatic experiences in terms of the difference are due to the TTM group (Figure 1).


The relationship of psychological trauma with trichotillomania and skin picking.

Özten E, Sayar GH, Eryılmaz G, Kağan G, Işık S, Karamustafalıoğlu O - Neuropsychiatr Dis Treat (2015)

Distribution of groups in traumatic life events.Notes: Group 1, TTM group; Group 2, SP group; Group 3, healthy group.Abbreviations: TTM, trichotillomania; SP, skin picking.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4440428&req=5

f1-ndt-11-1203: Distribution of groups in traumatic life events.Notes: Group 1, TTM group; Group 2, SP group; Group 3, healthy group.Abbreviations: TTM, trichotillomania; SP, skin picking.
Mentions: There was no statistically significant difference between the three groups in terms of the types of trauma such as natural disasters (P=0.93), fire explosion (P=0.47), traffic accident (P=0.28), physically attacked (P=0.21), sexual assault (P=0.23), being in war (P=0.17), exposure to torture and other ill-treatment (P=0.25), death incidents such as murder–suicide (P=0.82), unexpected serious illness of a loved one (P=0.17), unexpected sudden death of a loved one (P=0.72), sudden unexpected separation from a loved one (P=0.89), domestic violence (P=0.16), serious economic difficulties (P=0.29), and accidents at work (P=0.17). The difference between the three groups in terms of bad and negative events in childhood (neglect, abuse, extreme violence, sexual harassment, and intercourse = childhood traumatic experiences) was statistically significant (P=0.01). Childhood traumatic experiences in terms of the difference are due to the TTM group (Figure 1).

Bottom Line: There was no statistical significance between three groups in terms of Dissociative Experiences Scale scores (P=0.07).Subjects with a diagnosis of trichotillomania and skin picking reported statistically significantly higher numbers of traumatic and negative events in childhood compared to healthy subjects.We can conclude that trauma may play a role in development of both trichotillomania and skin picking.

View Article: PubMed Central - PubMed

Affiliation: Neuropsychiatry Health, Practice, and Research Center, Üsküdar University, Istanbul, Turkey.

ABSTRACT

Objective: Interactions between psychological, biological and environmental factors are important in development of trichotillomania and skin picking. The aim of this study is to determine the relationship of traumatic life events, symptoms of post-traumatic stress disorder and dissociation in patients with diagnoses of trichotillomania and skin picking disorder.

Methods: The study included patients who was diagnosed with trichotillomania (n=23) or skin picking disorder (n=44), and healthy controls (n=37). Beck Depression Inventory, Traumatic Stress Symptoms Scale and Dissociative Experiences Scale were administered. All groups checked a list of traumatic life events to determine the exposed traumatic events.

Results: There was no statistical significance between three groups in terms of Dissociative Experiences Scale scores (P=0.07). But Beck Depression Inventory and Traumatic Stress Symptoms Scale scores of trichotillomania and skin picking groups were significantly higher than the control group. Subjects with a diagnosis of trichotillomania and skin picking reported statistically significantly higher numbers of traumatic and negative events in childhood compared to healthy subjects.

Conclusion: We can conclude that trauma may play a role in development of both trichotillomania and skin picking. Increased duration of trichotillomania or skin picking was correlated with decreased presence of post-traumatic stress symptoms. The reason for the negatively correlation of severity of post-traumatic stress symptoms and self-harming behavior may be speculated as developing trichotillomania or skin picking symptoms helps the patient to cope with intrusive thoughts related to trauma. Future longitudinal research must focus on whether trauma and post-traumatic stress or trichotillomania and skin picking precede the development of mental disorder.

No MeSH data available.


Related in: MedlinePlus