The trichotillomania scale for children: development and validation.

The Institute of Living, Anxiety Disorders Center, 200 Retreat Avenue, Hartford, CT 06106, USA.
Child Psychiatry and Human Development (Impact Factor: 1.93). 10/2008; 39(3):331-49. DOI: 10.1007/s10578-007-0092-3
Source: PubMed

ABSTRACT Trichotillomania (TTM) is a chronic impulse control disorder characterized by repetitive hair-pulling resulting in alopecia. Although this condition is frequently observed in children and adolescents, research on pediatric TTM has been hampered by the absence of validated measures. The aim of the present study was to develop and test a new self-report measure of pediatric TTM, the Trichotillomania Scale for Children (TSC), a measure that can be completed by children and/or their parents. One hundred thirteen children meeting self-report criteria for TTM, and 132 parents, provided data over the internet. An additional 41 child-parent dyads from an outpatient clinic also provided data. Replicated principal components analysis, with elimination of poorly-loading items, yielded two components, which we labeled Severity (five items) and Distress/Impairment (seven items). The TSC total score and subscales showed adequate internal consistency and test-retest reliability. Parent-child agreement was good in the internet sample, but more modest in the clinic sample. Children's TSC scores correlated significantly with other measures of TTM severity, although some exceptions were noted. Parents' TSC scores correlated significantly with other measures of parent-rated TTM severity in the internet sample, but showed more attenuated relationships with child- and interviewer-rated TTM severity in the clinic sample. The present results suggest that the TSC may be a useful measure of TTM for child and adolescent samples, although additional clarification of convergent validity is needed.

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    ABSTRACT: Trichotillomania, or chronic hairpulling, is a common condition that affects primarily women. The disorder can cause significant psychosocial impairment and is associated with elevated rates of psychiatric comorbidity. In this article, the phenomenology, etiology, assessment, and treatment of the disorder are discussed.
    Psychiatric Clinics of North America 09/2014; · 2.13 Impact Factor
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    ABSTRACT: Trichotillomania (TTM) often first presents in adolescence, a developmental period marked by vulnerability in body image. To date, no one has studied the relationship between this disorder and body esteem.
    Journal of Behavioural Addictions 06/2014; 3(2):124-7.
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    ABSTRACT: Historically, trichotillomania (TTM) in young children (0–3 years old) generally has been considered to be a benign habit that is clinically distinct from the TTM seen in older children and adults. However, early childhood TTM can be an impairing pathological disorder that merits formal intervention. The present article reviews the extant literature on TTM in young children, highlighting the limited available phenomenological data. We discuss a behavioral approach to conceptualization and treatment, highlighting core intervention strategies in three early childhood TTM cases seen in our clinic. We conclude by discussing areas in need of further empirical attention.Históricamente, la tricotilomanía (TTM) en los niños pequeños (0-3 años de edad) ha sido generalmente considerada como un hábito benigno que es clínicamente distinto de la TTM que se observa en niños mayores y en adultos. Sin embargo, la TTM en la temprana niñez puede representar un trastorno patológico de impedimento que amerita una intervención formal. El presente estudio revisa la literatura aun existente en cuanto a TTM en los niños pequeños, haciendo sobresalir la limitada información fenomenológica disponible. Discutimos un acercamiento de conducta a la conceptualización y al tratamiento, subrayando las estrategias claves de intervención en tres casos de TTM en la temprana niñez, atendidos en nuestra clínica. Concluimos el estudio con una discusión de las áreas que necesitan una mayor atención empírica.Historiquement, la trichotillomania (TTM) chez les jeunes enfants (0-3 ans) a généralement été considérée comme étant une habitude bénigne, cliniquement distincte de la TTM vue chez les enfants plus âgés ou les adultes. Cependant la TTM durant a petite enfance peut s'avérer être un trouble pathologique handicapant qui exige une intervention formelle. Cet article passe en revue les recherches sur la TTM chez les jeunes enfants, mettant l'accent sur les données phénoménologiques limitées qui sont à notre disposition. Nous discutons l'approche comportementale de la conceptualisation et du traitement, mettant l'accent sur les stratégies d'intervention dans trois cas de TTM durant la petite enfance, vus dans notre clinique. Nous concluons en discutant les domaines nécessitant une attention empirique.Historisch wird Trichotillomanie (TTM) in der frühen Kindheit im Allgemeinen als eine gutartige Gewohnheit angesehen, die sich klinisch von TTM in älteren Kindern unterscheidet. Jedoch könnte sich TTM in der frühen Kindheit als eine belastende pathologische Störung erweisen, die formelle Intervention erfordert. Die vorliegende Arbeit gibt einen Überblick der vorhandenen Literatur zu TTM bei jungen Kindern und legt einen Schwerpunkt auf begrenzt verfügbare phänomenologische Daten. Es wird ein verhaltenstherapeutischer Ansatz zur Konzeptualisierung und Behandlung diskutiert, der die Kernstrategien zur Intervention anhand von drei Fällen mit TTM im frühen Kindesalter an unserer Klinik betont. Wir schließen die Arbeit mit einer Diskussion derjenigen Bereiche ab, die weiterer empirischer Forschung bedürfen.
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May 21, 2014