TLDR Cognitions significantly influence Trichotillomania, suggesting cognitive therapies could help.
This study explored the cognitions and beliefs contributing to trichotillomania (TTM) through semi-structured interviews with 8 women. Using Interpretative Phenomenological Analysis, six key themes were identified: negative self-beliefs, control beliefs, beliefs about coping, beliefs about negative emotions, permission-giving beliefs, and perfectionism. These findings suggested that cognitions played a significant role in the onset and maintenance of hair-pulling in TTM. The study highlighted the potential for future quantitative research to enhance cognitive-behavioral models and treatments for TTM.
69 citations
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August 2006 in “Behavior Therapy” Group behavior therapy reduces hair-pulling symptoms more than supportive therapy but has limited long-term effectiveness.
417 citations
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March 1991 in “American Journal of Psychiatry” Most adult chronic hair pullers are women who started in their early teens, often have other mental health issues, and may pull hair due to underlying psychiatric conditions.
9 citations
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February 2016 in “Cambridge University Press eBooks” The conclusion is that self-concept, shame, and emotion regulation are key factors in hoarding disorder, body dysmorphic disorder, and trichotillomania, and should be targeted in treatment and research.
Mental health and hair loss are linked, and treating both can improve well-being.
21 citations
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April 2015 in “Psychology Research and Behavior Management” Cognitive-behavioral therapy is the best treatment for hair-pulling disorder, and combining it with other therapies could improve results.
21 citations
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September 2016 in “Journal of Dermatological Treatment” The new classification system for skin disorders emphasizes the importance of understanding a patient's awareness of their condition for better treatment.
A brain injury can lead to compulsive hair-pulling and psychosis-like symptoms, needing comprehensive treatment.
