Child Psychiatry & Human Development

, Volume 45, Issue 1, pp 24–31

The Trichotillomania Impact Project in Young Children (TIP-YC): Clinical Characteristics, Comorbidity, Functional Impairment and Treatment Utilization

  • Michael R. Walther
  • Ivar Snorrason
  • Christopher A. Flessner
  • Martin E. Franklin
  • Rachel Burkel
  • Douglas W. Woods
Original Article

DOI: 10.1007/s10578-013-0373-y

Cite this article as:
Walther, M.R., Snorrason, I., Flessner, C.A. et al. Child Psychiatry Hum Dev (2014) 45: 24. doi:10.1007/s10578-013-0373-y

Abstract

The aim was to investigate clinical characteristics of young children with a hair pulling problem. Parents/caregivers of young children (0–10 years old) with a hair pulling problem (N = 110) completed an online survey. The majority reported that their child experienced mild to moderate impairment/distress due to hair pulling, and overall clinical characteristics were similar to adult samples, although some differences were noted (e.g., less awareness of pulling). We also compared preschool-aged and school-aged children within the sample. Symptom severity, pleasure during pulling and gender ratio remained stable across the age groups. The preschool-aged children demonstrated less impairment/distress, comorbidity, and treatment seeking; pulled from fewer body areas; and were less likely to be aware of the act or experience tension prior to pulling. In conclusion, clinical characteristics of childhood hair pulling are largely similar to adult/adolescent hair pulling problems, but there are some notable differences, particularly among pre-school aged children.

Keywords

Hair pullingTrichotillomaniaChildrenToddlersPediatric

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Michael R. Walther
    • 1
  • Ivar Snorrason
    • 1
  • Christopher A. Flessner
    • 2
  • Martin E. Franklin
    • 3
  • Rachel Burkel
    • 1
  • Douglas W. Woods
    • 1
  1. 1.Department of PsychologyUniversity of Wisconsin-MilwaukeeMilwaukeeUSA
  2. 2.Department of PsychologyKent State UniversityKentUSA
  3. 3.Department of PsychiatryUniversity of Pennsylvania School of MedicinePhiladelphiaUSA