Skip to main content

Advertisement

Log in

Evidence-Based Assessment of Compulsive Skin Picking, Chronic Tic Disorders and Trichotillomania in Children

  • Review Paper
  • Published:
Child Psychiatry & Human Development Aims and scope Submit manuscript

Abstract

Body-focused repetitive behavior (BFRB) is an umbrella term for debilitating, repetitive behaviors that target one or more body regions. Despite regularly occurring in youth, there has been limited investigation of BFRBs in pediatric populations. One reason for this may be that there are few reliable and valid assessments available to evaluate the presence, severity and impairment of BFRBs in youth. Given the shift toward evidence-based assessment in mental health, the development and utilization of evidence-based measures of BFRBs warrants increasing attention. This paper examines the available evidence-base for assessments in youth across three BFRB-related disorders: compulsive skin picking, chronic tic disorders and trichotillomania. Based upon present empirical support in samples of youth, recommendations are made for an evidence-based assessment of each condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kraemer HC, Noda A, O’Hara R (2004) Categorical versus dimensional approaches to diagnosis: methodological challenges. J Psychiatr Res 38:17–25

    PubMed  Google Scholar 

  2. Grant JE, Stein DJ, Woods DW, Keuthen NJ (2012) Trichotillomania, skin picking, and other body-focused repetitive behaviors. Trichotillomania, skin picking, and other body-focused repetitive behaviors. American Psychiatric Publishing Inc., Arlington

    Google Scholar 

  3. Keuthen NJ, Bohne A, Himle M, Woods DW, Ling BE (2005) Advances in the conceptualization and treatment of body-focused repetitive behaviors, in obsessive compulsive disorder research. Nova Biomedical Books, Hauppauge, pp 1–29

    Google Scholar 

  4. Tucker BTP, Woods DW, Flessner CA, Franklin SA, Franklin ME (2011) The skin picking impact project: phenomenology, interference, and treatment utilization of pathological skin picking in a population-based sample. J Anxiety Disord 25:88–95

    PubMed  Google Scholar 

  5. Lewin AB, Piacentini J, Flessner CA, Woods DW, Franklin ME, Keuthen NJ et al (2009) Depression, anxiety, and functional impairment in children with trichotillomania. Depress Anxiety 26:521–527

    PubMed  Google Scholar 

  6. Odlaug BL, Kim SW, Grant JE (2010) Quality of life and clinical severity in pathological skin picking and trichotillomania. J Anxiety Disord 24:823–829

    PubMed  Google Scholar 

  7. Franklin ME, Flessner CA, Woods DW, Keuthen NJ, Piacentini JC, Moore P et al (2008) The child and adolescent trichotillomania impact project: descriptive psychopathology, comorbidity, functional impairment, and treatment utilization. J Dev Behav Pediatr 29:493–500

    PubMed  Google Scholar 

  8. Teng EJ, Woods DW, Twohig MP, Marcks BA (2002) Body-focused repetitive behavior problems: prevalence in a nonreferred population and differences in perceived somatic activity. Behav Modif 26:340–360

    PubMed  Google Scholar 

  9. Lochner C, Stein DJ, Woods D, Pauls DL, Franklin ME, Loerke EH et al (2011) The validity of DSM-IV-TR criteria B and C of hair-pulling disorder (trichotillomania): evidence from a clinical study. Psychiatry Res 189:276–280

    PubMed  Google Scholar 

  10. Chamberlain SR, Odlaug BL, Boulougouris V, Fineberg NA, Grant JE (2009) Trichotillomania: neurobiology and treatment. Neurosci Biobehav Rev 33:831–842

    PubMed  Google Scholar 

  11. Lochner C, Stein DJ (2010) Obsessive-compulsive spectrum disorders in obsessive-compulsive disorder and other anxiety disorders. Psychopathology 43:389–396

    PubMed  Google Scholar 

  12. Bohne A, Wilhelm S, Keuthen NJ, Baer L, Jenike MA (2002) Skin picking in German students: prevalence, phenomenology, and associated characteristics. Behav Modif 26:320–339

    PubMed  Google Scholar 

  13. Stein DJ, Grant JE, Franklin ME, Keuthen N, Lochner C, Singer HS et al (2010) Trichotillomania (hair pulling disorder), skin picking disorder, and stereotypic movement disorder: toward DSM-V. Depress Anxiety 27:611–626

    PubMed  Google Scholar 

  14. Freeman RD, Soltanifar A, Baer S (2010) Stereotypic movement disorder: easily missed. Dev Med Child Neurol 52:733–738

    PubMed  Google Scholar 

  15. Storch EA, Milsom VA, Merlo LJ, Larson M, Geffken GR, Jacob ML et al (2008) Insight in pediatric obsessive-compulsive disorder: associations with clinical presentation. Psychiatry Res 160:212–220

    PubMed  Google Scholar 

  16. Cohen LL, La Greca AM, Blount RL, Kazak AE, Holmbeck GN, Lemanek KL (2008) Introduction to special issue: evidence-based assessment in pediatric psychology. J Pediatr Psychol 33:911–915

    PubMed  Google Scholar 

  17. Chambless DL, Ollendick TH (2001) Empirically supported psychological interventions: controversies and evidence. Annu Rev Psychol 52:685–716

    PubMed  Google Scholar 

  18. Mash EJ, Hunsley J (2005) Evidence-based assessment of child and adolescent disorders: issues and challenges. J Clin Child Adolesc Psychol 34:362–379

    PubMed  Google Scholar 

  19. Kazdin AE (2005) Evidence-based assessment for children and adolescents: issues in measurement development and clinical application. J Clin Child Adolesc Psychol 34:548–558

    PubMed  Google Scholar 

  20. Weisz JR, Addis ME, Goodheart CD, Kazdin AE, Sternberg RJ (2006) The research-practice tango and other choreographic challenges: using and testing evidence-based psychotherapies in clinical care settings, in evidence-based psychotherapy: where practice and research meet. American Psychological Association, Washington, pp 179–206

    Google Scholar 

  21. American Educational Research Association, American Psychological Association, National Council on Measurement in Education (1999) Standards for educational and psychological testing. American Educational Research Association, Washington

    Google Scholar 

  22. Silverman WK, Ollendick TH (2005) Evidence-based assessment of anxiety and its disorders in children and adolescents. J Clin Child Adolesc Psychol 34:380–411

    PubMed  Google Scholar 

  23. Mash EJ, Terdal LG (1997) Assessment of childhood disorders, 3rd edn. Guilford Press, New York

    Google Scholar 

  24. Klein DN, Dougherty LR, Olino TM (2005) Toward guidelines for evidence-based assessment of depression in children and adolescents. J Clin Child Adolesc Psychol 34:412–432

    PubMed  Google Scholar 

  25. Mcmahon RJ, Frick PJ (2005) Evidence-based assessment of conduct problems in children and adolescents. J Clin Child Adolesc Psychol 34:477–505

    PubMed  Google Scholar 

  26. Ozonoff S, Goodlin-Jones BL, Solomon M (2005) Evidence-based assessment of autism spectrum disorders in children and adolescents. J Clin Child Adolesc Psychol 34:523–540

    PubMed  Google Scholar 

  27. Pelham WE, Fabiano GA, Massetti GM (2005) Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. J Clin Child Adolesc Psychol 34:449–476

    PubMed  Google Scholar 

  28. Youngstrom EA, Findling RL, Youngstrom JK, Calabrese JR (2005) Toward an evidence-based assessment of pediatric bipolar disorder. J Clin Child Adolesc Psychol 34:433–448

    PubMed  Google Scholar 

  29. Anastasi A (1988) Psychological testing, 6th edn. Macmillan Publishing Co, Inc., New York

    Google Scholar 

  30. Robinson JP, Shaver PR, Wrightsman LS (1991) Measures of personality and social psychological attitudes. Academic Press, San Diego

    Google Scholar 

  31. Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 6:284–290

    Google Scholar 

  32. Angold A, Costello EJ, Erkanli A (1999) Comorbidity. J Child Psychol Psychiatry 40:57–87

    PubMed  Google Scholar 

  33. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, fourth edition—text revision. Author, Washington

    Google Scholar 

  34. Dell’osso B, Altamura AC, Allen A, Marazziti D, Hollander E (2006) Epidemiologic and clinical updates on impulse control disorders. A critical review. Eur Arch Psychiatry Clin Neurosci 256:464–475

    PubMed  Google Scholar 

  35. Neziroglu F, Rabinowitz D, Breytman A, Jacofsky M (2008) Skin picking phenomenology and severity comparison. Prim Care Companion J Clin Psychiatry 10:306–312

    PubMed  Google Scholar 

  36. Odlaug BL, Grant JE (2008) Clinical characteristics and medical complications of pathologic skin picking. Gen Hosp Psychiatry 30:61–66

    PubMed  Google Scholar 

  37. Arnold LM, Auchenbach MB, McElroy SL (2001) Psychogenic excoriation: clinical features, proposed diagnostic criteria, epidemiology and approaches to treatment. CNS Drugs 15:351–359

    PubMed  Google Scholar 

  38. Flessner CA, Woods DW (2006) Phenomenological characteristics, social problems, and the economic impact associated with chronic skin picking. Behav Modif 30:944–963

    PubMed  Google Scholar 

  39. Hayes SL, Storch EA, Berlanga L (2009) Skin picking behaviors: an examination of the prevalence and severity in a community sample. J Anxiety Disord 23:314–319

    PubMed  Google Scholar 

  40. Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-aged forms and profiles: an integrated system of multi-informant assessment. ASEBA, Burlington

    Google Scholar 

  41. Odlaug BL, Grant JE (2007) Childhood-onset pathologic skin picking: clinical characteristics and psychiatric comorbidity. Compr Psychiatry 48:388–393

    PubMed  Google Scholar 

  42. Grant JE, Williams KA, Potenza MN (2007) Impulse-control disorders in adolescent psychiatric inpatients: co-occurring disorders and sex differences. J Clin Psychiatry 68:1584–1592

    PubMed  Google Scholar 

  43. Walther MR, Flessner CA, Conelea CA, Woods DW (2009) The Milwaukee inventory for the dimensions of adult skin picking (MIDAS): initial development and psychometric properties. J Behav Ther Exp Psychiatry 40:127–135

    PubMed  Google Scholar 

  44. Flessner CA, Woods DW, Franklin ME, Cashin SE, Keuthen NJ (2008) The Milwaukee inventory for subtypes of trichotillomania-adult version (MIST-A): development of an instrument for the assessment of ‘focused’ and ‘automatic’ hair pulling. J Psychopathology Behav Assess 30:20–30

    Google Scholar 

  45. Keuthen NJ, Deckersbach T, Wilhelm S, Hale E, Fraim C, Baer L et al (2000) Repetitive skin-picking in a student population and comparison with a sample of self-injurious skin pickers. Psychosomatics 41:210–215

    PubMed  Google Scholar 

  46. Wilhelm S, Keuthen NJ, Deckersbach T, Engelhard IM, Forker AE, Baer L et al (1999) Self-injurious skin picking: clinical characteristics and comorbidity. J Clin Psychiatry 60:454–459

    PubMed  Google Scholar 

  47. Arnold LM, Mutasim D, Dwight M, Lamerson C, Morris E (1998) Characteristics of 34 adults with psychogenic excoriation. J Clin Psychiatry 59:509–514

    PubMed  Google Scholar 

  48. Arnold LM, Mutasim DF, Dwight MM, Lamerson CL, Morris EM, McElroy SL (1999) An open clinical trial of fluvoxamine treatment of psychogenic excoriation. J Clin Psychopharmacol 19:15–18

    PubMed  Google Scholar 

  49. Bloch MR, Elliott M, Thompson H, Koran LM (2001) Fluoxetine in pathologic skin-picking: open-label and double-blind results. Psychosomatics 42:314–319

    PubMed  Google Scholar 

  50. Grant JE, Odlaug BL, Chamberlain SR, Kim SW (2010) A double-blind, placebo-controlled trial of lamotrigine for pathological skin picking: treatment efficacy and neurocognitive predictors of response. J Clin Psychopharmacol 30:396–403

    PubMed  Google Scholar 

  51. Grant JE, Odlaug BL, Suck WK (2007) Lamotrigine treatment of pathologic skin picking: an open-label study. J Clin Psychiatry 68:1384–1391

    PubMed  Google Scholar 

  52. Keuthen NJ, Wilhelm S, Deckersbach T, Engelhard IM, Forker AE, Baer L et al (2001) The Skin Picking Scale: scale construction and psychometric analyses. J Psychosom Res 50:337–341

    PubMed  Google Scholar 

  53. Keuthen NJ, Jameson M, Loh R, Deckersbach T, Wilhelm S, Dougherty DD (2007) Open-label escitalopram treatment for pathological skin picking. Int Clin Psychopharmacol 22:268–274

    PubMed  Google Scholar 

  54. Keuthen NJ, Deckersbach T, Wilhelm S, Engelhard I, Forker A, O’sullivan RL et al (2001) The Skin Picking Impact Scale (SPIS): scale development and psychometric analyses. Psychosomatics 42:397–403

    PubMed  Google Scholar 

  55. Hayes SC, Strosahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D et al (2004) Measuring experiential avoidance: a preliminary test of a working model. Psychol Record 54:553–578

    Google Scholar 

  56. Teng EJ, Woods DW, Twohig MP (2006) Habit reversal as a treatment for chronic skin picking: a pilot investigation. Behav Modif 30:411–422

    PubMed  Google Scholar 

  57. Frost RO, Steketee G, Tolin DF, Renaud S (2008) Development and validation of the clutter image rating. J Psychopathol Behav Assess 30:193–203

    Google Scholar 

  58. Robertson MM, Banerjee S, Eapen V, Fox-Hiley P (2002) Obsessive compulsive behaviour and depressive symptoms in young people with Tourette syndrome: a controlled study. Eur Child Adolesc Psychiatry 11:261–265

    PubMed  Google Scholar 

  59. Sukhodolsky DG, Scahill L, Zhang H, Peterson BS, King RA, Lombroso PJ et al (2003) Disruptive behavior in children with Tourette’s syndrome: association with ADHD comorbidity, tic severity, and functional impairment. J Am Acad Child Adolesc Psychiatry 42:98–105

    PubMed  Google Scholar 

  60. Conelea CA, Woods DW, Zinner SH, Budman C, Murphy T, Scahill LD et al (2011) Exploring the impact of chronic tic disorders on youth: results from the Tourette Syndrome Impact Survey. Child Psychiatry Hum Dev 42:219–242

    PubMed  Google Scholar 

  61. Storch EA, Lack CW, Simons LE, Goodman WK, Murphy TK, Geffken GR (2007) A measure of functional impairment in youth with Tourette’s syndrome. J Pediatr Psychol 32:950–959

    PubMed  Google Scholar 

  62. Center for Disease Control and Prevention (2009) Prevalence of diagnosed Tourette syndrome in persons aged 6–17 years: United States, 2007. MMWR Morb Mortal Wkly Rep 58:581–585

    Google Scholar 

  63. Khalifa N, Von Knorring AL (2003) Prevalence of tic disorders and Tourette syndrome in a Swedish school population. Dev Med Child Neurol 45:315–319

    PubMed  Google Scholar 

  64. Bloch MH, Leckman JF (2009) Clinical course of Tourette syndrome. J Psychosom Res 67:497–501

    PubMed  Google Scholar 

  65. Specht MW, Woods DW, Piacentini J, Scahill L, Wilhelm S, Peterson AL et al (2011) Clinical characteristics of children and adolescents with a primary tic disorder. J Dev Phys Disabil 23:15–31

    Google Scholar 

  66. Burd L, Freeman RD, Klug MG, Kerbeshian J (2005) Tourette syndrome and learning disabilities. BMC Pediatr 5:34

    Google Scholar 

  67. Eapen V, Fox-Hiley P, Banerjee S, Robertson M (2004) Clinical features and associated psychopathology in a Tourette syndrome cohort. Acta Neurol Scand 109:255–260

    PubMed  Google Scholar 

  68. Cardona F, Romano A, Bollea L, Chiarotti F (2004) Psychopathological problems in children affected by tic disorders: study on a large Italian population. Eur Child Adolesc Psychiatry 13:166–171

    PubMed  Google Scholar 

  69. Gorman DA, Thompson N, Plessen KJ, Robertson MM, Leckman JF, Peterson BS (2010) Psychosocial outcome and psychiatric comorbidity in older adolescents with Tourette syndrome: controlled study. Br J Psychiatry 197:36–44

    PubMed  Google Scholar 

  70. Lin H, Katsovich L, Ghebremichael M, Findley DB, Grantz H, Lombroso PJ et al (2007) Psychosocial stress predicts future symptom severities in children and adolescents with Tourette syndrome and/or obsessive-compulsive disorder. J Child Psychol Psychiatry 48:157–166

    PubMed  Google Scholar 

  71. Snijders AH, Robertson MM, Orth M (2006) Beck Depression Inventory is a useful screening tool for major depressive disorder in Gilles de la Tourette syndrome. J Neurol Neurosurg Psychiatry 77:787–789

    PubMed  Google Scholar 

  72. Budman CL, Bruun RD, Park KS, Lesser M, Olson M (2000) Explosive outbursts in children with Tourette’s disorder. J Am Acad Child Adolesc Psychiatry 39:1270–1276

    PubMed  Google Scholar 

  73. Chang S, Himle MB, Tucker BTP, Woods DW, Piacentini J (2009) Initial psychometric properties of a brief parent-report instrument for assessing tic severity in children with chronic tic disorders. Child Fam Behav Ther 31:181–191

    Google Scholar 

  74. Leckman JF (2003) Phenomenology of tics and natural history of tic disorders. Brain Dev 25:S24–S28

    PubMed  Google Scholar 

  75. Leckman JF, Bloch MH, Scahill L, King RA (2006) Tourette syndrome: the self under siege. J Child Neurol 21:642–649

    PubMed  Google Scholar 

  76. Kircanski K, Woods DW, Chang SW, Ricketts EJ, Piacentini JC (2010) Cluster analysis of the Yale Global Tic Severity Scale (YGTSS): symptom dimensions and clinical correlates in an outpatient youth sample. J Abnormal Child Psychol 38:777–788

    Google Scholar 

  77. Mathews CA, Jang KL, Herrera LD, Lowe TL, Budman CL, Erenberg G et al (2007) Tic symptom profiles in subjects with Tourette syndrome from two genetically isolated populations. Biol Psychiatry 61:292–300

    PubMed  Google Scholar 

  78. Steinberg T, Shmuel Baruch S, Harush A, Dar R, Woods D, Piacentini J et al (2010) Tic disorders and the premonitory urge. J Neural Transm 117:277–284

    PubMed  Google Scholar 

  79. Leckman JF, Walker DE, Cohen DJ (1993) Premonitory urges in Tourette’s syndrome. Am J Psychiatry 150:98–102

    PubMed  Google Scholar 

  80. Woods DW, Piacentini J, Himle MB, Chang S (2005) Premonitory urge for tics scale (PUTS): initial psychometric results and examination of the premonitory urge phenomenon in youths with tic disorders. J Dev Behav Pediatr 26:397–403

    PubMed  Google Scholar 

  81. Leckman JF, Riddle MA, Hardin MT, Ort SI, Swartz KL, Stevenson J et al (1989) The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. J Am Acad Child Adolesc Psychiatry 28:566–573

    PubMed  Google Scholar 

  82. Storch EA, Murphy TK, Fernandez M, Krishnan M, Geffken GR, Kellgren AR et al (2007) Factor-analytic study of the Yale Global Tic Severity Scale. Psychiatry Res 149:231–237

    PubMed  Google Scholar 

  83. Storch EA, Murphy TK, Geffken GR, Sajid M, Allen P, Roberti JW et al (2005) Reliability and validity of the Yale Global Tic Severity Scale. Psychol Assess 17:486–491

    PubMed  Google Scholar 

  84. Murphy TK, Mutch J, Reid JM, Edge PJ, Storch EA, Bengtson M et al (2009) Open label aripiprazole in the treatment of youth with tic disorders. J Child Adolesc Psychopharmacol 19:441–447

    PubMed  Google Scholar 

  85. Piacentini J, Woods DW, Scahill L, Wilhelm S, Peterson AL, Chang S et al (2010) Behavior therapy for children with Tourette disorder: a randomized controlled trial. JAMA 303:1929–1937

    PubMed  Google Scholar 

  86. Scahill L, Leckman JF, Schultz RT, Katsovich L, Peterson BS (2003) A placebo-controlled trial of risperidone in Tourette syndrome. Neurology 60:1130–1135

    PubMed  Google Scholar 

  87. Storch EA, De Nadai A, Lewin AB, McGuire JF, Jones AM, Mutch JP et al (2011) Defining treatment response in pediatric tic disorders: a signal detection analysis of the Yale Global Tic Severity Scale. J Child Adolesc Psychopharmacol 21:621–627

    PubMed  Google Scholar 

  88. Shapiro AK, Shapiro E (1984) Controlled study of pimozide vs. placebo in Tourette’s syndrome. J Am Acad Child Psychiatry 23:161–173

    PubMed  Google Scholar 

  89. Walkup J, Rosenberg LA, Brown J, Singer HS (1992) The validity of instruments measuring tic severity in Tourette’s syndrome. J Am Acad Child Adolesc Psychiatry 31:472–477

    PubMed  Google Scholar 

  90. Müller-Vahl KR, Schneider U, Prevedel H, Theloe K, Kolbe H, Daldrup T et al (2003) Δ9-tetrahydrocannabinol (THC) is effective in the treatment of tics in Tourette syndrome: a 6-week randomized trial. J Clin Psychiatry 64:459–465

    PubMed  Google Scholar 

  91. Shytle RD, Silver AA, Sheehan KH, Wilkinson BJ, Newman M, Sanberg PR et al (2003) The Tourette’s Disorder Scale (TODS): development, reliability and validity. Assessment 10:273–287

    PubMed  Google Scholar 

  92. Storch EA, Merlo LJ, Lehmkuhl H, Grabill KM, Geffken GR, Goodman WK et al (2007) Further psychometric examination of the Tourette’s Disorder Scales. Child Psychiatry Hum Dev 38:89–98

    PubMed  Google Scholar 

  93. Singer HS, Brown J, Quaskey S, Rosenberg LA, Mellits ED, Denckla MB (1995) The treatment of attention-deficit hyperactivity disorder in Tourette’s syndrome: a double-blind placebo-controlled study with clonidine and desipramine. Pediatrics 95:74–81

    PubMed  Google Scholar 

  94. Storch EA, Murphy TK, Geffken GR, Soto O, Sajid M, Allen P et al (2004) Further psychometric properties of the Tourette’s Disorder Scale-Parent Rated version (TODS-PR). Child Psychiatry Hum Dev 35:107–120

    PubMed  Google Scholar 

  95. Cohen DJ, Detlor J, Young JG, Shaywitz BA (1980) Clonidine ameliorates Gilles de la Tourette syndrome. Arch Gen Psychiatry 37:1350–1357

    PubMed  Google Scholar 

  96. Cohen DJ, Leckman JF, Shaywitz BA (1984) Tourette syndrome and other tics. In: Shaffer D, Ehrhardt A, Greenhill L (eds) Diagnosis and treatment in pediatric psychiatry. Macmillian Free Press, New York, pp 3–28

    Google Scholar 

  97. Allen AJ, Kurlan RM, Gilbert DL, Coffey BJ, Linder SL, Lewis DW et al (2005) Atomoxetine treatment in children and adolescents with ADHD and comorbid tic disorders. Neurology 65:1941–1949

    PubMed  Google Scholar 

  98. Gaffney GR, Sieg K, Hellings J (1994) The MOVES: a self-rating scale for Tourette’s syndrome. J Child Adolesc Psychopharmacol 4:269–280

    Google Scholar 

  99. Harcherik DF, Leckman JF, Detlor J, Cohen DJ (1984) A new instrument for clinical studies of Tourette’s syndrome. J Am Acad Child Psychiatry 23:153–160

    PubMed  Google Scholar 

  100. Kompoliti K, Goetz CG (1997) Clinical rating and quantitative assessment of tics. Neurol Clin 15:239–254

    PubMed  Google Scholar 

  101. Himle MB, Chang S, Woods DW, Pearlman A, Buzzella B, Bunaciu L et al (2006) Establishing the feasibility of direct observation in the assessment of tics in children with chronic tic disorders. J Appl Behav Anal 39:429–440

    PubMed  Google Scholar 

  102. Chappell PB, Mcswiggan-Hardin MT, Scahill L, Rubenstein M (1994) Videotape tic counts in the assessment of Tourette’s syndrome: stability, reliability, and validity. J Am Acad Child Adolesc Psychiatry 33:386–393

    PubMed  Google Scholar 

  103. Christenson GA, Mackenzie TB, Mitchell JE (1991) Characteristics of 60 adult chronic hair pullers. Am J Psychiatry 148:365–370

    PubMed  Google Scholar 

  104. Reeve EA, Bernstein GA, Christenson GA (1992) Clinical characteristics and psychiatric comorbidity in children with trichotillomania. J Am Acad Child Adolesc Psychiatry 31:132–138

    PubMed  Google Scholar 

  105. Tolin DF, Franklin ME, Diefenbach GJ, Anderson E, Meunier SA (2007) Pediatric trichotillomania: descriptive psychopathology and an open trial of cognitive behavioral therapy. Cogn Behav Ther 36:129–144

    PubMed  Google Scholar 

  106. Park JM, Rahman O, Murphy TK, Storch EA (2012) Early childhood trichotillomania: initial considerations on phenomenology, treatment, and future directions. Infant Ment Health J 33:163–172

    Google Scholar 

  107. Tolin DF, Diefenbach GJ, Flessner CA, Franklin ME, Keuthen NJ, Moore P et al (2008) The Trichotillomania Scale for children: development and validation. Child Psychiatry Hum Dev 39:331–349

    PubMed  Google Scholar 

  108. Duke DC, Bodzin DK, Tavares P, Geffken GR, Storch EA (2009) The phenomenology of hairpulling in a community sample. J Anxiety Disord 23:1118–1125

    PubMed  Google Scholar 

  109. Stanley MA, Borden JW, Bell GE, Wagner AL (1994) Nonclinical hair pulling: phenomenology and related psychopathology. J Anxiety Disord 8:119–130

    Google Scholar 

  110. Christenson GA, Pyle RL, Mitchell JE (1991) Estimated lifetime prevalence of trichotillomania in college students. J Clin Psychiatry 52:415–417

    PubMed  Google Scholar 

  111. Lochner C, Simeon D, Niehaus DJ, Stein DJ (2002) Trichotillomania and skin-picking: a phenomenological comparison. Depress Anxiety 15:83–86

    PubMed  Google Scholar 

  112. Swedo SE, Rapoport JL (1991) Annotation: trichotillomania. J Child Psychol Psychiatry 32:401–409

    PubMed  Google Scholar 

  113. Santhanam R, Fairley M, Rogers M (2008) Is it trichotillomania? Hair pulling in childhood: a developmental perspective. Clin Child Psychol Psychiatry 13:409–418

    PubMed  Google Scholar 

  114. King RA, Scahill L, Vitulano LA, Schwab-Stone M (1995) Childhood trichotillomania: clinical phenomenology, comorbidity, and family genetics. J Am Acad Child Adolesc Psychiatry 34:1451–1459

    PubMed  Google Scholar 

  115. Flessner CA, Woods DW, Franklin ME, Keuthen NJ, Piacentini J (2009) Cross-sectional study of women with trichotillomania: a preliminary examination of pulling styles, severity, phenomenology, and functional impact. Child Psychiatry Hum Dev 40:153–167

    PubMed  Google Scholar 

  116. Orange AP, Peereboom-Wynia JD, Deraeymaecker DM (1986) Trichotillomania in childhood. J Am Acad Dermatol 15:614–619

    Google Scholar 

  117. Simeon D, Cohen LJ, Stein DJ, Schmeidler J, Spadaccini E, Hollander E (1997) Comorbid self-injurious behaviors in 71 female hair-pullers: a survey study. J Nerv Ment Dis 185:117–119

    PubMed  Google Scholar 

  118. Flessner CA, Woods DW, Franklin ME, Keuthen NJ, Piacentini J, Cashin SE et al (2007) The Milwaukee inventory for styles of trichotillomania-child version (MIST-C): initial development and psychometric properties. Behav Modif 31:896–918

    PubMed  Google Scholar 

  119. Himle MB, Flessner CA, Bonow JT, Woods DW, Hersen M (2006) Habit disorders, in clinician’s handbook of child behavioral assessment. Elsevier Academic Press, San Diego, pp 527–546

    Google Scholar 

  120. Diefenbach GJ, Mouton-Odum S, Stanley MA (2002) Affective correlates of trichotillomania. Behav Res Ther 40:1305–1315

    PubMed  Google Scholar 

  121. Woods DW, Miltenberger RG (1996) Are persons with nervous habits nervous? A preliminary examination of habit function in a nonreferred population. J Appl Behav Anal 29:259–261

    PubMed  Google Scholar 

  122. Winchel RM, Jones JS, Molcho A, Parsons B, Stanley B, Stanley M (1992) The Psychiatric Institute Trichotillomania Scale (PITS). Psychopharmacol Bull 28:463–476

    PubMed  Google Scholar 

  123. Diefenbach GJ, Tolin DF, Crocetto J, Maltby N, Hannan S (2005) Assessment of trichotillomania: a psychometric evaluation of hair-pulling scales. J Psychopathol Behav Assess 27:169–178

    Google Scholar 

  124. Stanley MA, Breckenridge JK, Snyder AG, Novy DM (1999) Clinician-rated measures of hair pulling: a preliminary psychometric evaluation. J Psychopathol Behav Assess 21:157–182

    Google Scholar 

  125. Grant JE, Odlaug BL, Kim SW (2009) N-acetylcysteine, a glutamate modulator, in the treatment of trichotillomania: a double-blind, placebo-controlled study. Arch Gen Psychiatry 66:756–763

    PubMed  Google Scholar 

  126. Stanley MA, Prather RC, Wagner AL, Davis ML (1993) Can the Yale-Brown Obsessive Compulsive Scale be used to assess trichotillomania? A preliminary report. Behav Res Ther 31:171–177

    PubMed  Google Scholar 

  127. Goodman WK, Price LH, Rasmussen SA, Mazure C (1989) The Yale-Brown Obsessive Compulsive Scale: I. Development, use, and reliability. Arch Gen Psychiatry 46:1006–1011

    PubMed  Google Scholar 

  128. Stanley MA, Breckenridge JK, Swann AC, Freeman EB, Reich L (1997) Fluvoxamine treatment of trichotillomania. J Clin Psychopharmacol 17:278–283

    PubMed  Google Scholar 

  129. Van Ameringen M, Mancini C, Patterson B, Bennett M, Oakman J (2010) A randomized, double-blind, placebo-controlled trial of olanzapine in the treatment of trichotillomania. J Clin Psychiatry 71:1336–1343

    PubMed  Google Scholar 

  130. Swedo SE, Leonard HL, Rapoport JL, Lenane MC, Goldberger EL, Cheslow DL (1989) A double-blind comparison of clomipramine and desipramine in the treatment of trichotillomania (hair pulling). N Engl J Med 321:497–501

    PubMed  Google Scholar 

  131. Franklin ME, Edson AL, Ledley DA, Cahill SP (2011) Behavior therapy for pediatric trichotillomania: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry 50:763–771

    PubMed  Google Scholar 

  132. March JS, Parker JDA, Sullivan K, Stallings P, Conners CK (1997) The Multidimensional Anxiety Scale for children (MASC): factor structure, reliability, and validity. J Am Acad Child Adolesc Psychiatry 36:554–565

    PubMed  Google Scholar 

  133. Kovacs M (1992) The children’s depression inventory (CDI) manual. Multi-Health Systems, Toronto

    Google Scholar 

  134. Keuthen NJ, O’Sullivan RL, Ricciardi JN, Shera D, Savage CR, Borgmann AS et al (1995) The Massachusetts General Hospital (MGH) Hairpulling Scale: I. Development and factor analyses. Psychother Psychosom 64:141–145

    PubMed  Google Scholar 

  135. O’Sullivan RL, Keuthen NJ, Hayday CF, Ricciardi JN, Buttolph ML, Jenike MA et al (1995) The Massachusetts General Hospital (MGH) Hairpulling Scale: II. Reliability and validity. Psychother Psychosom 64:146–148

    PubMed  Google Scholar 

  136. Keuthen NJ, Flessner CA, Woods DW, Franklin ME, Stein DJ, Cashin SE (2007) Factor analysis of the Massachusetts General Hospital Hairpulling Scale. J Psychosom Res 62:707–709

    PubMed  Google Scholar 

  137. Van Minnen A, Hoogduin K, Keijsers GP, Hellenbrand I, Hendriks GJ (2003) Treatment of trichotillomania with behavioral therapy or fluoxetine: a randomized, waiting-list controlled study. Arch Gen Psychiatry 60:517–522

    PubMed  Google Scholar 

  138. Palmer CJ, Yates WR, Trotter L (1999) Childhood trichotillomania: successful treatment with fluoxetine following an SSRI failure. Psychosomatics 40:526–528

    PubMed  Google Scholar 

  139. Vitulano LA, King RA, Scahill L, Cohen DJ (1992) Behavioral treatment of children and adolescents with trichotillomania. J Am Acad Child Adolesc Psychiatry 31:139–146

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eric A. Storch.

Rights and permissions

Reprints and permissions

About this article

Cite this article

McGuire, J.F., Kugler, B.B., Park, J.M. et al. Evidence-Based Assessment of Compulsive Skin Picking, Chronic Tic Disorders and Trichotillomania in Children. Child Psychiatry Hum Dev 43, 855–883 (2012). https://doi.org/10.1007/s10578-012-0300-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10578-012-0300-7

Keywords

Navigation