Child Psychiatry & Human Development

, Volume 43, Issue 6, pp 855–883 | Cite as

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

  • Joseph F. McGuire
  • Brittany B. Kugler
  • Jennifer M. Park
  • Betty Horng
  • Adam B. Lewin
  • Tanya K. Murphy
  • Eric A. Storch
Review Paper

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.

Keywords

Evidence-based assessment Body-focused repetitive behavior Skin picking Tourette syndrome Hair pulling 

References

  1. 1.
    Kraemer HC, Noda A, O’Hara R (2004) Categorical versus dimensional approaches to diagnosis: methodological challenges. J Psychiatr Res 38:17–25PubMedGoogle Scholar
  2. 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., ArlingtonGoogle Scholar
  3. 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 1–29Google Scholar
  4. 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 25:88–95PubMedGoogle Scholar
  5. 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 26:521–527PubMedGoogle Scholar
  6. 6.
    Odlaug BL, Kim SW, Grant JE (2010) Quality of life and clinical severity in pathological skin picking and trichotillomania. J Anxiety Disord 24:823–829PubMedGoogle Scholar
  7. 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 29:493–500PubMedGoogle Scholar
  8. 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 26:340–360PubMedGoogle Scholar
  9. 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 189:276–280PubMedGoogle Scholar
  10. 10.
    Chamberlain SR, Odlaug BL, Boulougouris V, Fineberg NA, Grant JE (2009) Trichotillomania: neurobiology and treatment. Neurosci Biobehav Rev 33:831–842PubMedGoogle Scholar
  11. 11.
    Lochner C, Stein DJ (2010) Obsessive-compulsive spectrum disorders in obsessive-compulsive disorder and other anxiety disorders. Psychopathology 43:389–396PubMedGoogle Scholar
  12. 12.
    Bohne A, Wilhelm S, Keuthen NJ, Baer L, Jenike MA (2002) Skin picking in German students: prevalence, phenomenology, and associated characteristics. Behav Modif 26:320–339PubMedGoogle Scholar
  13. 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 27:611–626PubMedGoogle Scholar
  14. 14.
    Freeman RD, Soltanifar A, Baer S (2010) Stereotypic movement disorder: easily missed. Dev Med Child Neurol 52:733–738PubMedGoogle Scholar
  15. 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 160:212–220PubMedGoogle Scholar
  16. 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 33:911–915PubMedGoogle Scholar
  17. 17.
    Chambless DL, Ollendick TH (2001) Empirically supported psychological interventions: controversies and evidence. Annu Rev Psychol 52:685–716PubMedGoogle Scholar
  18. 18.
    Mash EJ, Hunsley J (2005) Evidence-based assessment of child and adolescent disorders: issues and challenges. J Clin Child Adolesc Psychol 34:362–379PubMedGoogle Scholar
  19. 19.
    Kazdin AE (2005) Evidence-based assessment for children and adolescents: issues in measurement development and clinical application. J Clin Child Adolesc Psychol 34:548–558PubMedGoogle Scholar
  20. 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 179–206Google Scholar
  21. 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, WashingtonGoogle Scholar
  22. 22.
    Silverman WK, Ollendick TH (2005) Evidence-based assessment of anxiety and its disorders in children and adolescents. J Clin Child Adolesc Psychol 34:380–411PubMedGoogle Scholar
  23. 23.
    Mash EJ, Terdal LG (1997) Assessment of childhood disorders, 3rd edn. Guilford Press, New YorkGoogle Scholar
  24. 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 34:412–432PubMedGoogle Scholar
  25. 25.
    Mcmahon RJ, Frick PJ (2005) Evidence-based assessment of conduct problems in children and adolescents. J Clin Child Adolesc Psychol 34:477–505PubMedGoogle Scholar
  26. 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 34:523–540PubMedGoogle Scholar
  27. 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 34:449–476PubMedGoogle Scholar
  28. 28.
    Youngstrom EA, Findling RL, Youngstrom JK, Calabrese JR (2005) Toward an evidence-based assessment of pediatric bipolar disorder. J Clin Child Adolesc Psychol 34:433–448PubMedGoogle Scholar
  29. 29.
    Anastasi A (1988) Psychological testing, 6th edn. Macmillan Publishing Co, Inc., New YorkGoogle Scholar
  30. 30.
    Robinson JP, Shaver PR, Wrightsman LS (1991) Measures of personality and social psychological attitudes. Academic Press, San DiegoGoogle Scholar
  31. 31.
    Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 6:284–290Google Scholar
  32. 32.
    Angold A, Costello EJ, Erkanli A (1999) Comorbidity. J Child Psychol Psychiatry 40:57–87PubMedGoogle Scholar
  33. 33.
    American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, fourth edition—text revision. Author, WashingtonGoogle Scholar
  34. 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 256:464–475PubMedGoogle Scholar
  35. 35.
    Neziroglu F, Rabinowitz D, Breytman A, Jacofsky M (2008) Skin picking phenomenology and severity comparison. Prim Care Companion J Clin Psychiatry 10:306–312PubMedGoogle Scholar
  36. 36.
    Odlaug BL, Grant JE (2008) Clinical characteristics and medical complications of pathologic skin picking. Gen Hosp Psychiatry 30:61–66PubMedGoogle Scholar
  37. 37.
    Arnold LM, Auchenbach MB, McElroy SL (2001) Psychogenic excoriation: clinical features, proposed diagnostic criteria, epidemiology and approaches to treatment. CNS Drugs 15:351–359PubMedGoogle Scholar
  38. 38.
    Flessner CA, Woods DW (2006) Phenomenological characteristics, social problems, and the economic impact associated with chronic skin picking. Behav Modif 30:944–963PubMedGoogle Scholar
  39. 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 23:314–319PubMedGoogle Scholar
  40. 40.
    Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-aged forms and profiles: an integrated system of multi-informant assessment. ASEBA, BurlingtonGoogle Scholar
  41. 41.
    Odlaug BL, Grant JE (2007) Childhood-onset pathologic skin picking: clinical characteristics and psychiatric comorbidity. Compr Psychiatry 48:388–393PubMedGoogle Scholar
  42. 42.
    Grant JE, Williams KA, Potenza MN (2007) Impulse-control disorders in adolescent psychiatric inpatients: co-occurring disorders and sex differences. J Clin Psychiatry 68:1584–1592PubMedGoogle Scholar
  43. 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 40:127–135PubMedGoogle Scholar
  44. 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 30:20–30Google Scholar
  45. 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 41:210–215PubMedGoogle Scholar
  46. 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 60:454–459PubMedGoogle Scholar
  47. 47.
    Arnold LM, Mutasim D, Dwight M, Lamerson C, Morris E (1998) Characteristics of 34 adults with psychogenic excoriation. J Clin Psychiatry 59:509–514PubMedGoogle Scholar
  48. 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 19:15–18PubMedGoogle Scholar
  49. 49.
    Bloch MR, Elliott M, Thompson H, Koran LM (2001) Fluoxetine in pathologic skin-picking: open-label and double-blind results. Psychosomatics 42:314–319PubMedGoogle Scholar
  50. 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 30:396–403PubMedGoogle Scholar
  51. 51.
    Grant JE, Odlaug BL, Suck WK (2007) Lamotrigine treatment of pathologic skin picking: an open-label study. J Clin Psychiatry 68:1384–1391PubMedGoogle Scholar
  52. 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 50:337–341PubMedGoogle Scholar
  53. 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 22:268–274PubMedGoogle Scholar
  54. 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 42:397–403PubMedGoogle Scholar
  55. 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 54:553–578Google Scholar
  56. 56.
    Teng EJ, Woods DW, Twohig MP (2006) Habit reversal as a treatment for chronic skin picking: a pilot investigation. Behav Modif 30:411–422PubMedGoogle Scholar
  57. 57.
    Frost RO, Steketee G, Tolin DF, Renaud S (2008) Development and validation of the clutter image rating. J Psychopathol Behav Assess 30:193–203Google Scholar
  58. 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 11:261–265PubMedGoogle Scholar
  59. 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 42:98–105PubMedGoogle Scholar
  60. 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 42:219–242PubMedGoogle Scholar
  61. 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 32:950–959PubMedGoogle Scholar
  62. 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 58:581–585Google Scholar
  63. 63.
    Khalifa N, Von Knorring AL (2003) Prevalence of tic disorders and Tourette syndrome in a Swedish school population. Dev Med Child Neurol 45:315–319PubMedGoogle Scholar
  64. 64.
    Bloch MH, Leckman JF (2009) Clinical course of Tourette syndrome. J Psychosom Res 67:497–501PubMedGoogle Scholar
  65. 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 23:15–31Google Scholar
  66. 66.
    Burd L, Freeman RD, Klug MG, Kerbeshian J (2005) Tourette syndrome and learning disabilities. BMC Pediatr 5:34Google Scholar
  67. 67.
    Eapen V, Fox-Hiley P, Banerjee S, Robertson M (2004) Clinical features and associated psychopathology in a Tourette syndrome cohort. Acta Neurol Scand 109:255–260PubMedGoogle Scholar
  68. 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 13:166–171PubMedGoogle Scholar
  69. 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 197:36–44PubMedGoogle Scholar
  70. 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 48:157–166PubMedGoogle Scholar
  71. 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 77:787–789PubMedGoogle Scholar
  72. 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 39:1270–1276PubMedGoogle Scholar
  73. 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 31:181–191Google Scholar
  74. 74.
    Leckman JF (2003) Phenomenology of tics and natural history of tic disorders. Brain Dev 25:S24–S28PubMedGoogle Scholar
  75. 75.
    Leckman JF, Bloch MH, Scahill L, King RA (2006) Tourette syndrome: the self under siege. J Child Neurol 21:642–649PubMedGoogle Scholar
  76. 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 38:777–788Google Scholar
  77. 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 61:292–300PubMedGoogle Scholar
  78. 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 117:277–284PubMedGoogle Scholar
  79. 79.
    Leckman JF, Walker DE, Cohen DJ (1993) Premonitory urges in Tourette’s syndrome. Am J Psychiatry 150:98–102PubMedGoogle Scholar
  80. 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 26:397–403PubMedGoogle Scholar
  81. 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 28:566–573PubMedGoogle Scholar
  82. 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 149:231–237PubMedGoogle Scholar
  83. 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 17:486–491PubMedGoogle Scholar
  84. 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 19:441–447PubMedGoogle Scholar
  85. 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 303:1929–1937PubMedGoogle Scholar
  86. 86.
    Scahill L, Leckman JF, Schultz RT, Katsovich L, Peterson BS (2003) A placebo-controlled trial of risperidone in Tourette syndrome. Neurology 60:1130–1135PubMedGoogle Scholar
  87. 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 21:621–627PubMedGoogle Scholar
  88. 88.
    Shapiro AK, Shapiro E (1984) Controlled study of pimozide vs. placebo in Tourette’s syndrome. J Am Acad Child Psychiatry 23:161–173PubMedGoogle Scholar
  89. 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 31:472–477PubMedGoogle Scholar
  90. 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 64:459–465PubMedGoogle Scholar
  91. 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 10:273–287PubMedGoogle Scholar
  92. 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 38:89–98PubMedGoogle Scholar
  93. 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 95:74–81PubMedGoogle Scholar
  94. 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 35:107–120PubMedGoogle Scholar
  95. 95.
    Cohen DJ, Detlor J, Young JG, Shaywitz BA (1980) Clonidine ameliorates Gilles de la Tourette syndrome. Arch Gen Psychiatry 37:1350–1357PubMedGoogle Scholar
  96. 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 3–28Google Scholar
  97. 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 65:1941–1949PubMedGoogle Scholar
  98. 98.
    Gaffney GR, Sieg K, Hellings J (1994) The MOVES: a self-rating scale for Tourette’s syndrome. J Child Adolesc Psychopharmacol 4:269–280Google Scholar
  99. 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 23:153–160PubMedGoogle Scholar
  100. 100.
    Kompoliti K, Goetz CG (1997) Clinical rating and quantitative assessment of tics. Neurol Clin 15:239–254PubMedGoogle Scholar
  101. 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 39:429–440PubMedGoogle Scholar
  102. 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 33:386–393PubMedGoogle Scholar
  103. 103.
    Christenson GA, Mackenzie TB, Mitchell JE (1991) Characteristics of 60 adult chronic hair pullers. Am J Psychiatry 148:365–370PubMedGoogle Scholar
  104. 104.
    Reeve EA, Bernstein GA, Christenson GA (1992) Clinical characteristics and psychiatric comorbidity in children with trichotillomania. J Am Acad Child Adolesc Psychiatry 31:132–138PubMedGoogle Scholar
  105. 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 36:129–144PubMedGoogle Scholar
  106. 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 33:163–172Google Scholar
  107. 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 39:331–349PubMedGoogle Scholar
  108. 108.
    Duke DC, Bodzin DK, Tavares P, Geffken GR, Storch EA (2009) The phenomenology of hairpulling in a community sample. J Anxiety Disord 23:1118–1125PubMedGoogle Scholar
  109. 109.
    Stanley MA, Borden JW, Bell GE, Wagner AL (1994) Nonclinical hair pulling: phenomenology and related psychopathology. J Anxiety Disord 8:119–130Google Scholar
  110. 110.
    Christenson GA, Pyle RL, Mitchell JE (1991) Estimated lifetime prevalence of trichotillomania in college students. J Clin Psychiatry 52:415–417PubMedGoogle Scholar
  111. 111.
    Lochner C, Simeon D, Niehaus DJ, Stein DJ (2002) Trichotillomania and skin-picking: a phenomenological comparison. Depress Anxiety 15:83–86PubMedGoogle Scholar
  112. 112.
    Swedo SE, Rapoport JL (1991) Annotation: trichotillomania. J Child Psychol Psychiatry 32:401–409PubMedGoogle Scholar
  113. 113.
    Santhanam R, Fairley M, Rogers M (2008) Is it trichotillomania? Hair pulling in childhood: a developmental perspective. Clin Child Psychol Psychiatry 13:409–418PubMedGoogle Scholar
  114. 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 34:1451–1459PubMedGoogle Scholar
  115. 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 40:153–167PubMedGoogle Scholar
  116. 116.
    Orange AP, Peereboom-Wynia JD, Deraeymaecker DM (1986) Trichotillomania in childhood. J Am Acad Dermatol 15:614–619Google Scholar
  117. 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 185:117–119PubMedGoogle Scholar
  118. 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 31:896–918PubMedGoogle Scholar
  119. 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 527–546Google Scholar
  120. 120.
    Diefenbach GJ, Mouton-Odum S, Stanley MA (2002) Affective correlates of trichotillomania. Behav Res Ther 40:1305–1315PubMedGoogle Scholar
  121. 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 29:259–261PubMedGoogle Scholar
  122. 122.
    Winchel RM, Jones JS, Molcho A, Parsons B, Stanley B, Stanley M (1992) The Psychiatric Institute Trichotillomania Scale (PITS). Psychopharmacol Bull 28:463–476PubMedGoogle Scholar
  123. 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 27:169–178Google Scholar
  124. 124.
    Stanley MA, Breckenridge JK, Snyder AG, Novy DM (1999) Clinician-rated measures of hair pulling: a preliminary psychometric evaluation. J Psychopathol Behav Assess 21:157–182Google Scholar
  125. 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 66:756–763PubMedGoogle Scholar
  126. 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 31:171–177PubMedGoogle Scholar
  127. 127.
    Goodman WK, Price LH, Rasmussen SA, Mazure C (1989) The Yale-Brown Obsessive Compulsive Scale: I. Development, use, and reliability. Arch Gen Psychiatry 46:1006–1011PubMedGoogle Scholar
  128. 128.
    Stanley MA, Breckenridge JK, Swann AC, Freeman EB, Reich L (1997) Fluvoxamine treatment of trichotillomania. J Clin Psychopharmacol 17:278–283PubMedGoogle Scholar
  129. 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 71:1336–1343PubMedGoogle Scholar
  130. 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 321:497–501PubMedGoogle Scholar
  131. 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 50:763–771PubMedGoogle Scholar
  132. 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 36:554–565PubMedGoogle Scholar
  133. 133.
    Kovacs M (1992) The children’s depression inventory (CDI) manual. Multi-Health Systems, TorontoGoogle Scholar
  134. 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 64:141–145PubMedGoogle Scholar
  135. 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 64:146–148PubMedGoogle Scholar
  136. 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 62:707–709PubMedGoogle Scholar
  137. 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 60:517–522PubMedGoogle Scholar
  138. 138.
    Palmer CJ, Yates WR, Trotter L (1999) Childhood trichotillomania: successful treatment with fluoxetine following an SSRI failure. Psychosomatics 40:526–528PubMedGoogle Scholar
  139. 139.
    Vitulano LA, King RA, Scahill L, Cohen DJ (1992) Behavioral treatment of children and adolescents with trichotillomania. J Am Acad Child Adolesc Psychiatry 31:139–146PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Joseph F. McGuire
    • 1
  • Brittany B. Kugler
    • 1
  • Jennifer M. Park
    • 1
  • Betty Horng
    • 2
  • Adam B. Lewin
    • 2
  • Tanya K. Murphy
    • 2
  • Eric A. Storch
    • 1
    • 2
  1. 1.Department of PsychologyUniversity of South FloridaTampaUSA
  2. 2.Department of PediatricsUniversity of South FloridaSt. PetersburgUSA

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