1. The significance of repetitive hair-pulling behaviors in eating disorders.
- Author
-
Zucker N, Von Holle A, Thornton LM, Strober M, Plotnicov K, Klump KL, Brandt H, Crawford S, Crow S, Fichter MM, Halmi KA, Johnson C, Kaplan AS, Keel P, LaVia M, Mitchell JE, Rotondo A, Woodside DB, Berrettini WH, Kaye WH, and Bulik CM
- Subjects
- Adolescent, Adult, Comorbidity, Europe epidemiology, Female, Humans, Interviews as Topic, Male, Middle Aged, Multicenter Studies as Topic, North America epidemiology, Trichotillomania epidemiology, Young Adult, Compulsive Behavior, Feeding and Eating Disorders psychology, Trichotillomania psychology
- Abstract
We studied the relation between intrusive and repetitive hair pulling, the defining feature of trichotillomania, and compulsive and impulsive features in 1,453 individuals with anorexia nervosa and bulimia nervosa. We conducted a series of regression models examining the relative influence of compulsive features associated with obsessive-compulsive disorder, compulsive features associated with eating disorders, trait features related to harm avoidance, perfectionism, and novelty seeking, and self harm. A final model with a reduced sample (n = 928) examined the additional contribution of impulsive attributes. One of 20 individuals endorsed hair pulling. Evidence of a positive association with endorsement of compulsive behavior of the obsessive-compulsive spectrum emerged. Hair pulling may be more consonant with ritualistic compulsions than impulsive urges in those with eating disorders., (© 2011 Wiley Periodicals, Inc.)
- Published
- 2011
- Full Text
- View/download PDF