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Comorbid trichotillomania and attention-deficit hyperactivity disorder in adults.
- Source :
-
Comprehensive psychiatry [Compr Psychiatry] 2022 Jul; Vol. 116, pp. 152317. Date of Electronic Publication: 2022 Apr 28. - Publication Year :
- 2022
-
Abstract
- Background: Individuals with trichotillomania (TTM), a disorder characterized by repetitive pulling out of one's own hair, often have co-occurring ADHD, but little is known about this comorbidity. Additionally, there have been intimations in the literature that treatment of ADHD with stimulants may worsen TTM symptoms. This study aims to examine clinical aspects of individuals with TTM and co-occurring ADHD.<br />Methods: 308 adults with a current diagnosis of TTM were assessed for ADHD using the Mini International Neuropsychiatric Interview 7.0.2 and Adult ADHD Self Report Scale. Participants also completed clinical measures related to TTM severity, impulsivity, quality of life, and psychosocial dysfunction. A series of analyses of variance were used to calculate differences in scale scores among subjects with and without co-occurring ADHD.<br />Results: Of the 308 participants, 47 (15.3%) met the clinical threshold for ADHD. Participants with ADHD reported significantly higher scores in all first and second factor traits of impulsivity, including attentional impulsiveness (p < .0001), motor impulsiveness (p < .0001), and non-planning impulsiveness (p < .0001). Interestingly, participants with ADHD did not report significant differences in TTM severity, perceived quality of life, or functional impairment, regardless of medication status.<br />Discussion: The data suggest that ADHD is common in adults with TTM, and the comorbidity is associated with heightened impulsivity. The co-occurrence of ADHD does not affect individuals' quality of life, symptom severity, or functionality. Taking stimulant medications for ADHD also did not appear to affect TTM severity, despite past case reports suggesting these medications may lead to onset or worsening of TTM.<br /> (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Comorbidity
Humans
Psychiatric Status Rating Scales
Quality of Life
Attention Deficit Disorder with Hyperactivity complications
Attention Deficit Disorder with Hyperactivity diagnosis
Attention Deficit Disorder with Hyperactivity epidemiology
Trichotillomania diagnosis
Trichotillomania epidemiology
Trichotillomania psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8384
- Volume :
- 116
- Database :
- MEDLINE
- Journal :
- Comprehensive psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 35512574
- Full Text :
- https://doi.org/10.1016/j.comppsych.2022.152317