DISSOCIATION IN SKIN PICKING DISORDER AND TRICHOTILLOMANIA

Dissociation in skin picking disorder and trichotillomania

Dissociation in skin picking disorder and trichotillomania

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IntroductionDissociation involves a lapse in normal perception of reality or awareness; it has Q6 been associated with multiple psychiatric disorders and has been suggested as a contributing factor in trichotillomania and skin picking disorder.This study aimed to explore the relationship between dissociation and trichotillomania and/or skin picking disorder.MethodsThree hundred Seeds and seventy adults with trichotillomania, skin picking disorder, or both (aged 18-65 years) were enrolled as part of an online survey.

Participants completed a questionnaire on demographics, clinical characteristics, comorbidities, medications, and suicidality.Participants completed the Generic Body-Focused Repetitive Behaviors (BFRB) Scale-8 (GBS-8) and the Dissociative Experience Scale (DES).Regression analysis was used to examine the relationship between DES scores and GBS-8 scores, as T-Shirt well as clinical characteristics.

ResultsDES scores significantly predicted GBS-8 impairment scores, suicidal ideation, non-suicidal self-injury, and suicide attempts.DiscussionDissociation may be either a driving force for many with hair pulling or skin picking, or pulling and picking may create a dissociative trance-like state.These findings suggest that dissociation is associated with greater impairment and worse clinical outcomes.

Further research may elucidate whether there is benefit in treating dissociation in these patients.

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