Profile of patients consulting in child psychiatry for trichotillomania

IntroductionTrichotillomania is a disorder characterized by the compulsive pulling out of one’s own hair. It usually starts just before or after puberty, and about 1 to 2% of people have this disorder. But its incidence is variable over the years and socio-demographic data.ObjectivesDescribe the pro...

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Bibliographic Details
Published in:European psychiatry 2021-04, Vol.64 (S1), p.S418-S418
Main Authors: Sahnoun, M., Guedria, A., Gaddour, N.
Format: Article
Language:English
Subjects:
Abstract
Antidepressants
CBT
Child & adolescent psychiatry
Child psychology
E-Poster Presentation
Hair
Obsessive compulsive disorder
trichophagia
trichotillomania
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Summary:IntroductionTrichotillomania is a disorder characterized by the compulsive pulling out of one’s own hair. It usually starts just before or after puberty, and about 1 to 2% of people have this disorder. But its incidence is variable over the years and socio-demographic data.ObjectivesDescribe the profile of children and adolescents consulting for trichotillomania.MethodsAn incidence survey was carried out among children and adolescents followed for trichotillomania at the out-patient unit of child psychiatry (Monastir - Tunisia) from January 2003 to September 2020.ResultsAmong the 11000 patients who were followed during the study period, 47 patients presented trichotillomania, corresponding to a rate of 0.42%. Three of them presented with associated trichophagia and two were operated on in pediatric surgery for trichobezoar. A female predominance was noted with a sex-ratio of 0.37. The average age was 9.3 years with extremes ranging from 2 to 15 years. Almost all of the patients were in school. Most of the patients were referred by dermatologists. We retained in these patients: 17% presented an attachment disorder, 14.8% had a depressive disorder, 6.3% had anxiety elements, 6.3% had an intellectual disability, 4.2% had an associated enuresis and one case had a GAD. The treatment was to undergo behavioral measurements or CBT in 91.4%. Pharmacological management was carried out in 46.8% of patients and was mainly based on antidepressants.ConclusionsTrichotillomania is a disorder that can be stressful for patients as well as their families. Better knowledge of the profile of these patients is necessary in order to better therapeutic efficacy.
ISSN:0924-9338
1778-3585
DOI:10.1192/j.eurpsy.2021.1116