Skin picking and trichotillomania in adults with obsessive-compulsive disorder.

Abstract:

:The objective of this study was to compare patients with obsessive-compulsive disorder (OCD) associated with pathologic skin picking (PSP) and/or trichotillomania, and patients with OCD without such comorbidities, for demographic and clinical characteristics. We assessed 901 individuals with a primary diagnosis of OCD, using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Axis I disorders. Diagnoses of PSP and trichotillomania were made in 16.3% and 4.9% of the sample, respectively. After the logistic regression analysis, the following factors retained an association with OCD-PSP/trichotillomania: younger (odds ratio [OR] = 0.979; P = .047), younger at the onset of compulsive symptoms (OR = 0.941; P = .007), woman (OR = 2.538; P < .001), with a higher level of education (OR = 1.055; P = .025), and with comorbid body dysmorphic disorder (OR = 2.363; P = .004). These findings support the idea that OCD accompanied by PSP/trichotillomania characterizes a specific subgroup.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Lovato L,Ferrão YA,Stein DJ,Shavitt RG,Fontenelle LF,Vivan A,Miguel EC,Cordioli AV

doi

10.1016/j.comppsych.2011.06.008

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

562-8

issue

5

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(11)00165-9

journal_volume

53

pub_type

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