The significance of repetitive hair-pulling behaviors in eating disorders

Nancy Zucker; Ann Von Holle; Laura M. Thornton; Michael Strober; Kathy Plotnicov; Kelly L. Klump; Harry Brandt; Steve Crawford; Scott Crow; Manfred M. Fichter; Katherine A. Halmi; Craig Johnson; Allan S. Kaplan; Pamela Keel; Maria LaVia; James E. Mitchell; Alessandro Rotondo; D. Blake Woodside; Wade H. Berrettini; Walter H. Kaye; Cynthia M. Bulik

doi:10.1002/jclp.20770

The significance of repetitive hair-pulling behaviors in eating disorders

Nancy Zucker, Ann Von Holle, Laura M. Thornton, Michael Strober, Kathy Plotnicov, Kelly L. Klump, Harry Brandt, Steve Crawford, Scott Crow, Manfred M. Fichter, Katherine A. Halmi, Craig Johnson, Allan S. Kaplan, Pamela Keel, Maria LaVia, James E. Mitchell, Alessandro Rotondo, D. Blake Woodside, Wade H. Berrettini, Walter H. KayeCynthia M. Bulik

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

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.

Original language	English (US)
Pages (from-to)	391-403
Number of pages	13
Journal	Journal of clinical psychology
Volume	67
Issue number	4
DOIs	https://doi.org/10.1002/jclp.20770
State	Published - Apr 2011

Keywords

Addiction
Anorexia nervosa
Bulimia nervosa
Compulsivity
Eating disorders
Hair pulling
Impulsivity
Trichotillomania

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10.1002/jclp.20770

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Zucker, N., Von Holle, A., Thornton, L. M., Strober, M., Plotnicov, K., Klump, K. L., Brandt, H., Crawford, S., Crow, S., Fichter, M. M., Halmi, K. A., Johnson, C., Kaplan, A. S., Keel, P., LaVia, M., Mitchell, J. E., Rotondo, A., Woodside, D. B., Berrettini, W. H., ... Bulik, C. M. (2011). The significance of repetitive hair-pulling behaviors in eating disorders. Journal of clinical psychology, 67(4), 391-403. https://doi.org/10.1002/jclp.20770

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 & Bulik, CM 2011, 'The significance of repetitive hair-pulling behaviors in eating disorders', Journal of clinical psychology, vol. 67, no. 4, pp. 391-403. https://doi.org/10.1002/jclp.20770

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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.",

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The significance of repetitive hair-pulling behaviors in eating disorders

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