Childhood Onset Trichotillomania – A Chart Review

Sushma Sonavane, Heena Merchant, Sagar Karia, Avinash De Sousa

Abstract


Background: Trichotillomania is a not so common disorder seen in children and adolescents. Studies on childhood onset
trichotillomania in India are rare and there is scarcity of literature on the subject. This study is aimed at describing the
sociodemographic prole, clinical characteristics and treatment outcome of children with trichotillomania that presented to the child psychiatry
outpatient department of a tertiary general hospital.
Methodology: The subjects of the study were 59 children and adolescents with trichotillomania (TTM) that presented to the child psychiatry
clinic of our hospital over the past 10 years. The out- patient case records of these children were reviewed and data was tabulated. Descriptive
statistics using frequency and percentages were used to present the data.
Results: A total of 59 children presented with childhood onset trichotillomania. Majority were Hindu by religion. The youngest age at
presentation was 4 years and 6 months and the mean age of the sample was 8.9 years. Greater number of children were girls and belonged to urban
nuclear families. Comorbid psychiatric illness was common in the cohort and scalp was the common site of hair pulling.
Conclusion: Childhood onset trichotillomania is under studied in India and data needs to be analyzed from various samples to reach distinct
conclusions about variables that affect the course and outcome of the illness.


Keywords


childhood onset, trichotillomania, hair pulling.

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