학술논문

The Significance of Repetitive Hair-Pulling Behaviors in Eating Disorders.
Document Type
Article
Source
Journal of Clinical Psychology; April 2011, Vol. 67 Issue 4, p391-403, 13p
Subject
Compulsive hair pulling
Obsessive-compulsive disorder
Anorexia nervosa
Bulimia
Eating disorders
Regression analysis
Language
ISSN
00219762
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. Reprinted by permission of the publisher.