Top

Gepubliceerd in:

14-11-2023 | Original Article

Self-Report Measures of Sensory Phenomena in Body-Focused Repetitive Behaviors: A Comparison to Healthy Controls

Auteurs: Sydney Biscarri Clark, Suzanne Mouton-Odum, Christopher A. Flessner, Emily J. Ricketts, Tara S. Peris, Darin D. Dougherty, Douglas W. Woods, Dan J. Stein, Christine Lochner, Jon E. Grant, Nancy J. Keuthen, John Piacentini

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2024

Abstract

Background

Early studies identified sensory phenomena as an important facet of hair pulling and skin picking. Research in this area has grown in recent years; however, extant research on sensory abnormalities in BFRBs demonstrates limitations. The current study seeks to address gaps in the literature by examining differences in the experiences of sensory phenomena among patients with BFRBs as compared to healthy controls.

Methods

Participants were 106 individuals, including 72 with BFRBs (32 hair pulling disorder [HPD], 31 skin picking disorder [SPD], 9 HPD with SPD) and 34 healthy controls, aged 11–65 years. All participants were assessed for psychiatric diagnosis via clinician-rated interviews and rated global hair pulling and skin picking severity. Participants also rated sensory phenomena using the Sensory Gating Inventory and Adolescent/Adult Sensory Profile.

Results

Results revealed that participants with BFRBs exhibited significantly (or trends towards significantly) higher scores across most sensory domains (i.e., Over-inclusion, Distractibility, Stress-Fatigue Vulnerability, Low Registration, Sensation Avoidance, and Sensation Sensitivity) than healthy controls. There were no significant differences between discrete BFRB groups across any sensory experience. There were positive, moderate associations between a clinician-rated measure of skin picking-related global severity and most sensory experiences.

Conclusions

These findings suggest that sensory dysregulation does separate those with BFRBs from healthy controls. Implications for future research and treatment are discussed.

vorige artikel Defining Compulsive Skin Picking Subgroups Based on Emotional Response Patterns and Data-Driven Methodology

volgende artikel Emotional Dysregulation in Skin Picking Disorder

Alleen toegankelijk voor geautoriseerde gebruikers

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.

Angold, A., Costello, E. J., Messer, S. C., Pickles, A., Winder, F., & Silver, D. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5(4), 237–249.

Brennan, E., Woods, D. W., Franklin, M. E., Keuthen, N., Piacentini, J., & Flessner, C. A. (2017). The role body-esteem plays in impairment associated with hair-pulling and skin picking in adolescents. Journal of Obsessive-Compulsive and Related Disorders, 12, 46–51. https://doi.org/10.1016/j.jocrd.2016.12.003.CrossRef

Case-Smith, J., Weaver, L. L., & Fristad, M. A. (2015). A systematic review of sensory processing interventions for children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 45(7), 1089–2006.

Dunn, W., & Brown, C. E. (2002). Adolescent-adult sensory profile: user’s manual. Psychological corporation.

Falkenstein, M. J., Conelea, C. A., Garner, L. E. & Haaga D. A. F. (2018). Sensory overresponsivity in trichotillomania (hair pulling). Psychiatry Research Volume 260, 207–218.

Ferrão, Y. A., Shavitt, R. G., Prado, H., Fontenelle, L. F., Malavazzi, D. M., de Mathis, M. A., Hounie, A. G., Miguel, E. C., & do Rosário, M. C. (2012). Sensory phenomena associated with repetitive behaviors in obsessive-compulsive disorder: An exploratory study of 1001 patients. Psychiatry Research, 197(3), 253–258. https://doi.org/10.1016/j.psychres.2011.09.017.CrossRefPubMed

Flessner, C. A., & Woods, D. W. (2006). Phenomenological characteristics, social problems, and the economic impact associated with chronic skin picking. Behavior Modification, 30(6), 944–963. https://doi.org/10.1177/0145445506294083.CrossRefPubMed

Gallinat, C., Stürmlinger, L. L., Schaber, S., & Bauer, S. (2021). Pathological skin picking: Phenomenology and associations with emotions, self-esteem, body image, and subjective physical well-being. Frontiers in Psychiatry, 12, 732717. https://doi.org/10.3389/fpsyt.2021.732717.CrossRefPubMedPubMedCentral

Grant, J. E., Peris, T. S., Ricketts, E. J., Lochner, C., Stein, D. J., Stochl, J., Chamberlain, S. R., Scharf, J. M., Dougherty, D. D., Woods, D. W., Piacentini, J., & Keuthen, N. J. (2021). Identifying subtypes of trichotillomania (hair pulling disorder) and excoriation (skin picking) disorder using mixture modeling in a multicenter sample. Journal of Psychiatric Research, 137, 603–612. https://doi.org/10.1016/j.jpsychires.2020.11.001.CrossRefPubMedPubMedCentral

Guy, W. (1976). Clinical global impressions ECDEU assessment manual for psychopharmacology. National Institute for Mental Health.

Hetrick, W. P., Erickson, M. A., & Smith, D. A. (2012). Phenomenological dimensions of sensory gating. Schizophrenia Bulletin, 38(1), 178–191. https://doi.org/10.1093/schbul/sbq054.CrossRefPubMed

Houghton, D. C., Alexander, J. R., Bauer, C. C., & Woods, D. W. (2018). Abnormal perceptual sensitivity in body-focused repetitive behaviors. Comprehensive Psychiatry, 82, 45–52. https://doi.org/10.1016/j.comppsych.2017.12.005.CrossRefPubMed

Houghton, D. C., Tommerdahl, M., & Woods, D. W. (2019). Increased tactile sensitivity and deficient feed-forward inhibition in pathological hair-pulling and skin picking. Behaviour Research and Therapy, 120, 103433. https://doi.org/10.1016/j.brat.2019.103433.CrossRefPubMed

Isaacs, D., Key, A. P., Cascio, C. J., Conley, A. C., Riordan, H., Walker, H. C., Wallace, M. T., & Claassen, D. O. (2022). Cross-disorder comparison of sensory over-responsivity in chronic tic disorders and obsessive-compulsive disorder. Comprehensive Psychiatry, 113, 152291. https://doi.org/10.1016/j.comppsych.2021.152291.CrossRefPubMed

Kamath, M. S., Dahm, C. R., Tucker, J. R., Huang-Pollock, C. L., Etter, N. M. & Neely, K.A. (2020). Sensory profiles in adults with and without ADHD, Research in Developmental Disabilities, 104 103696. https://doi.org/10.1016/j.ridd.2020.103696.

Madjar, S., & Sripada, C. S. (2016). The phenomenology of hair pulling urges in trichotillomania: A comparative approach. Frontiers in Psychology, 7, 199. https://doi.org/10.3389/fpsyg.2016.00199.CrossRefPubMedPubMedCentral

Mansueto, C. S., Stemberger, R. M., Thomas, A. M., & Golomb, R. G. (1997). Trichotillomania: A comprehensive behavioral model. Clinical Psychology Review, 17(5), 567–577. https://doi.org/10.1016/s0272-7358(97)00028-7.CrossRefPubMed

Maraz, A., Hende, B., Urbán, R., & Demetrovics, Z. (2017). Pathological grooming: Evidence for a single factor behind trichotillomania, skin picking and nail biting. PloS One, 12(9), e0183806. https://doi.org/10.1371/journal.pone.0183806.CrossRefPubMedPubMedCentral

Meunier, S. A., Tolin, D. F., & Franklin, M. (2009). Affective and sensory correlates of hair pulling in pediatric trichotillomania. Behavior Modification, 33(3), 396–407.CrossRefPubMed

Moreno-Amador, B., Cervin, M., Martínez-González, A. E., Piqueras, J. A., & OCD-Spectrum Spain Research Group. (2023). Sensory overresponsivity and symptoms across the obsessive-compulsive spectrum: Web-based longitudinal observational study. Journal of Medical Internet Research, 25, e37847. https://doi.org/10.2196/37847.CrossRefPubMedPubMedCentral

Moritz, S., Gallinat, C., Weidinger, S., Bruhns, A., Lion, D., Snorrason, I., Keuthen, N., Schmotz, S., & Penney, D. (2022). The generic BFRB Scale-8 (GBS-8): A transdiagnostic scale to measure the severity of body-focused repetitive behaviours. Behavioural and Cognitive Psychotherapy, 50(6), 620–628. https://doi.org/10.1017/S1352465822000327.CrossRefPubMed

Papadopoulos, N., Riste, L., Whibley, D., & Wrigley, S. (2018). Sensory modulation intervention and affective disorders: A systematic review. Journal of Affective Disorders, 241, 547–564.

Penzel, F. (2003). The hair pulling problem: A complete guide to Trichotillomania. Oxford University Press.

Roberts, S., O’Connor, K., & Bélanger, C. (2013). Emotion regulation and other psychological models for body-focused repetitive behaviors. Clinical Psychology Review, 33(6), 745–762. https://doi.org/10.1016/j.cpr.2013.05.004.CrossRefPubMed

Scheerer, N. E., Curcin, K., Stojanoski, B., Anagnostou, E., Nicolson, R., Kelley, E., Georgiades, S., Liu, X., & Stevenson, R. A. (2021). Exploring sensory phenotypes in autism spectrum disorder. Molecular Autism, 12(1), 67. https://doi.org/10.1186/s13229-021-00471-5.CrossRefPubMedPubMedCentral

Schienle, A., & Wabnegger, A. (2022). Discriminative and affective processing of touch: Associations with severity of skin-picking. Journal of Nonverbal Behavior, 46(4), 537–545. https://doi.org/10.1007/s10919-022-00415-4.CrossRefPubMedPubMedCentral

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The mini-international neuropsychiatric interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59 Suppl 20, 22–57.PubMed

Snorrason, I., Ricketts, E. J., Flessner, C. A., Franklin, M. E., Stein, D. J., & Woods, D. W. (2012). Skin picking disorder is associated with other body-focused repetitive behaviors: Findings from an internet study. Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists, 24(4), 292–299.PubMed

Snorrason, I., Olafsson, R. P., Houghton, D. C., Woods, D. W., & Lee, H. J. (2015). Wanting’ and ‘liking’ skin picking: A validation of the skin picking reward scale. Journal of Behavioral Addictions, 4(4), 250–262. https://doi.org/10.1556/2006.4.2015.033.CrossRefPubMedPubMedCentral

Snorrason, I., Beard, C., Peckham, A. D., & Björgvinsson, T. (2021). Transdiagnostic dimensions in obsessive-compulsive and related disorders: Associations with internalizing and externalizing symptoms. Psychological Medicine, 51(10), 1657–1665. https://doi.org/10.1017/S0033291720000380.CrossRefPubMed

Soriano, J. L., O’Sullivan, R. L., Baer, L., Phillips, K. A., McNally, R. J., & Jenike, M. A. (1996). Trichotillomania and self-esteem: A survey of 62 female hair pullers. The Journal of Clinical Psychiatry, 57(2), 77–82.PubMed

Thye, M. D., Bednarz, H. M., Herringshaw, A. J., Sartin, E. B., & Kana, R. K. (2018). The impact of atypical sensory processing on social impairments in autism spectrum disorder. Developmental Cognitive Neuroscience, 29, 151–167. https://doi.org/10.1016/j.dcn.2017.04.010.CrossRefPubMed

Tucker, B. T., Woods, D. W., Flessner, C. A., Franklin, S. A., & Franklin, M. E. (2011). The skin picking Impact Project: Phenomenology, interference, and treatment utilization of pathological skin picking in a population-based sample. Journal of Anxiety Disorders, 25(1), 88–95. https://doi.org/10.1016/j.janxdis.2010.08.007.CrossRefPubMed

van den Boogert, F., Klein, K., Spaan, P., Sizoo, B., Bouman, Y. H. A., Hoogendijk, W. J. G., & Roza, S. J. (2022). Sensory processing difficulties in psychiatric disorders: A meta-analysis. Journal of Psychiatric Research, 151, 173–180. https://doi.org/10.1016/j.jpsychires.2022.04.020.CrossRefPubMed

Titel: Self-Report Measures of Sensory Phenomena in Body-Focused Repetitive Behaviors: A Comparison to Healthy Controls
Auteurs: Sydney Biscarri Clark
Suzanne Mouton-Odum
Christopher A. Flessner
Emily J. Ricketts
Tara S. Peris
Darin D. Dougherty
Douglas W. Woods
Dan J. Stein
Christine Lochner
Jon E. Grant
Nancy J. Keuthen
John Piacentini
Publicatiedatum: 14-11-2023
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2024
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-023-10448-8

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Background

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 1/2024

Emotional Dysregulation in Skin Picking Disorder

Efficacy of Internet-based, Therapist-Assisted Treatment Programs for Hair Pulling and Skin Picking: Preliminary Results

Moderators and Preliminary Processes of Change in a Randomized Controlled Trial of a Fully Automated, Website Delivering AEBT for Adults with Trichotillomania

Psychometric Properties of Trichotillomania Severity Measures

Clinical Characteristics, Sleep, and Temperament in Infants and Young Children with Problematic Hair Pulling and Skin Picking

Two-year Follow-up of Habit Reversal Training and Decoupling in a Sample with Body-Focused Repetitive Behaviors