@article{ref1,
title="The significance of repetitive hair-pulling behaviors in eating disorders",
journal="Journal of clinical psychology (Hoboken)",
year="2011",
author="Zucker, Nancy and Von Holle, Ann and Thornton, Laura M. and Strober, Michael and Plotnicov, Kathy and Klump, Kelly L. and Brandt, Harry and Crawford, Steve and Crow, Scott and Fichter, Manfred M. and Halmi, Katherine A. and Johnson, Craig and Kaplan, Allan S. and Keel, Pamela and LaVia, Maria and Mitchell, James E. and Rotondo, Alessandro and Woodside, D. Blake and Berrettini, Wade H. and Kaye, Walter H. and Bulik, Cynthia M.",
volume="67",
number="4",
pages="391-403",
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.<p /><p>Language: en</p>",
language="en",
issn="0021-9762",
doi="10.1002/jclp.20770",
url="http://dx.doi.org/10.1002/jclp.20770"
}