Paediatria Croatica, Vol. 58 No. 4, 2014.
Recenzija, Prikaz slučaja
https://doi.org/10.13112/PC.2014.57
Trichotillomania and comorbidity in adolescents: two case reports
Aleksandra Klobučar
; Klinika za dječje bolesti Zagreb
Nenad Jakušić
Aran Tomac
Vera Folnegović Šmalc
Sažetak
Trichotillomania (TTM) is a relatively rare disorder. In recent editions of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-V, 2013), TTM is classifi ed in the group including obsessive-compulsive and related disorders. TTM also has some
characteristics of the disorders of impulses and habits. Initially, TTM symptoms usually occur during adolescence. The clinical
picture in children and adolescentsis often complicated by the presence of comorbidity. In children and adolescents, the most
common comorbidity is in the domain of aff ect, specifi cally depression and anxiety. Rarely described comorbidities are tics, hyperkinetic
disorder, obsessive-compulsive disorder, various forms of regressive behavior, and some others. In the two cases
reported, recognizing TTM was impeded. Specifi cally, children and adolescentsreluctantly acknowledge TTM, so recognizing
and further treatment was in many ways multidisciplinary and depended on the comorbidity. In the fi rst case, the etiopathogenesis
is mostly emotional. In the second case, the associated disorder is from the group of neurodevelopmental disorders.
The choice of psychotherapeutic techniques and broader approach to the treatment entirely depended on the comorbidity
and also required cooperation of experts from other areas of pediatric medicine. We believe that research should persistently
be focused on discovering direct and other relationships of TTM and comorbidity in order to allow for the most appropriate
and eff ective recognizing and treatment of this disorder.
Ključne riječi
adolescent; comorbidity; trichotillomania
Hrčak ID:
142384
URI
Datum izdavanja:
23.12.2014.
Posjeta: 3.138 *