Skip to main content
Top
Published in: Cognitive Therapy and Research 1/2024

14-11-2023 | Original Article

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

Authors: 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

Published in: Cognitive Therapy and Research | Issue 1/2024

Login to get access

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.
Appendix
Available only for authorised users
Literature
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference Dunn, W., & Brown, C. E. (2002). Adolescent-adult sensory profile: user’s manual. Psychological corporation. Dunn, W., & Brown, C. E. (2002). Adolescent-adult sensory profile: user’s manual. Psychological corporation.
go back to reference 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. 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.
go back to reference Guy, W. (1976). Clinical global impressions ECDEU assessment manual for psychopharmacology. National Institute for Mental Health. Guy, W. (1976). Clinical global impressions ECDEU assessment manual for psychopharmacology. National Institute for Mental Health.
go back to reference 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 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
go back to reference 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 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/​S135246582200032​7.CrossRefPubMed
go back to reference 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. 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.
go back to reference Penzel, F. (2003). The hair pulling problem: A complete guide to Trichotillomania. Oxford University Press. Penzel, F. (2003). The hair pulling problem: A complete guide to Trichotillomania. Oxford University Press.
go back to reference 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 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
go back to reference 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., 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
go back to reference 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 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
Metadata
Title
Self-Report Measures of Sensory Phenomena in Body-Focused Repetitive Behaviors: A Comparison to Healthy Controls
Authors
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
Publication date
14-11-2023
Publisher
Springer US
Published in
Cognitive Therapy and Research / Issue 1/2024
Print ISSN: 0147-5916
Electronic ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-023-10448-8

Other articles of this Issue 1/2024

Cognitive Therapy and Research 1/2024 Go to the issue