![]() This article will focus on the therapy approach called Comprehensive Behavioral (ComB) treatment - an approach that is favored by many clinicians. ![]() Luckily, BFRBs can be effectively treated. They are grouped within the diagnostic category of “obsessive compulsive and related disorders.” At one time they were believed to be relatively rare, but current estimates suggest that HPD and SPD occur in 1 % to 4 % of the population, meaning that roughly seven to 26 million people experience a diagnosable BFRB condition in the U.S. These, along with similar behavior patterns that are not formally identified as psychological disorders, such as nail, lip and interior cheek biting, are called “body-focused repetitive behaviors,” or “BFRBs” for short. Skin picking (excoriation) disorder (SPD) and trichotillomania (hair pulling disorder) (HPD) are their official names. Who hasn’t removed hairs, popped a pimple, scratched at scabs or bit a jagged fingernail? But it’s when these behaviors get out of control - when they cause unwanted physical damage or personal distress and can’t be stopped - that they become disorders. ![]() Picking at one’s own skin and pulling out one’s own hair are two relatively common human behaviors. Clinical implications and diagnostic considerations are discussed.Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disordersīy Charles S. Further analyses revealed consistent findings across three separate topographies in which persons with a BFRB for nail biting, mouth chewing, and/or skin picking reported significantly more somatic activity than did persons without a BFRB. Persons with aBFRBreported significantly more somatic activity than persons without a BFRB. Results indicated that 13.7% of the sample met criteria for at least one BFRB, of which the most common topographywas nail biting. ![]() The two purposes of the current study were (a) to determine the prevalence of BFRBs among typically developing persons and (b) to examine the contribution of reported somatic activity to the occurrence of BFRBs. Given the potential consequences associated with these behaviors, it is unfortunate this area has received relatively limited attention. All subjects Allied Health Cardiology & Cardiovascular Medicine Dentistry Emergency Medicine & Critical Care Endocrinology & Metabolism Environmental Science General Medicine Geriatrics Infectious Diseases Medico-legal Neurology Nursing Nutrition Obstetrics & Gynecology Oncology Orthopaedics & Sports Medicine Otolaryngology Palliative Medicine & Chronic Care Pediatrics Pharmacology & Toxicology Psychiatry & Psychology Public Health Pulmonary & Respiratory Medicine Radiology Research Methods & Evaluation Rheumatology Surgery Tropical Medicine Veterinary Medicine Cell Biology Clinical Biochemistry Environmental Science Life Sciences Neuroscience Pharmacology & Toxicology Biomedical Engineering Engineering & Computing Environmental Engineering Materials Science Anthropology & Archaeology Communication & Media Studies Criminology & Criminal Justice Cultural Studies Economics & Development Education Environmental Studies Ethnic Studies Family Studies Gender Studies Geography Gerontology & Aging Group Studies History Information Science Interpersonal Violence Language & Linguistics Law Management & Organization Studies Marketing & Hospitality Music Peace Studies & Conflict Resolution Philosophy Politics & International Relations Psychoanalysis Psychology & Counseling Public Administration Regional Studies Religion Research Methods & Evaluation Science & Society Studies Social Work & Social Policy Sociology Special Education Urban Studies & Planning BROWSE JOURNALSīody-focused repetitive behaviors (BFRBs) such as skin picking or scratching and nail biting can be physically and socially detrimental. ![]()
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