Cargando…

Excoriation (skin-picking) disorder: a systematic review of treatment options

Although pathological skin-picking has been documented in the medical literature since the 19th century, it has only recently been included as a distinct entity in psychiatric classification systems. In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and the proposed Internati...

Descripción completa

Detalles Bibliográficos
Autores principales: Lochner, Christine, Roos, Annerine, Stein, Dan J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522672/
https://www.ncbi.nlm.nih.gov/pubmed/28761349
http://dx.doi.org/10.2147/NDT.S121138
_version_ 1783252208764059648
author Lochner, Christine
Roos, Annerine
Stein, Dan J
author_facet Lochner, Christine
Roos, Annerine
Stein, Dan J
author_sort Lochner, Christine
collection PubMed
description Although pathological skin-picking has been documented in the medical literature since the 19th century, it has only recently been included as a distinct entity in psychiatric classification systems. In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and the proposed International Classification of Diseases, Eleventh Revision, excoriation (skin-picking) disorder (ED), also known as neurotic excoriation, psychogenic excoriation, or dermatillomania), is described as recurrent picking of skin, leading to skin lesions and significant distress or functional impairment. ED is listed as one of the obsessive–compulsive and related disorders, given its overlap with conditions such as trichotillomania (hair-pulling disorder). Arguably, its inclusion and delineation in the diagnostic nomenclature will lead to increased awareness of the condition, more research, and ultimately in treatment advances. This systematic review aims to provide readers with an up-to-date view of current treatment options for ED. A MEDLINE search of the ED treatment literature was conducted to collate relevant articles published between 1996 and 2017. The findings indicate that a number of randomized controlled trails on ED have now been published, and that current management options include behavioral therapy (habit reversal or acceptance-enhanced behavior therapy), and medication (selective serotonin reuptake inhibitors or N-acetyl cysteine).
format Online
Article
Text
id pubmed-5522672
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-55226722017-07-31 Excoriation (skin-picking) disorder: a systematic review of treatment options Lochner, Christine Roos, Annerine Stein, Dan J Neuropsychiatr Dis Treat Review Although pathological skin-picking has been documented in the medical literature since the 19th century, it has only recently been included as a distinct entity in psychiatric classification systems. In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and the proposed International Classification of Diseases, Eleventh Revision, excoriation (skin-picking) disorder (ED), also known as neurotic excoriation, psychogenic excoriation, or dermatillomania), is described as recurrent picking of skin, leading to skin lesions and significant distress or functional impairment. ED is listed as one of the obsessive–compulsive and related disorders, given its overlap with conditions such as trichotillomania (hair-pulling disorder). Arguably, its inclusion and delineation in the diagnostic nomenclature will lead to increased awareness of the condition, more research, and ultimately in treatment advances. This systematic review aims to provide readers with an up-to-date view of current treatment options for ED. A MEDLINE search of the ED treatment literature was conducted to collate relevant articles published between 1996 and 2017. The findings indicate that a number of randomized controlled trails on ED have now been published, and that current management options include behavioral therapy (habit reversal or acceptance-enhanced behavior therapy), and medication (selective serotonin reuptake inhibitors or N-acetyl cysteine). Dove Medical Press 2017-07-14 /pmc/articles/PMC5522672/ /pubmed/28761349 http://dx.doi.org/10.2147/NDT.S121138 Text en © 2017 Lochner et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Lochner, Christine
Roos, Annerine
Stein, Dan J
Excoriation (skin-picking) disorder: a systematic review of treatment options
title Excoriation (skin-picking) disorder: a systematic review of treatment options
title_full Excoriation (skin-picking) disorder: a systematic review of treatment options
title_fullStr Excoriation (skin-picking) disorder: a systematic review of treatment options
title_full_unstemmed Excoriation (skin-picking) disorder: a systematic review of treatment options
title_short Excoriation (skin-picking) disorder: a systematic review of treatment options
title_sort excoriation (skin-picking) disorder: a systematic review of treatment options
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522672/
https://www.ncbi.nlm.nih.gov/pubmed/28761349
http://dx.doi.org/10.2147/NDT.S121138
work_keys_str_mv AT lochnerchristine excoriationskinpickingdisorderasystematicreviewoftreatmentoptions
AT roosannerine excoriationskinpickingdisorderasystematicreviewoftreatmentoptions
AT steindanj excoriationskinpickingdisorderasystematicreviewoftreatmentoptions