Evidence map›Paper›PMID 40449230›Full record

ArticlePsychiatry research2025

Investigating the familiality of trichotillomania and excoriation disorder.

Doris Chen, Luis C Farhat, Eli R Lebowitz, Wendy K Silverman, Michael H Bloch, Thomas V Fernandez, Emily Olfson

Abstract read
In one paragraph

Article in Psychiatry research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Doris ChenChild Study Center, Yale University School of Medicine, 230 S. Frontage Rd., New Haven, CT, United States.
Luis C FarhatChild Study Center, Yale University School of Medicine, 230 S. Frontage Rd., New Haven, CT, United States; Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Eli R LebowitzChild Study Center, Yale University School of Medicine, 230 S. Frontage Rd., New Haven, CT, United States.
Wendy K SilvermanChild Study Center, Yale University School of Medicine, 230 S. Frontage Rd., New Haven, CT, United States.
Michael H BlochChild Study Center, Yale University School of Medicine, 230 S. Frontage Rd., New Haven, CT, United States; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Thomas V FernandezChild Study Center, Yale University School of Medicine, 230 S. Frontage Rd., New Haven, CT, United States; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Emily OlfsonChild Study Center, Yale University School of Medicine, 230 S. Frontage Rd., New Haven, CT, United States; Wu Tsai Institute, Yale University, New Haven, CT, USA. Electronic address: emily.olfson@yale.edu.

Funding

Research Training for Medical Students & Physician-Scientists in Child PsychiatryR25MH077823 · NIMH · YALE UNIVERSITY · PI ANDRES S MARTIN · 2006 to 2026
$4.0M
Neurogenetic Investigations of Obsessive-Compulsive DisorderR01MH114927 · NIMH · YALE UNIVERSITY · PI FERNANDEZ, THOMAS V · 2018 to 2022
$2.8M
Neurogenomic Investigations of Trichotillomania and Excoriation DisorderK08MH128665 · NIMH · YALE UNIVERSITY · PI Emily Hunt Olfson · 2022 to 2026
$1.0M
NIMH NIH HHS K08 MH128665NIMH NIH HHS R01 MH114927NIMH NIH HHS R25 MH077823
6 · The paper itself

Abstract

Trichotillomania (TTM) and excoriation disorder (ED) run in families and are thought to have shared etiological underpinnings. Only a few small studies have compared the family history of individuals with TTM, ED, and both conditions. To better understand shared predispositions, we examined self-reported family history of mental health disorders using cross-sectional survey responses from a genetics study of probands ages 4-66 years with TTM only (n = 69), ED only (n = 34), and both conditions (n = 70). Individuals with TTM only reported higher rates of having a first-degree relative with TTM (25 %, 17/69) compared to individuals with ED only (6 %, 2/34) (p = 0.03). Those with ED only reported higher rates of a first-degree relative with ED (41 %, 14/34) compared to individuals with TTM only (13 %, 9/69) (p = 0.002). Individuals with both conditions reported high rates of first-degree relatives with TTM (21 %, 15/70) and ED (39 %, 27/70). All three groups reported high rates of family history of anxiety (48 %-59 %), depression (41 %-49 %), ADHD (23 %-31 %), and OCD (17 %-18 %). Comparing mental health history in parents, there were no significant differences between the parents for TTM or ED, but mothers had higher rates than fathers of anxiety (42 % maternal vs. 18 % paternal) and depression (34 % maternal vs. 14 % paternal) (p-values < 0.001). Our results provide evidence of both shared and distinct predispositions between TTM and ED, highlighting the need for further research on genetic and environmental factors contributing to these conditions.

Indexed as

FamilyTrichotillomaniaAdolescentAdultAgedChildChild, PreschoolCross-Sectional StudiesExcoriation DisorderFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedYoung AdultBody-focused repetitive behaviorsExcoriation disorderFamily historyHair-pullingSkin-pickingTrichotillomania

Identifiers

PMID40449230
PMCPMC12179820

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.