ReviewIndian journal of psychological medicine2026
Skin Picking Disorder in India: A Systematic Review of Clinical Characteristics, Comorbidities, and Treatment Outcomes from Published Case Reports and Case Series.
Review in Indian journal of psychological medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
Purpose of the review: To characterize the clinical features, comorbidity patterns, and treatment outcomes of skin picking disorder (SPD) in Indian populations based on published case reports and case series. Collection and Analysis of Data: A systematic review and exploratory descriptive meta-analysis of case reports and case series. PubMed/MEDLINE, Embase, PsycINFO, IndMed, Shodhganga, and Google Scholar were searched through 10 December 2025. Titles, abstracts, and full texts were screened independently by two reviewers; disagreements were resolved by consensus. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists for case reports (8 items) and case series (10 items). The primary outcome was pooled treatment response, analyzed using the Freeman-Tukey double arcsine transformation and a DerSimonian-Laird random-effects model, with results treated as exploratory and hypothesis-generating only. Certainty of evidence (CoE) was evaluated using GRADE. Results: Six studies ( Conclusions: The SPD in Indian populations is characterized by elevated, culturally mediated anxiety comorbidity and protracted diagnostic delays. All quantitative estimates are strictly hypothesis-generating, given that the evidence base comprises 10 patients across six case-level studies. Adequately powered prospective trials and integrated psychodermatology services are urgently needed.
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