View More View Less
  • 1 Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, USA
  • | 2 Boynton Health Service, University of Minnesota Medical School, Minneapolis, MN, USA
  • | 3 Department of Public Health, Faculty of Health & Medical Sciences, University of Copenhagen, Copenhagen, Denmark
  • | 4 Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL, USA
  • | 5 Department of Psychiatry, University of Minnesota, 2450 Riverside Ave, F282/2A, West Minneapolis, MN, 55454, USA
Open access


Background and aims

Hair pulling is a common body focused repetitive behavior. The purpose of this paper is to examine the prevalence of impulse control disorders (as defined in DSM-IV-TR) in a non-treatment seeking sample of hair pullers.


1,717 college students with (n = 44) and without (n = 1673) hair pulling completed a mental health survey. The college students were sent an online survey assessing hair pulling behavior and other impulse control disorders using the Minnesota Impulsive Disorders Interview.


Students with hair pulling were significantly more likely to have a co-occurring impulse control disorder (20.5% vs. 8.9%, p = 0.009, OR = 2.71, CI = 1.28–5.75) and were significantly more likely to meet criteria for compulsive buying, compulsive sexual behavior and intermittent explosive disorder than students without hair pulling. Differences seemed to be moderated by the male gender among students with hair pulling.

Discussion and conclusions

Hair pulling is often comorbid with another impulse control disorder, which suggests that elements of impulsivity may be important in our understanding of hair pulling. Furthermore, gender may moderate impulse control comorbidity in hair pulling disorder.

  • American Psychiatric Association 2013 Diagnostic and statistical manual of mental disorders 5th ed. Author Arlington, VA.

  • American Psychiatric Association 2000 Diagnostic and statistical manual of mental disorders 4th ed. Author Washington, DC.

  • Y. Baruch B. Holtom 2008 Survey response rate levels and trends in organizational research Human Relations 61 8 1139 1160.

  • O. J. Bienvenu J. F. Samuels L. A. Wuyek K. Y. Liang Y. Wang M. A. Grados B. A. Cullen M. A. Riddle B. D. Greenberg S. A. Rasmussen A. J. Fyer A. Pinto S. L. Rauch D. L. Pauls J. T. McCracken J. Piacentini D. L. Murphy J. A. Knowles G. Nestadt 2012 Is obsessive-compulsive disorder an anxiety disorder, and what, if any, are spectrum conditions? A family study perspective Psychological Medicine 42 1 1 13.

    • Search Google Scholar
    • Export Citation
  • S. R. Chamberlain N. A. Fineberg A. D. Blackwell T. W. Robbins B. J. Sahakian 2006 Motor inhibition and cognitive flexibility in obsessive-compulsive disorder and trichotillomania American Journal of Psychiatry 163 7 1282 1284.

    • Search Google Scholar
    • Export Citation
  • S. R. Chamberlain B. L. Odlaug V. Boulougouris N. A. Fineberg J. E. Grant 2009 Trichotillomania: Neurobiology and treatment Neuroscience Biobehavioral Review 33 6 831 842.

    • Search Google Scholar
    • Export Citation
  • G. A. Christenson T. Mackenzie J. Mitchell 1994 Adult men and women with trichotillomania A comparison of male and female characteristics. Psychosomatics 35 2 142 149.

    • Search Google Scholar
    • Export Citation
  • G. A. Christenson R. L. Pyle J. E. Mitchell 1991 Estimated lifetime prevalence of trichotillomania in college students Journal of Clinical Psychiatry 52 10 415 417.

    • Search Google Scholar
    • Export Citation
  • G. J. Diefenbach D. F. Tolin S. Hannan J. Crocetto P. Worhunsky 2005 Trichotillomania: Impact on psychosocial functioning and quality of life Behavioral Research and Therapy 43 7 869 884.

    • Search Google Scholar
    • Export Citation
  • D. C. Duke M. L. Keeley E. J. Ricketts G. R. Geffken E. A. Storch 2010 The phenomenology of hairpulling in college students Journal of Psychopathology and Behavorial Assessment 32 2 281 292.

    • Search Google Scholar
    • Export Citation
  • C. A. Flessner V. S. Knopik J. McGeary 2012 Hair pulling disorder (trichotillomania): Genes, neurobiology, and model for understanding impulsivity and compulsivity Psychiatry Research 199 3 151 158.

    • Search Google Scholar
    • Export Citation
  • M. E. Franklin A. L. Edson D. A. Ledley S. P. Cahill 2011 Behavior therapy for pediatric trichotillomania: A randomized controlled trial Journal of the American Academy of Child and Adolescent Psychiatry 50 8 763 771.

    • Search Google Scholar
    • Export Citation
  • J. E. Grant 2008 Impulse control disorders: A clinician's guide to understanding and treating behavioral addictions Norton Press New York.

    • Search Google Scholar
    • Export Citation
  • J. E. Grant B. L. Odlaug S. R. Chamberlain 2011 A cognitive comparison of pathological skin picking and trichotillomania Journal of Psychological Research 45 12 1634 1638.

    • Search Google Scholar
    • Export Citation
  • J. E. Grant B. L. Odlaug S. R. Chamberlain N. J. Keuthen C. Lochner D. J. Stein 2012 Skin picking disorder American Journal of Psychiatry 169 11 1143 1149.

    • Search Google Scholar
    • Export Citation
  • S. Holm 1979 A simple sequentially rejective multiple test procedure Scandinavian Journal of Statistics 6 2 65 70.

  • C. Lochner S. Seedat D.J. Stein 2010 Chronic hair-pulling: Phenomenology-based subtypes Journal of Anxiety Disorders 24 2 196 202.

  • C. Lochner D. Simeon D. Niehaus D. Stein 2002 Trichotillomania and skin-picking: A phenomenological comparison Depression and Anxiety 15 2 83 86.

    • Search Google Scholar
    • Export Citation
  • C. S. Mansueto A. M. Thomas A. L. Brice 2007 Hair pulling and its affective correlates in an African-American university sample Journal of Anxiety Disorders 21 4 590 599.

    • Search Google Scholar
    • Export Citation
  • R. G. Miltenberger J. Rapp E. Long 2001 Characteristics of trichotillomania D. Woods R. Miltenberger Tic disorders, trichotillomania, and other repetitive behavior disorders Springer New York, NY 133 150.

    • Search Google Scholar
    • Export Citation
  • B. L. Odlaug J. E. Grant 2008 Trichotillomania and pathological skin picking: Clinical comparison with an examination of comorbidity Annals of Clinical Psychiatry 20 2 57 63.

    • Search Google Scholar
    • Export Citation
  • B. L. Odlaug J. E. Grant 2010 Impulse-control disorders in a college sample: Results from the self-administered Minnesota Impulse Disorders Interview (MIDI) Primary Care Companion — Journal of Clinical Psychiatry 12 2 PCC.09 00842.

    • Search Google Scholar
    • Export Citation
  • Snorrason E. L. Belleau D. W. Woods 2012 How related are hair pulling disorder (trichotillomania) and skin picking disorder? A review of evidence for comorbidity, similarities, and shared etiology Clinical Psychology Review 32 7 618 629.

    • Search Google Scholar
    • Export Citation
  • Snorrason J. Smári R. P. Ólafsson 2011 Motor inhibition, reflection impulsivity, and trait impulsivity in pathological skin picking Behavorial Therapy 42 3 521 532.

    • Search Google Scholar
    • Export Citation
  • M. L. Sulkowski A. Mariaskin E. A. Storch 2011 Obsessive-compulsive spectrum disorder symptoms in college students Journal of American College Heath 59 5 342 348.

    • Search Google Scholar
    • Export Citation
  • P. Van Horn K. Green M. Martinussen 2009 Survey response rates and survey administration in counseling and clinical psychology: A meta-analysis Educational and Psychological Measurement 69 3 389 403.

    • Search Google Scholar
    • Export Citation
The author instruction is available in PDF.
Please, download the file from HERE

Dr. Zsolt Demetrovics
Institute of Psychology, ELTE Eötvös Loránd University
Address: Izabella u. 46. H-1064 Budapest, Hungary
Phone: +36-1-461-2681

Indexing and Abstracting Services:

  • Web of Science [Science Citation Index Expanded (also known as SciSearch®)
  • Journal Citation Reports/Science Edition
  • Social Sciences Citation Index®
  • Journal Citation Reports/ Social Sciences Edition
  • Current Contents®/Social and Behavioral Sciences
  • GoogleScholar
  • PsychInfo
  • PubMed Central
  • Medline
  • CABI
Total Cites 4024
Impact Factor
Rank by Psychiatry (SSCI) 12/143 (Q1)
Impact Factor Psychiatry 19/156 (Q1)
Impact Factor 6,052
Journal Self Cites
5 Year 8,735
Impact Factor
Journal  1,48
Citation Indicator  
Rank by Journal  Psychiatry 24/250 (Q1)
Citation Indicator   
Citable 86
Total 74
Total 12
Scimago 47
Scimago 2,265
Journal Rank
Scimago Clinical Psychology Q1
Quartile Score Psychiatry and Mental Health Q1
  Medicine (miscellaneous) Q1
Scopus 3593/367=9,8
Scite Score  
Scopus Clinical Psychology 7/283 (Q1)
Scite Score Rank Psychiatry and Mental Health 22/502 (Q1)
Scopus 2,026
Days from  38
to 1st decision  
Days from  37
to publication  
Acceptance 31%

Total Cites
2 184
Impact Factor 5,143
Impact Factor
Journal Self Cites
5 Year
Impact Factor
Article Influence
% Articles
Citable Items
Journal Rank
Scite Score
Scite Score Rank
Cllinical Psychology 16/275 (Q1)
Medicine (miscellenous) 31/219 (Q1)
Psychiatry and Mental Health 47/506 (Q1)


Journal of Behavioral Addictions
Publication Model Gold Open Access
Submission Fee none
Article Processing Charge 850 EUR/article
Printed Color Illustrations 40 EUR (or 10 000 HUF) + VAT / piece
Regional discounts on country of the funding agency World Bank Lower-middle-income economies: 50%
World Bank Low-income economies: 100%
Further Discounts Editorial Board / Advisory Board members: 50%
Corresponding authors, affiliated to an EISZ member institution subscribing to the journal package of Akadémiai Kiadó: 100%
Subscription Information Gold Open Access
Purchase per Title  

Journal of Behavioral Addictions
Language English
Size A4
Year of
2021 Volume 10
per Year
per Year
Founder Eötvös Loránd Tudományegyetem
H-1053 Budapest, Hungary Egyetem tér 1-3.
Publisher Akadémiai Kiadó
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Chief Executive Officer, Akadémiai Kiadó
ISSN 2062-5871 (Print)
ISSN 2063-5303 (Online)

Senior editors

Editor(s)-in-Chief: Zsolt DEMETROVICS

Assistant Editor(s): Csilla ÁGOSTON

Associate Editors

  • Judit BALÁZS (ELTE Eötvös Loránd University, Hungary)
  • Joel BILLIEUX (University of Lausanne, Switzerland)
  • Matthias BRAND (University of Duisburg-Essen, Germany)
  • Anneke GOUDRIAAN (University of Amsterdam, The Netherlands)
  • Daniel KING (Flinders University, Australia)
  • Ludwig KRAUS (IFT Institute for Therapy Research, Germany)
  • H. N. Alexander LOGEMANN (ELTE Eötvös Loránd University, Hungary)
  • Anikó MARÁZ (Humboldt University of Berlin, Germany)
  • Astrid MÜLLER (Hannover Medical School, Germany)
  • Marc N. POTENZA (Yale University, USA)
  • Hans-Jurgen RUMPF (University of Lübeck, Germany)
  • Attila SZABÓ (ELTE Eötvös Loránd University, Hungary)
  • Róbert URBÁN (ELTE Eötvös Loránd University, Hungary)
  • Aviv M. WEINSTEIN (Ariel University, Israel)

Editorial Board

  • Max W. ABBOTT (Auckland University of Technology, New Zealand)
  • Elias N. ABOUJAOUDE (Stanford University School of Medicine, USA)
  • Hojjat ADELI (Ohio State University, USA)
  • Alex BALDACCHINO (University of Dundee, United Kingdom)
  • Alex BLASZCZYNSKI (University of Sidney, Australia)
  • Kenneth BLUM (University of Florida, USA)
  • Henrietta BOWDEN-JONES (Imperial College, United Kingdom)
  • Beáta BÖTHE (University of Montreal, Canada)
  • Wim VAN DEN BRINK (University of Amsterdam, The Netherlands)
  • Gerhard BÜHRINGER (Technische Universität Dresden, Germany)
  • Sam-Wook CHOI (Eulji University, Republic of Korea)
  • Damiaan DENYS (University of Amsterdam, The Netherlands)
  • Jeffrey L. DEREVENSKY (McGill University, Canada)
  • Naomi FINEBERG (University of Hertfordshire, United Kingdom)
  • Marie GRALL-BRONNEC (University Hospital of Nantes, France)
  • Jon E. GRANT (University of Minnesota, USA)
  • Mark GRIFFITHS (Nottingham Trent University, United Kingdom)
  • Heather HAUSENBLAS (Jacksonville University, USA)
  • Tobias HAYER (University of Bremen, Germany)
  • Susumu HIGUCHI (National Hospital Organization Kurihama Medical and Addiction Center, Japan)
  • David HODGINS (University of Calgary, Canada)
  • Eric HOLLANDER (Albert Einstein College of Medicine, USA)
  • Jaeseung JEONG (Korea Advanced Institute of Science and Technology, Republic of Korea)
  • Yasser KHAZAAL (Geneva University Hospital, Switzerland)
  • Orsolya KIRÁLY (Eötvös Loránd University, Hungary)
  • Emmanuel KUNTSCHE (La Trobe University, Australia)
  • Hae Kook LEE (The Catholic University of Korea, Republic of Korea)
  • Michel LEJOXEUX (Paris University, France)
  • Anikó MARÁZ (Eötvös Loránd University, Hungary)
  • Giovanni MARTINOTTI (‘Gabriele d’Annunzio’ University of Chieti-Pescara, Italy)
  • Frederick GERARD MOELLER (University of Texas, USA)
  • Daniel Thor OLASON (University of Iceland, Iceland)
  • Nancy PETRY (University of Connecticut, USA)
  • Bettina PIKÓ (University of Szeged, Hungary)
  • Afarin RAHIMI-MOVAGHAR (Teheran University of Medical Sciences, Iran)
  • József RÁCZ (Hungarian Academy of Sciences, Hungary)
  • Rory C. REID (University of California Los Angeles, USA)
  • Marcantanio M. SPADA (London South Bank University, United Kingdom)
  • Daniel SPRITZER (Study Group on Technological Addictions, Brazil)
  • Dan J. STEIN (University of Cape Town, South Africa)
  • Sherry H. STEWART (Dalhousie University, Canada)
  • Attila SZABÓ (Eötvös Loránd University, Hungary)
  • Ferenc TÚRY (Semmelweis University, Hungary)
  • Alfred UHL (Austrian Federal Health Institute, Austria)
  • Johan VANDERLINDEN (University Psychiatric Center K.U.Leuven, Belgium)
  • Alexander E. VOISKOUNSKY (Moscow State University, Russia)
  • Kimberly YOUNG (Center for Internet Addiction, USA)


Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Apr 2021 0 4 3
May 2021 0 1 1
Jun 2021 0 4 3
Jul 2021 0 6 8
Aug 2021 0 4 3
Sep 2021 0 9 7
Oct 2021 0 0 0