Hersperger, Chelsea Hetrick. An examination of quality of life in women with compulsive hair pulling. Retrieved from https://doi.org/doi:10.7282/T3XK8D9C
DescriptionThe present study explored how trichotillomania (TTM) impacts women’s lives in a systematic and detailed manner, by allowing participants to elaborate on the idiosyncratic ways in which hair pulling affects them across multiple domains. Fourteen adult women with a mean age of 22.9 (SD = 4.8) having met criteria for problematic hair pulling behaviors accompanied by subjective distress and/or impairment, completed an online series of self-report questionnaires measuring symptoms related to: quality of life (QOL), anxiety, depression and TTM. Eight of these women subsequently completed a follow-up telephone interview to gather qualitative information regarding the impact of hair pulling on their lives. Severity of symptoms on all measures did not significantly differ for women who completed the interviews compared to those who did not. Quantitative results indicated that TTM did not relate to anxiety, depression or QOL using typical self-report measures even though QOL did have an inverse relationship with anxiety and depression. Using grounded theory, six conceptual categories emerged from qualitative analysis of the data as related to women’s QOL: Shame and Secrecy, Appearance, Relationships and Trust, Perceived Benefits, and Acceptance. Each of these categories was further broken down into subcategories to facilitate discussion. The results of the present study suggest that hair pulling has positive, negative and neutral ramifications on women’s lives not typically captured by standard inventories measuring QOL. The effects of hair pulling identified in the study have implications on both research and practice.