{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T12:10:49Z","timestamp":1771243849119,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Hair\u2010Focused Repetitive Behavior Disorders (HFRBDs), commonly associated with trichotillomania (TTM), including hair pulling, manipulation, or ingestion, can cause significant emotional, physical, and social distress. This study aimed to (1) identify hair care\u2010related behaviors among individuals with HFRBDs; (2) explore how these practices relate to hair\u2010pulling behaviors; and (3) examine the potential role of hair professionals in supporting affected individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An online survey was conducted with adult participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009195) who self\u2010identified as having HFRBDs involving scalp hair. The survey assessed hair\u2010pulling behavior, personal and professional hair care routines, and perceived effects of these practices. Both quantitative and qualitative data were collected and analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings showed that constructive hair care practices often coexisted with hair\u2010pulling behaviors. Participants reported that washing (54.1%) and haircutting (34.1%) helped reduce pulling urges, while styling (8.7%) and combing\/brushing (15.4%) had minimal effect. Notably, 27.7% stated that their own touch increased urges, while 9.8% found that another person's touch reduced them. Thematic analysis of 501 open responses revealed categories such as pre\u2010pulling routines, sensory responses to hair texture, and varied experiences with hair salons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study highlights the complex relationship between hair care and HFRBDs. Tailored hair care strategies may offer meaningful support for individuals with HFRBDs and could be integrated into guidance provided by clinicians, dermatologists, and hair professionals. Personalized interventions may improve overall management of the condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71730","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T04:26:38Z","timestamp":1768969598000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hair Care and Hair\u2010Focused Repetitive Behaviors: A Descriptive Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4468-0399","authenticated-orcid":false,"given":"Linda","family":"Hollatz","sequence":"first","affiliation":[{"name":"Clinical Psychology and Psychotherapy, University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6794-5349","authenticated-orcid":false,"given":"Alexander L.","family":"Gerlach","sequence":"additional","affiliation":[{"name":"Clinical Psychology and Psychotherapy, University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112948"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000518191"},{"key":"e_1_2_16_4_1","unstructured":"D.Jenkins(2024). Exploring Coping Strategies Used by Individuals Exhibiting Symptoms of Trichotillomania: A Qualitative STUDy [Master]. Stellenbosch."},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1891\/0889-8391.24.1.46"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.11.001"},{"issue":"2","key":"e_1_2_16_7_1","first-page":"63","article-title":"Trichotillomania","volume":"69","author":"Siddappa K.","year":"2003","journal-title":"Indian Journal of Dermatology, Venereology and Leprology"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2024.100910"},{"key":"e_1_2_16_9_1","unstructured":"World Health Organization. (2019). International Classification of Diseases 11th Revision (ICD\u201011) https:\/\/icd.who.int\/browse11."},{"key":"e_1_2_16_10_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). American Psychiatric Association https:\/\/doi.org\/10.1176\/appi.books.9780890425596.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2016.15111432"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2008.05.002"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0183806"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/vetsci9020089"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852900023567"},{"key":"e_1_2_16_16_1","unstructured":"C. S.Mansueto S. M.Vavricheck andR.Goldfinger Golomb(2020). Overcoming Body\u2010Focused Repetitive Behaviors. A Comprehensive Behavioral Treatment for Hair Pulling and Skin Picking. New Harbinger Publications."},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/1099-9809.6.4.352"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.06.010"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-6185(99)00028-6"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/bin.211"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2001.23134"},{"key":"e_1_2_16_22_1","unstructured":"K.Harrison(2020). How I told my Hair Stylist I have Trichotillomania. [Canadian BFRB Support Network]. The BFRB Guest Blog https:\/\/www.canadianbfrb.org\/2020\/05\/27\/how-i-told-my-hair-stylist-i-have-trichotillomania\/."},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2025.100991"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.1159\/000289003"},{"key":"e_1_2_16_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12219"},{"key":"e_1_2_16_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-007-9073-x"},{"key":"e_1_2_16_27_1","doi-asserted-by":"publisher","DOI":"10.1026\/1616-3443\/a000016"},{"key":"e_1_2_16_28_1","doi-asserted-by":"publisher","DOI":"10.1159\/000360189"},{"key":"e_1_2_16_29_1","unstructured":"A.Bohne(2009). Trichotillomanie. Hogrefe."},{"key":"e_1_2_16_30_1","doi-asserted-by":"publisher","DOI":"10.1159\/000289004"},{"key":"e_1_2_16_31_1","doi-asserted-by":"publisher","DOI":"10.1026\/1616-3443\/a000793"},{"key":"e_1_2_16_32_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_1955_20"},{"key":"e_1_2_16_33_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.032631"},{"key":"e_1_2_16_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2017.10.006"},{"key":"e_1_2_16_35_1","unstructured":"IBM Corp. (2020). IBM SPSS Statistics for Windows (Version 27.0) [Computer software]. IBM Corp."},{"key":"e_1_2_16_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0272-7358(97)00028-7"},{"key":"e_1_2_16_37_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra1103442"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.71730","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.71730","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.71730","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T11:24:35Z","timestamp":1771241075000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.71730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":36,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/hsr2.71730"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.71730","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71730"}}