{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:34:07Z","timestamp":1777466047598,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,3,11]],"date-time":"2009-03-11T00:00:00Z","timestamp":1236729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav Modif"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:p>Hair pulling in pediatric populations has not received adequate empirical study. Investigations of the affective and sensory states contributing to the etiology and maintenance of hair pulling may help to elucidate the classification of trichotillomania (TTM) as an impulse control disorder or obsessive-compulsive spectrum disorder. The current study aimed to examine children's self-reported affective and sensory states associated with hair pulling. Fifteen participants completed a questionnaire assessing children's experiences during first and recent hair pulling episodes. Results revealed that pulling hair for the first time was associated with pleasure and pain whereas recent hair pulling was associated with pleasure only, suggesting that the punishing quality of hair pulling may diminish over time. The findings also support the notion that hair pulling may be maintained primarily through positive reinforcement, which is consistent with its classification as an impulse control disorder.<\/jats:p>","DOI":"10.1177\/0145445508326260","type":"journal-article","created":{"date-parts":[[2009,1,12]],"date-time":"2009-01-12T21:40:37Z","timestamp":1231796437000},"page":"396-407","source":"Crossref","is-referenced-by-count":23,"title":["Affective and Sensory Correlates of Hair Pulling in Pediatric Trichotillomania"],"prefix":"10.1177","volume":"33","author":[{"given":"Suzanne A.","family":"Meunier","sequence":"first","affiliation":[{"name":"Anxiety Disorders Center, The Institute of Living\/Hartford Hospital,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David F.","family":"Tolin","sequence":"additional","affiliation":[{"name":"Yale University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Franklin","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,3,11]]},"reference":[{"key":"atypb1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association.","year":"2000","edition":"4"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(73)90119-8"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1097\/00004714-199512000-00012"},{"key":"atypb4","first-page":"176","volume":"90","author":"Chang, C.H.","year":"1991","journal-title":"Journal of the Formoson Medical Association"},{"key":"atypb5","volume-title":"New Research Program and Abstracts of the 150th Annual Meeting of the American Psychiatric Association","author":"Christenson, G.A."},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.148.3.365"},{"key":"atypb7","unstructured":"Christenson, G.A. & Mansueto, C.S. (1999). Trichotillomania: Descriptive characteristics and phenomenology. In E. Hollander (Ed.), Trichotillomania (pp. 1-41). Washington, DC : American Psychiatric Press."},{"key":"atypb8","first-page":"415","volume":"52","author":"Christenson, G.A.","year":"1991","journal-title":"Journal of Clinical Psychiatry"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(94)90634-3"},{"key":"atypb10","first-page":"319","volume":"56","author":"Cohen, L.J.","year":"1995","journal-title":"Journal of Clinical Psychiatry"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(02)00006-2"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.06.010"},{"key":"atypb13","volume-title":"Symposium presented","author":"Diefenbach, G.J."},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-007-9073-x"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1177\/0145445507302521"},{"key":"atypb16","volume-title":"The Child and Adolescent Trichotillomania Impact Project (CA-TIP): Phenomenology, functional impairment, comorbidity, and treatment utilization","author":"Franklin, M.E.","year":"2007"},{"key":"atypb17","unstructured":"Franklin, M.E., Tolin, D.F. & Diefenbach, G.J. (2006). Trichotillomania. In D. J. Stein (Ed.), Clinical manual of impulse control disorders (pp. 149-173). Washington, DC: American Psychiatric Press."},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5846(02)00204-X"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1007\/BF02353354"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(72)80003-2"},{"issue":"8","key":"atypb21","first-page":"3","volume":"57","author":"Hollander, E.","year":"1996","journal-title":"Journal of Clinical Psychiatry"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199511000-00011"},{"key":"atypb23","volume-title":"Presented to Association for Advancement of Behavior Therapy","author":"Mansueto, C.S."},{"key":"atypb24","volume-title":"Paper presented at the Annual Meeting of the Association for Behavioral and Cognitive Therapies","author":"Meunier, S.A."},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v61n0111"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199201000-00020"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(73)90003-X"},{"key":"atypb28","first-page":"72","volume":"54","author":"Rothbaum, B.O.","year":"1993","journal-title":"Journal of Clinical Psychiatry"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1970.tb06830.x"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.3109\/10401239409148996"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(92)90094-W"},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-6185(99)00028-6"},{"key":"atypb33","doi-asserted-by":"publisher","DOI":"10.1016\/S0193-953X(18)30208-9"},{"key":"atypb34","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198908243210803"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-007-0092-3"},{"key":"atypb36","doi-asserted-by":"publisher","DOI":"10.1080\/16506070701223230"},{"key":"atypb37","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.5.517"},{"key":"atypb38","first-page":"157","volume":"22","author":"van Nes, J.J.","year":"1986","journal-title":"Journal of the American Animal Hospital Association"},{"key":"atypb39","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v67n1207"}],"container-title":["Behavior Modification"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445508326260","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445508326260","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:27:28Z","timestamp":1777382848000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145445508326260"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,3,11]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,5]]}},"alternative-id":["10.1177\/0145445508326260"],"URL":"https:\/\/doi.org\/10.1177\/0145445508326260","relation":{},"ISSN":["0145-4455","1552-4167"],"issn-type":[{"value":"0145-4455","type":"print"},{"value":"1552-4167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,3,11]]}}}