{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T00:31:39Z","timestamp":1760747499567,"version":"build-2065373602"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"abstract":"<jats:p>Trichotillomania (TTM, ang. hair\u2010pulling disorder) to zaburzenie, kt\u00f3re charakteryzuje si\u0119 niekontrolowanym i uporczywym przymusem wyrywania w\u0142asnych w\u0142os\u00f3w, skutkuj\u0105ce zauwa\u017calnym ubytkiem ow\u0142osienia. Zaliczane jest do grupy zaburze\u0144 zachowania skoncentrowanych na ciele (BFRBDs ang. Body-focused repetitive behavior disorders). TTM znacz\u0105co wp\u0142ywa na jako\u015b\u0107 \u017cycia (wyst\u0105pienie poczucia w\u0142asnej nieatrakcyjno\u015bci, nisk\u0105 samoocen\u0119, niezadowolenie z wygl\u0105du w\u0142asnego cia\u0142a, towarzysz\u0105ce temu uczucie wstydu, za\u017cenowania), przyczynia si\u0119 do znacznego cierpienia i upo\u015bledzenia funkcjonowania w \u017cyciu spo\u0142ecznym i zawodowym. TTM cz\u0119sto wsp\u00f3\u0142wyst\u0119puje z innymi zaburzeniami psychicznymi, jest zbyt rzadko rozpoznawana i cz\u0119sto nieefektywnie leczona. W artykule opisano skuteczne leczenie arypiprazolem u 38-letniej pacjentki cierpi\u0105cej od dzieci\u0144stwa na wsp\u00f3\u0142wyst\u0119puj\u0105ce, powtarzaj\u0105ce si\u0119 zaburzenia zachowania skupione na ciele. U pacjentki rozpoznano wsp\u00f3\u0142wyst\u0119puj\u0105ce zaburzenia psychiczne (depresj\u0119, zaburzenia osobowo\u015bci BNO). Opisywana wielokrotnie przerywa\u0142a terapi\u0119, stanowi\u0142a przypadek trudny do leczenia. Prawid\u0142owo dobrana farmakoterapia, wzmocniona ch\u0119\u0107 leczenia i motywacja do zaanga\u017cowania w psychoterapi\u0119 stanowi\u0142y elementy wp\u0142ywaj\u0105ce na popraw\u0119 psychofizyczn\u0105 zdrowia pacjentki oraz ust\u0105pienia objaw\u00f3w TTM.<\/jats:p>","DOI":"10.12740\/pp\/onlinefirst\/207614","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T17:07:22Z","timestamp":1760720842000},"source":"Crossref","is-referenced-by-count":0,"title":["Trichotillomania"],"prefix":"10.12740","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1875-042X","authenticated-orcid":false,"given":"Piotr","family":"Januszko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0825-3155","authenticated-orcid":false,"given":"Alicja Maja","family":"Aluchna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7268-1760","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Supi\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2453-5320","authenticated-orcid":false,"given":"Anna Marianna","family":"Mach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3524-8300","authenticated-orcid":false,"given":"Joanna","family":"Miecznik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0371-474X","authenticated-orcid":false,"given":"Agnieszka","family":"Radziwonka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6010-6761","authenticated-orcid":false,"given":"Maria","family":"Radziwon-Zaleska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2025,10,17]]},"container-title":["Psychiatria Polska"],"original-title":[],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-207614-131498","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-207614-131498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T17:07:22Z","timestamp":1760720842000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Trichotillomania,207614,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,17]]},"references-count":0,"alternative-id":["207614"],"URL":"https:\/\/doi.org\/10.12740\/pp\/onlinefirst\/207614","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"value":"0033-2674","type":"print"},{"value":"2391-5854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,17]]}}}