{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:35:19Z","timestamp":1784871319729,"version":"3.55.0"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Dissociation involves a lapse in normal perception of reality or awareness; it has Q6 been associated with multiple psychiatric disorders and has been suggested as a contributing factor in trichotillomania and skin picking disorder. This study aimed to explore the relationship between dissociation and trichotillomania and\/or skin picking disorder. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three hundred and seventy adults with trichotillomania, skin picking disorder, or both (aged 18-65 years) were enrolled as part of an online survey. Participants completed a questionnaire on demographics, clinical characteristics, comorbidities, medications, and suicidality. Participants completed the Generic Body-Focused Repetitive Behaviors (BFRB) Scale-8 (GBS-8) and the Dissociative Experience Scale (DES). Regression analysis was used to examine the relationship between DES scores and GBS-8 scores, as well as clinical characteristics. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>DES scores significantly predicted GBS-8 impairment scores, suicidal ideation, non-suicidal self-injury, and suicide attempts. <\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Dissociation may be either a driving force for many with hair pulling or skin picking, or pulling and picking may create a dissociative trance-like state. These findings suggest that dissociation is associated with greater impairment and worse clinical outcomes. Further research may elucidate whether there is benefit in treating dissociation in these patients.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1490785","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T05:13:03Z","timestamp":1743657183000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Dissociation in skin picking disorder and trichotillomania"],"prefix":"10.3389","volume":"16","author":[{"given":"Zharia C.","family":"Crisp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon E.","family":"Grant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,4,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v2.i8.327","article-title":"Dissociative symptoms and dissociative disorders comorbidity in 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