Comorbidity in trichotillomania (hair-pulling disorder): A cluster analytical approach.
Christine LochnerNancy J KeuthenErin E CurleyEsther S TungSarah A ReddenEmily J RickettsChristopher C BauerDouglas W WoodsJon E GrantDan J SteinPublished in: Brain and behavior (2019)
The findings here are useful in emphasizing that while many TTM patients present without comorbidity, depression is present in a substantial proportion of cases. In clinical practice, it is crucial to assess comorbidity, given the links demonstrated here between comorbidity and symptom severity. Additional research is needed to replicate these findings and to determine whether cluster membership based on comorbidity predicts response to treatment.