Excoriation (skin-picking) disorder: a systematic review of treatment options

Christine Lochner,1 Annerine Roos,1 Dan J Stein2 1SU/UCT MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, South Africa; 2SU/UCT MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape...

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Autores principales:	Lochner C, Roos A, Stein DJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	excoriation skin-picking treatment habit reversal therapy behavioural therapy pharmacotherapy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/18a32a24202d47dbbcae8d8881542163
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spelling	oai:doaj.org-article:18a32a24202d47dbbcae8d88815421632021-12-02T01:11:47ZExcoriation (skin-picking) disorder: a systematic review of treatment options1178-2021https://doaj.org/article/18a32a24202d47dbbcae8d88815421632017-07-01T00:00:00Zhttps://www.dovepress.com/excoriation-skin-picking-disorder-a-systematic-review-of-treatment-opt-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Christine Lochner,1 Annerine Roos,1 Dan J Stein2 1SU/UCT MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, South Africa; 2SU/UCT MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, South Africa Abstract: Although pathological skin-picking has been documented in the medical literature since the 19th century, it has only recently been included as a distinct entity in psychiatric classification systems. In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and the proposed International Classification of Diseases, Eleventh Revision, excoriation (skin-picking) disorder (ED), also known as neurotic excoriation, psychogenic excoriation, or dermatillomania), is described as recurrent picking of skin, leading to skin lesions and significant distress or functional impairment. ED is listed as one of the obsessive–compulsive and related disorders, given its overlap with conditions such as trichotillomania (hair-pulling disorder). Arguably, its inclusion and delineation in the diagnostic nomenclature will lead to increased awareness of the condition, more research, and ultimately in treatment advances. This systematic review aims to provide readers with an up-to-date view of current treatment options for ED. A MEDLINE search of the ED treatment literature was conducted to collate relevant articles published between 1996 and 2017. The findings indicate that a number of randomized controlled trails on ED have now been published, and that current management options include behavioral therapy (habit reversal or acceptance-enhanced behavior therapy), and medication (selective serotonin reuptake inhibitors or N-acetyl cysteine). Keywords: excoriation, skin-picking, treatment, habit reversal therapy, behavioral therapy, pharmacotherapy, systematic reviewLochner CRoos AStein DJDove Medical Pressarticleexcoriationskin-pickingtreatmenthabit reversal therapybehavioural therapypharmacotherapyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1867-1872 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	excoriation skin-picking treatment habit reversal therapy behavioural therapy pharmacotherapy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	excoriation skin-picking treatment habit reversal therapy behavioural therapy pharmacotherapy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Lochner C Roos A Stein DJ Excoriation (skin-picking) disorder: a systematic review of treatment options
description	Christine Lochner,1 Annerine Roos,1 Dan J Stein2 1SU/UCT MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, South Africa; 2SU/UCT MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, South Africa Abstract: Although pathological skin-picking has been documented in the medical literature since the 19th century, it has only recently been included as a distinct entity in psychiatric classification systems. In the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and the proposed International Classification of Diseases, Eleventh Revision, excoriation (skin-picking) disorder (ED), also known as neurotic excoriation, psychogenic excoriation, or dermatillomania), is described as recurrent picking of skin, leading to skin lesions and significant distress or functional impairment. ED is listed as one of the obsessive–compulsive and related disorders, given its overlap with conditions such as trichotillomania (hair-pulling disorder). Arguably, its inclusion and delineation in the diagnostic nomenclature will lead to increased awareness of the condition, more research, and ultimately in treatment advances. This systematic review aims to provide readers with an up-to-date view of current treatment options for ED. A MEDLINE search of the ED treatment literature was conducted to collate relevant articles published between 1996 and 2017. The findings indicate that a number of randomized controlled trails on ED have now been published, and that current management options include behavioral therapy (habit reversal or acceptance-enhanced behavior therapy), and medication (selective serotonin reuptake inhibitors or N-acetyl cysteine). Keywords: excoriation, skin-picking, treatment, habit reversal therapy, behavioral therapy, pharmacotherapy, systematic review
format	article
author	Lochner C Roos A Stein DJ
author_facet	Lochner C Roos A Stein DJ
author_sort	Lochner C
title	Excoriation (skin-picking) disorder: a systematic review of treatment options
title_short	Excoriation (skin-picking) disorder: a systematic review of treatment options
title_full	Excoriation (skin-picking) disorder: a systematic review of treatment options
title_fullStr	Excoriation (skin-picking) disorder: a systematic review of treatment options
title_full_unstemmed	Excoriation (skin-picking) disorder: a systematic review of treatment options
title_sort	excoriation (skin-picking) disorder: a systematic review of treatment options
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/18a32a24202d47dbbcae8d8881542163
work_keys_str_mv	AT lochnerc excoriationskinpickingdisorderasystematicreviewoftreatmentoptions AT roosa excoriationskinpickingdisorderasystematicreviewoftreatmentoptions AT steindj excoriationskinpickingdisorderasystematicreviewoftreatmentoptions
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Excoriation (skin-picking) disorder: a systematic review of treatment options

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