417 citations
,
March 1991 in “American Journal of Psychiatry” Most adult chronic hair pullers are women who started in their early teens, often have other mental health issues, and may pull hair due to underlying psychiatric conditions.
36 citations
,
December 2016 in “Journal of The American Academy of Dermatology” The normal range for the hair pull test is 2 hairs or fewer, and washing or brushing hair before the test does not affect the results.
21 citations
,
April 2015 in “Psychology Research and Behavior Management” Cognitive-behavioral therapy is the best treatment for hair-pulling disorder, and combining it with other therapies could improve results.
12 citations
,
December 2020 in “Journal of The American Academy of Dermatology” The COVID-19 pandemic increased symptoms in people with skin picking and hair pulling disorders.
4 citations
,
December 2020 in “Journal of the American Academy of Dermatology” Pulling 2 or fewer hairs is normal for all hair types, including Afro- and Asian-textured hair.
1 citations
,
March 2024 in “The Journal of Dermatology” A multidisciplinary approach with virtual sessions effectively reduces compulsive hair pulling in young people.
December 2023 in “Minia Journal of Medical Research” Transverse sectioning is more reliable for diagnosing alopecia areata.
July 2021 in “Australasian Journal of Dermatology” The trichoscopy-assisted hair pull test is useful for diagnosing different types of hair loss.
January 2015 in “Springer eBooks” The pull test and wash test are cheap, easy methods to diagnose hair loss.
January 2015 in “The Encyclopedia of Clinical Psychology” Habit reversal training effectively treats hair-pulling disorder in both adults and children.
August 2021 in “Oxford University Press eBooks” New treatments for hair-pulling disorder focus on personalized approaches and combining therapies for better results.
4 citations
,
January 2017 The pull and wash tests are simple, cost-effective ways to diagnose hair loss severity and type.
2 citations
,
April 2019 in “Experimental Dermatology” Hair follicles respond differently to pulling forces in various regions.
May 2022 in “Counseling And Psychological Services Dissertations (Georgia State University)” Chronic hair pulling in African American women may be linked to coping and self-satisfaction.
11 citations
,
August 2016 in “Journal of the European Academy of Dermatology and Venereology” Serial trichoscopy is more reliable than the modified hair pull test for tracking alopecia areata.
3 citations
,
January 2020 in “Annals of Dermatology” More atypical club hairs may indicate Telogen Effluvium.
September 2024 in “Quality in Sport” Trichotillomania is an obsessive-compulsive disorder causing hair pulling, needing complex treatment to prevent serious issues.
February 2026 in “Psychiatria” Stress and emotional suppression can cause hair loss, so addressing both mental and physical health is important.
December 2025 in “British Journal of Dermatology”
January 2020 in “Annals of Dermatology” The document corrects details about examining hair from patients with a hair loss condition called Telogen Effluvium.
May 2018 in “PLATELET RICH PLASMA IN ANDROGENIC ALOPECIA IN MALE AND FEMALE PATIENTS- A MYTH, A PROSPECTIVE STUDY.”
304 citations
,
July 2006 in “Journal of The American Academy of Dermatology” Videodermoscopy improves diagnosis of hair and scalp disorders and may reduce scalp biopsies.
150 citations
,
July 2001 in “Clinics in dermatology” Proper haircare and communication with doctors are key to managing hair loss and avoiding damage.
139 citations
,
July 1991 in “Journal of The American Academy of Dermatology” Understanding hair follicle anatomy helps diagnose hair disorders.
91 citations
,
January 2009 in “International Journal of Trichology” Different hair evaluation methods have their own pros and cons, and using multiple methods together is best for accurate hair loss diagnosis and tracking.
88 citations
,
June 2009 in “Cleveland Clinic Journal of Medicine” To manage diffuse hair loss, identify the cause, improve nutrition, remove triggers, and use specific treatments like minoxidil or finasteride.
86 citations
,
August 2014 in “Journal of The American Academy of Dermatology” To diagnose hair loss, use a systematic approach including history, exams, and tests.
64 citations
,
July 1997 in “Journal of The American Academy of Dermatology” Finding eosinophils near hair bulbs helps diagnose alopecia areata.
51 citations
,
January 2004 in “Skin Pharmacology and Physiology” The document explains hair growth and shedding, factors affecting it, and methods to evaluate hair loss, emphasizing the importance of skin biopsy for diagnosis.
49 citations
,
June 2012 in “Anais Brasileiros de Dermatologia” Hair loss in women is linked to higher depression symptoms.