Fodstad JC, Greve KT, Curtin MJ, Lagges AM. Treatment of Typically Developing Toddlers with Hair-Pulling Behavior and Concurrent Poor Sleep Hygiene: A Case Series.
J Dev Behav Pediatr 2021;
42:677-681. [PMID:
33734098 DOI:
10.1097/dbp.0000000000000946]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 01/01/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE
Hair-pulling disorder is a rare condition with onset most commonly in adolescence and a well-documented association with comorbid psychiatric disorders. Minimal literature currently exists detailing the occurrence and treatment of this condition in young children, particularly less than 5 years old.
METHOD
This case report describes 2 cases of children (<24 months old) with hair-pulling disorder and concurrent highly disrupted sleep. Treatment aimed at addressing sleep hygiene through parental psychoeducation and training, competing items, and faded naptime/bedtime.
RESULTS
In both children, sleep hygiene intervention yielded significant improvement in sleep disruption patterns and hair-pulling behavior across approximately a 3-month period that maintained at 1- and 3-month follow-ups.
CONCLUSION
Identifying factors that may be related or concurrent to hair pulling in young children is vital in ensuring that treatment is individualized and effective.
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