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

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dc.contributor.authorLochner, Christine
dc.contributor.authorRoos, Annerine
dc.contributor.authorStein, Dan
dc.date.accessioned2021-10-08T07:08:27Z
dc.date.available2021-10-08T07:08:27Z
dc.date.issued2017
dc.description.abstractAlthough 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).
dc.identifier.apacitationLochner, C., Roos, A., & Stein, D. (2017). Excoriation (skin-picking) disorder: a systematic review of treatment options. <i>Neuropsychiatric Disease and Treatment</i>, Volume 13(4), 1867 - 1872. http://hdl.handle.net/11427/34585en_ZA
dc.identifier.chicagocitationLochner, Christine, Annerine Roos, and Dan Stein "Excoriation (skin-picking) disorder: a systematic review of treatment options." <i>Neuropsychiatric Disease and Treatment</i> Volume 13, 4. (2017): 1867 - 1872. http://hdl.handle.net/11427/34585en_ZA
dc.identifier.citationLochner, C., Roos, A. & Stein, D. 2017. Excoriation (skin-picking) disorder: a systematic review of treatment options. <i>Neuropsychiatric Disease and Treatment.</i> Volume 13(4):1867 - 1872. http://hdl.handle.net/11427/34585en_ZA
dc.identifier.issn1176-6328
dc.identifier.issn1178-2021
dc.identifier.ris TY - Journal Article AU - Lochner, Christine AU - Roos, Annerine AU - Stein, Dan AB - 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). DA - 2017 DB - OpenUCT DP - University of Cape Town IS - 4 J1 - Neuropsychiatric Disease and Treatment LK - https://open.uct.ac.za PY - 2017 SM - 1176-6328 SM - 1178-2021 T1 - Excoriation (skin-picking) disorder: a systematic review of treatment options TI - Excoriation (skin-picking) disorder: a systematic review of treatment options UR - http://hdl.handle.net/11427/34585 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34585
dc.identifier.vancouvercitationLochner C, Roos A, Stein D. Excoriation (skin-picking) disorder: a systematic review of treatment options. Neuropsychiatric Disease and Treatment. 2017;Volume 13(4):1867 - 1872. http://hdl.handle.net/11427/34585.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceNeuropsychiatric Disease and Treatment
dc.source.journalissue4
dc.source.journalvolumeVolume 13
dc.source.pagination1867 - 1872
dc.source.urihttps://dx.doi.org/10.2147/NDT.S121138
dc.subject.otherexcoriation
dc.subject.otherskin-picking
dc.subject.othertreatment
dc.subject.otherhabit reversal therapy
dc.subject.otherbehavioral therapy
dc.subject.otherpharmacotherapy
dc.subject.othersystematic review
dc.titleExcoriation (skin-picking) disorder: a systematic review of treatment options
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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