Trichobezoars in children – A psychological perspective

Trichobezoars or hairballs in the gastrointestinal tract occur as a complication of trichotillomania or compulsive hair pulling, and trichophagia, or compulsive eating of hair. The DSM-5 classifies trichotillomania as an obsessive-compulsive spectrum disorder. In this case series of four children wi...

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Bibliographic Details
Published inAsian journal of psychiatry Vol. 101; p. 104217
Main Authors Kumar, Varun S., Shenoy, Ankitha M., DCunha, Aureen Ruby, Kumar, Shishir, Shenoy, Rathika Damodara
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.11.2024
Subjects
Behaviour therapy
Impulse control disorder
Laparotomy
Obsessive-compulsive
Trichobezoar
Trichophagia
Trichotillomania
Trichobezoar
Impulse control disorder
Obsessive-compulsive
Behaviour therapy
Trichophagia
Laparotomy
Trichotillomania
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Summary:Trichobezoars or hairballs in the gastrointestinal tract occur as a complication of trichotillomania or compulsive hair pulling, and trichophagia, or compulsive eating of hair. The DSM-5 classifies trichotillomania as an obsessive-compulsive spectrum disorder. In this case series of four children with trichobezoar, we present the varied psychopathology that led to the same and discuss the current literature on complex issues underlying trichotillomania. •Trichobezoars can have wide ranging clinical presentation ranging from intestinal obstruction to pancreatitis.•Complex psychopathologies can manifest as trichotillomania and trichophagia which in turn precipitate trichobezoar.•Surgical intervention along with comprehensive psychiatric evaluation is essential to prevent recurrences.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:1876-2018
1876-2026
1876-2026
DOI:10.1016/j.ajp.2024.104217