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Skin Picking Disorder
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DOI：10.1176/appi.ajp.2012.12040508.png)
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摘要
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Although skin picking has been documented in the medical literature since the 19th century, only now is it receiving serious consideration as a DSM psychiatric disorder in discussions for DSM-5. Recent community prevalence studies suggest that skin picking disorder appears to be as common as many other psychiatric disorders, with reported prevalences ranging from 1.4% to 5.4%. Clinical evaluation of patients with skin picking disorder entails a broad physical and psychiatric examination, encouraging an interdisciplinary approach to evaluation and treatment. Approaches to treatment should include cognitive-behavioral therapy (including habit reversal or acceptance-enhanced behavior therapy) and medication (serotonin reuptake inhibitors, N-acetylcysteine, or naltrexone). Based on clinical experience and research findings, the authors recommend several management approaches to skin picking disorder.
Keyword:
OBSESSIVE-COMPULSIVE-DISORDER
DOUBLE-BLIND
PSYCHOGENIC EXCORIATION
OPEN-LABEL
PREVALENCE
PHENOMENOLOGY
INDIVIDUALS
LAMOTRIGINE
POPULATION
FLUOXETINE
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IF:
14.7
论文数:
1.2W
被引数:
3.8W
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