Work

The impact of mindfulness-based haircuts on individuals affected by trichotillomania and related hair-focused repetitive behavior disorders and their hair-pulling behavior: A pilot study

Year: 2025

Type: article

Abstract: Individuals with Trichotillomania (TTM) or related hair-focused repetitive behaviors engage in recurrent hair pulling that negatively impacts their quality of life. At the same time, hair care remains a central part of their hygiene and beauty routines. This study examined the effects of a mindfulness-based haircut appointment, delivered by trained hair professionals, on pathological hair-pulling behavior. In an open-label intervention study, 43 adult females with TTM completed measures of hair-pulling behavior and maintained hair-pulling diaries for 14 days before and after the appointment. Results showed significant reductions in hair-pulling urges and time spent pulling hair post-appointment, with sustained improvements at 14, 30, and 60 days, as documented in diaries and the Massachusetts General Hospital Hairpulling Scale. Furthermore, participants were satisfied with the appointment, attributing this to the empathy and non-judgmental communication exhibited by the hair professionals. These findings suggest that haircut appointments administered with compassion and understanding may significantly reduce hair-pulling behaviors and improve overall well-being. The results underscore the importance of training hair professionals to provide informed, supportive services to individuals affected by TTM.

Source: Journal of Obsessive-Compulsive and Related Disorders

DOI: 10.1016/j.jocrd.2025.100991

Authors: Linda Hollatz, Alexander L. Gerlach

Institution: University of Cologne

Language: English

Topic: Obsessive-Compulsive Spectrum Disorders

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,490