Clinical Scorecard: Sexual Functionality Among Adults with Trichotillomania and Skin Picking Disorder

At a Glance

Key Highlights

• 27.1% of participants met criteria for sexual dysfunction.
• Worse skin picking symptoms correlated with lower scores on the Orgasm/Completion subscale.
• No significant association found between sexual dysfunction and current comorbidities or treatment variables.

Guideline-Based Recommendations

Diagnosis

• Assess sexual functioning using the Changes in Sexual Functioning Questionnaire – Short Form (CSFQ-14).

Management

• Further research needed to explore the impact of comorbid disorders on sexual functioning.
• Assess relationship satisfaction as a predictor of sexual functioning.

Monitoring & Follow-up

• Monitor severity of pulling and picking behaviors in relation to sexual functioning.

Risks

• Consider the potential impact of psychiatric medications on sexual dysfunction.

Patient & Prescribing Data

Severity of symptoms may influence sexual functioning, particularly in the orgasm domain, and psychiatric medications may also play a role.

Clinical Best Practices

• Evaluate relationship satisfaction as a predictor of sexual functioning.
• Address self-consciousness related to physical appearance in treatment.
• Further research needed on the impact of comorbid disorders on sexual functioning.

Related Resources & Content

• Study on sexual dysfunction in psychiatric populations