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Behavior Modification
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Phenomenological Characteristics, Social Problems, and the Economic Impact Associated With Chronic Skin Picking

Christopher A. Flessner

University of Wisconsin-Milwaukee

Douglas W. Woods

University of Wisconsin-Milwaukee

In this study, the authors collected data on the demographic characteristics, phenomenology, and social and economic impact of skin picking. A total of 92 participants completed an anonymous, Internet-based survey through a link to the Trichotillomania Learning Center’s home page. Results indicated that skin pickers experienced social, occupational, and academic impairment, a number of medical or mental health concerns, and financial burdens, which they attributed to skin picking. Results also revealed moderate, statistically significant relationships between skin picking severity and symptoms of depression, anxiety, and experiential avoidance. Subsequent mediational analyses demonstrated that the relationship between skin picking severity and symptoms of anxiety and depression was partially mediated by experiential avoidance. Implications, conclusions, and future areas of research are discussed.

Key Words: skin picking • social impairment • phenomenology • experiential avoidance

Behavior Modification, Vol. 30, No. 6, 944-963 (2006)
DOI: 10.1177/0145445506294083
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This article has been cited by other articles:


Home page
 Behav ModifHome page
C. A. Flessner, A. M. Busch, P. W. Heideman, and D. W. Woods
Acceptance-Enhanced Behavior Therapy (AEBT) for Trichotillomania and Chronic Skin Picking: Exploring the Effects of Component Sequencing
Behav Modif, September 1, 2008; 32(5): 579 - 594.
[Abstract] [PDF]

Home page
 Behav ModifHome page
C. A. Flessner, D. W. Woods, M. E. Franklin, N. J. Keuthen, J. Piacentini, S. E. Cashin, and P. S. Moore
The Milwaukee Inventory for Styles of Trichotillomania-Child Version (MIST-C): Initial Development and Psychometric Properties
Behav Modif, November 1, 2007; 31(6): 896 - 918.
[Abstract] [PDF]