Abstract

BackgroundBody-focused repetitive behaviors (BFRBs) that include skin picking (dermatillomania), hair pulling (trichotillomania) and nail biting (onychophagia), lead to harmful physical and psychological sequelae.The objective was to determine the prevalence of BFRBs among students attending three large medical colleges of Karachi. It is imperative to come up with frequency to design strategies to decrease the burden and adverse effects associated with BFRBs among medical students.MethodsA cross-sectional study was conducted among 210 students attending Aga Khan University, Dow Medical College and Sind Medical College, Karachi, in equal proportion. Data were collected using a pre tested tool, “Habit Questionnaire”. Diagnoses were made on the criteria that a student must be involved in an activity 5 times or more per day for 4 weeks or more. Convenience sampling was done to recruit the participants aged 18 years and above after getting written informed consent.ResultsThe overall prevalence of BFRBs was found to be 46 (22%). For those positive for BFRBs, gender distribution was as follows: females 29 (13.9%) and males 17 (8.1%). Among these students, 19 (9.0%) were engaged in dermatillomania, 28 (13.3%) in trichotillomania and 13 (6.2%) in onychophagia.ConclusionsHigh proportions of BFRBs are reported among medical students of Karachi. Key health messages and interventions to reduce stress and anxiety among students may help in curtailing the burden of this disease which has serious adverse consequences.

Highlights

  • Body-focused repetitive behaviors (BFRBs) that include skin picking, hair pulling and nail biting, lead to harmful physical and psychological sequelae.The objective was to determine the prevalence of BFRBs among students attending three large medical colleges of Karachi

  • High proportions of BFRBs are reported among medical students of Karachi

  • Key health messages and interventions to reduce stress and anxiety among students may help in curtailing the burden of this disease which has serious adverse consequences

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Summary

Introduction

Body-focused repetitive behaviors (BFRBs) that include skin picking (dermatillomania), hair pulling (trichotillomania) and nail biting (onychophagia), lead to harmful physical and psychological sequelae.The objective was to determine the prevalence of BFRBs among students attending three large medical colleges of Karachi. Body-focused repetitive behaviors (BFRBs) that include skin picking (dermatillomania), hair pulling (trichotillomania) and nail biting (onychophagia), lead to harmful physical and psychological sequelae. Body-focused repetitive behaviors (BFRBs) refer to a group of behaviors that include skin picking (dermatillomania), hair pulling (trichotillomania) and nail biting (onychophagia), which result in physical and psychological difficulties [1]. These behaviors for some individuals are referred to as nervous habits [2]. BFRBs most often begin in late childhood or adolescence They are among the most poorly understood, MSc Epidemiology and Biostatistics, Aga Khan University, Karachi 74800, Pakistan misdiagnosed, and under treated groups of disorders

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