In today's world, Body-focused repetitive behavior has become a topic of great importance and relevance. Since its emergence, it has captured the attention of a large number of individuals, either due to its direct impact on society or due to its influence in different areas. Body-focused repetitive behavior has generated controversy, debate and discussion, and its presence continues to generate interest and curiosity in those who wish to further understand its meaning and scope. In this article, we will explore the different aspects related to Body-focused repetitive behavior, from its origin to its evolution in the present, with the aim of providing a comprehensive and comprehensive view on the topic.
Body-focused repetitive behavior | |
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Dermatillomania (picking of the skin) of the knuckles (via mouth), illustrating disfiguration of the distal and proximal joints of the middle and little fingers |
Body-focused repetitive behavior (BFRB) is an umbrella name for impulse control behaviors involving compulsively damaging one's physical appearance or causing physical injury.
Body-focused repetitive behavior disorders (BFRBDs) in ICD-11 is in development.
BFRB disorders are currently estimated to be under the obsessive-compulsive spectrum. They are also associated with ADHD and anxiety.
The cause of BFRBs is unknown.[citation needed]
Emotional variables may have a differential impact on the expression of BFRBs.
Research has suggested that the urge to repetitive self-injury is similar to a body-focused repetitive behavior but others have argued that for some the condition is more akin to a substance abuse disorder.[citation needed]
Researchers are investigating a possible genetic component.
BFRBs most often begin in late childhood or in the early teens.
Treatment can include behavior modification therapy, medication, and family therapy. The evidence base criteria for BFRBs is strict and methodical. Individual behavioral therapy has been shown as a "probably effective" evidence-based therapy to help with thumb sucking, and possibly nail biting. Cognitive behavioral therapy was cited as experimental evidence based therapy to treat trichotillomania and nail biting; a systematic review found best evidence for habit reversal training and decoupling. Another form of treatment that focuses on mindfulness, stimuli and rewards has proven effective in some people. However, no treatment was deemed well-established to treat any form of BFRBs.
Excoriation disorder, and trichotillomania have been treated with inositol and N-acetylcysteine.
BFRBs are among the most poorly understood, misdiagnosed, and undertreated groups of disorders. BFRBs may affect at least 1 out of 20 people. These collections of symptoms have been known for a number of years, but only recently have appeared in widespread medical literature. Trichotillomania alone is believed to affect 10 million people in the United States.