Abstract：
Hair-pulling disorder is a rare condition with onset most commonly in adolescence and a well-documented association with comorbid psychiatric disorders. Minimal literature currently exists detailing the occurrence and treatment of this condition in young children, particularly less than 5 years old.
This case report describes 2 cases of children (<24 months old) with hair-pulling disorder and concurrent highly disrupted sleep. Treatment aimed at addressing sleep hygiene through parental psychoeducation and training, competing items, and faded naptime/bedtime.
In both children, sleep hygiene intervention yielded significant improvement in sleep disruption patterns and hair-pulling behavior across approximately a 3-month period that maintained at 1- and 3-month follow-ups.
Identifying factors that may be related or concurrent to hair pulling in young children is vital in ensuring that treatment is individualized and effective.
This case report describes 2 cases of children (<24 months old) with hair-pulling disorder and concurrent highly disrupted sleep. Treatment aimed at addressing sleep hygiene through parental psychoeducation and training, competing items, and faded naptime/bedtime.
In both children, sleep hygiene intervention yielded significant improvement in sleep disruption patterns and hair-pulling behavior across approximately a 3-month period that maintained at 1- and 3-month follow-ups.
Identifying factors that may be related or concurrent to hair pulling in young children is vital in ensuring that treatment is individualized and effective.
摘要：
拔毛障碍是一种罕见的疾病，最常见于青春期，并且与并存的精神疾病有充分的文献记载。目前存在很少的文献详细介绍了这种情况在幼儿中的发生和治疗，特别是不到5岁。
本病例报告描述了2例儿童（<24个月大）患有拔毛障碍和并发高度睡眠中断。旨在通过父母的心理教育和培训解决睡眠卫生的治疗，竞争项目，和褪色的午睡/就寝时间。
在两个孩子中，睡眠卫生干预在约3个月的时间内显著改善了睡眠中断模式和拔毛行为,随访1个月和3个月时仍维持.
确定可能与幼儿拔发有关或同时发生的因素对于确保治疗个体化和有效至关重要。
本病例报告描述了2例儿童（<24个月大）患有拔毛障碍和并发高度睡眠中断。旨在通过父母的心理教育和培训解决睡眠卫生的治疗，竞争项目，和褪色的午睡/就寝时间。
在两个孩子中，睡眠卫生干预在约3个月的时间内显著改善了睡眠中断模式和拔毛行为,随访1个月和3个月时仍维持.
确定可能与幼儿拔发有关或同时发生的因素对于确保治疗个体化和有效至关重要。
