%0 Case Reports
%T Treatment of Typically Developing Toddlers with Hair-Pulling Behavior and Concurrent Poor Sleep Hygiene: A Case Series.
%A Fodstad JC
%A Greve KT
%A Curtin MJ
%A Lagges AM
%J J Dev Behav Pediatr
%V 42
%N 8
%D Oct-Nov 2021 1
%M 33734098
%F 2.988
%R 10.1097/DBP.0000000000000946
%X 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.<BR>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.<BR>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.<BR>Identifying factors that may be related or concurrent to hair pulling in young children is vital in ensuring that treatment is individualized and effective.