{Reference Type}: Case Reports
{Title}: Treatment of Typically Developing Toddlers with Hair-Pulling Behavior and Concurrent Poor Sleep Hygiene: A Case Series.
{Author}: Fodstad JC;Greve KT;Curtin MJ;Lagges AM;
{Journal}: J Dev Behav Pediatr
{Volume}: 42
{Issue}: 8
{Year}: Oct-Nov 2021 1
{Factor}: 2.988
{DOI}: 10.1097/DBP.0000000000000946
{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.<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.