The Skin Picking Impact Scale (SPIS): Scale Development and Psychometric Analyses (original) (raw)
Related papers
Journal of Anxiety Disorders, 2011
The current study examined the characteristics of pathological skin picking (PSP) in a population-based sample. Participants were recruited through several online resources for PSP and related conditions to complete a web-based survey assessing the functional and topographical phenomenology, physical and psychosocial impact, treatment utilization, and associated psychopathology of PSP. A total of 1663 participants consented, of whom 760 were over 18 and met study criteria for PSP. Results showed considerable heterogeneity in picking methods, body sites, and function (e.g., regulation of emotional, sensory, and cognitive states). Participants generally reported moderate psychosocial and physical impact from picking and tended to perceive available treatment as poor in quality. Severity of associated symptoms of psychopathology (depression, anxiety, and stress) was comparable to severity levels found in previous samples of persons with trichotillomania and obsessive-compulsive disorder. Severity of PSP was a statistically significant predictor of overall impairment after controlling for depression and anxiety symptoms. Results suggest that PSP is a significant public health concern in need of further rigorous investigation.
Psychosomatics, 2000
The prevalence of skin-picking and its associated characteristics were documented in a nonclinical sample of 105 college students. Subjects completed a self-report skin-picking inventory and several paper-and-pencil scales. Students who endorsed skin-picking were compared to a clinical sample of self-injurious skin-pickers (n)13ס reported on previously. Of the student subjects, 78.1% (n)28ס endorsed some degree of skin-picking and four subjects satisfied criteria for severe, self-injurious picking. Student subjects significantly differed from the clinical sample of selfinjurious skin-pickers in the duration, focus, and extent of picking, techniques used, reasons for picking, associated emotions, and picking sequelae.
Skin Picking Phenomenology and Severity Comparison
The Primary Care Companion to The Journal of Clinical Psychiatry, 2008
Prim Care Companion J Clin Psychiatry 2008;10(4) 307 PSYCHIATRIST.COM ited existing literature about the theoretical and phenomenological aspects of this behavior. In our clinical experience, as a behavior, skin picking can range greatly in its severity, level of interference, degree of pathology, and functionality. Moreover, skin picking is often a cause of substantial distress and embarrassment for many individuals. Unfortunately, many patients with skin picking often fail to report it, believing it to be unrelated to therapeutic issues. Consequently, skin picking often goes undiagnosed and thus untreated. Therefore, the purpose of the present study is 2-fold. First, unlike patients in previous psychiatric studies, individuals in the present sample had forms of skin picking that ranged from mild to severe. Therefore, the authors examined whether individuals with mild skin picking differed in their presentation of picking behavior (e.g., emotional experiences related to the picking) from individuals with severe skin picking. It is important to study the broad spectrum of skin picking because the knowledge obtained may be helpful in understanding the course of this behavior as well as assist in preventing the exacerbation of picking once it begins. Furthermore, the distinction between mild and severe skin picking may also help in the resolution of existing diagnostic categorization issues around this symptom as well as help generate more efficacious treatment recommendations.
The Skin Picking Scale-Revised: Factor structure and psychometric properties
Journal of Obsessive-Compulsive and Related Disorders, 2012
The Skin Picking Scale (SPS; ) is a 6-item self-report measure of skin picking disorder (SPD) severity. The current study reports on a psychometric evaluation of a revised eight-item version of the scale (the Skin Picking Scale-Revised; SPS-R). Participants were 652 responders to an Internet survey who met criteria for SPD. Exploratory and confirmatory factor analyses revealed two factors, one assessing impairment and the other symptom severity (4 items each). Both factors demonstrated high internal consistency and convergent/concurrent and discriminant validity. Potential advantages of the SPS-R compared to the original version include elimination of an ambiguous item, improved psychometric properties (e.g. clearer factor structure), and a more comprehensive assessment of the SPD symptom profile.
CNS spectrums, 2018
Evidence suggests that skin picking disorder (SPD) could be a prevalent condition associated with comorbidity and psychosocial dysfunction. However, just a few studies have assessed the prevalence and correlates of SPD in samples from low- and middle-income countries. In addition, the impact of SPD on quality of life (QoL) dimension after multivariable adjustment to potential confounders remains unclear. Data were obtained from a Brazilian anonymous Web-based research platform. Participants provided sociodemographic data and completed the modified Skin Picking-Stanford questionnaire, the Hypomania Checklist (HCL-32), the Patient Health Questionnaire-9 (PHQ-9), the Fagerström Test for Nicotine Dependence, Alcohol Use Disorder Identification Test (AUDIT), Symptom Checklist-90-Revised inventory (SCL-90R), early trauma inventory self report-short form, and the World Health Organization quality of life abbreviated scale (WHOQOL-Bref). Associations were adjusted to potential confounders t...
Validation and Psychometric Properties of the Polish Version of the Skin Picking Scale-Revised
International Journal of Environmental Research and Public Health, 2022
The Skin Picking Scale-Revised (SPS-R) is an 8-item self-report measure of skin picking behaviors. It includes two subscales related to skin picking symptom severity and picking-related impairments. The study aimed to assess the psychometric properties of the Polish version of the SPS-R in a sample of adults reporting skin picking. The sample of 764 participants was recruited from the general population through an online survey. Among them, 159 meet the criteria of pathological skin picking applied in the original SPS-R validation study, and 57 endorsed all of the DSM-5 criteria for excoriation disorder. The SPS-R was back-translated into Polish. Factor structure, reliability, convergent and divergent validity, and diagnostic accuracy were assessed. Confirmatory factor analyses revealed a two-factor structure of the scale. High internal consistency and convergent and divergent validity were confirmed for the total score as well as for the subscales. High prognostic ability of the SP...
Psychiatric Characteristics and Quality of Life in Patients with Pathologic Skin Picking
2008
This study aimed to detail the phenomenology and psychiatric co morbidities in patients with pathologic skin picking (PSP). Method: Forty five subjects (30% males) with PSP (mean± S.D. =33.2±10.9) were assessed. Subjects were assessed for psychiatric co morbidity using General Health Questionnaire (GHQ). The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) was used to assess obsessive compulsive symptoms; the Dermatology quality of life index(DLQI) was utilized to evaluate the quality of life in patients; and clinical severity using Visual Analogue Scale(VAS) was employed for evaluating skin picking behavior. Results: The mean time after (±S.D.) the onset of PSP was 6.6±2.4years. Twenty eight (62.2%) individuals had a bimodal GHQ score higher than five which implied probable mental disorder, and twenty two (48.9%) of the individuals with PSP had significant obsessive compulsive disorder. The severity of impairment of quality of life status was increased with increment of mental disorder severity. Conclusion: PSP appears to be time consuming and frequently associated with psychiatric co morbidities. Considerations should be made on the relationship between psychiatric co morbidity and quality of life in PSP diagnosis and treatment of mental disorders.