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Background <p>Trichotillomania is a common psychiatric disorder in children, and the social stigma associated with the disorder and the challenges of caregiving often induce shame among parents. This study aims to investigate shame and its influencing factors among parents of children with trichotillomania, to provide a scientific basis for clinical family management.</p> Methods <p>A crosssectional survey was conducted among parents of children with trichotillomania treated in our hospital. The general information questionnaire and the Family Version of the Child Chronic Disorder Shame Scale were used for data collection. Univariate analysis, correlation analysis, and multiple linear regression analysis were conducted to explore the influencing factors of parental shame. Clinical trial number: not applicable.</p> Results <p>A total of 228 parents of children with trichotillomania were included. The overall mean score of shame among the parents was 2.98 ± 0.40. Parental age, educational level, place of residence, trichotillomaniarelated knowledge training experience, and the child’s disorder duration were independent influencing factors of parental shame (all <i>p</i> &lt; 0.05). Parental educational level had the largest standardized regression coefficient (β’=0.389), while knowledge training experience served as a protective factor. The model explained 60.2% of the variance in shame scores (adjusted R<sup>2</sup> = 0.602), with no severe multicollinearity (VIF &lt; 1.5).</p> Conclusion <p>Parents of children with trichotillomania experience a moderate level of shame, which appears to be associated with multiple factors including parental demographic characteristics, disorderrelated knowledge, and the child’s disorder duration. These findings suggest that targeted strategies—such as plainlanguage education for parents with lower educational levels, early postdiagnosis support, structured psychoeducation, peer support for younger parents, and telemedicine outreach for rural families—may help alleviate parental shame and enhance the quality of family care. Further research with longitudinal designs and multicenter samples is warranted to confirm these associations.</p>

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Shame among parents of children with trichotillomania: influencing factors and management strategies

  • 期刊论文

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  • 发表日期：

    2026年5月13日

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  • Hongye Zhang,
  • Min Li,
  • Fei Wang

摘要

Background

Trichotillomania is a common psychiatric disorder in children, and the social stigma associated with the disorder and the challenges of caregiving often induce shame among parents. This study aims to investigate shame and its influencing factors among parents of children with trichotillomania, to provide a scientific basis for clinical family management.

Methods

A crosssectional survey was conducted among parents of children with trichotillomania treated in our hospital. The general information questionnaire and the Family Version of the Child Chronic Disorder Shame Scale were used for data collection. Univariate analysis, correlation analysis, and multiple linear regression analysis were conducted to explore the influencing factors of parental shame. Clinical trial number: not applicable.

Results

A total of 228 parents of children with trichotillomania were included. The overall mean score of shame among the parents was 2.98 ± 0.40. Parental age, educational level, place of residence, trichotillomaniarelated knowledge training experience, and the child’s disorder duration were independent influencing factors of parental shame (all p < 0.05). Parental educational level had the largest standardized regression coefficient (β’=0.389), while knowledge training experience served as a protective factor. The model explained 60.2% of the variance in shame scores (adjusted R2 = 0.602), with no severe multicollinearity (VIF < 1.5).

Conclusion

Parents of children with trichotillomania experience a moderate level of shame, which appears to be associated with multiple factors including parental demographic characteristics, disorderrelated knowledge, and the child’s disorder duration. These findings suggest that targeted strategies—such as plainlanguage education for parents with lower educational levels, early postdiagnosis support, structured psychoeducation, peer support for younger parents, and telemedicine outreach for rural families—may help alleviate parental shame and enhance the quality of family care. Further research with longitudinal designs and multicenter samples is warranted to confirm these associations.