Compulsive Skin Picking in Autism

My eldest daughter has this really bad, I also do it and so does my youngest.  They didn't copy it from me because I never did it in front of them, it was self-initiated.  I believe there is a strong correlation between CSP and autism, like there is in OCD behaviours.  Just wanted to see if any others on the spectrum have this.

Parents
  • Thanks.  She's had hand cream for a while now, but she doesn't always use it as she says she can't touch her things once it's on (she has OCD) and refuses to bring it to school to use.  I've just done some research and found this:

    http://www.autism.org.uk/living-with-autism/understanding-behaviour/challenging-behaviour/self-injurious-behaviour.aspx
     
    http://www.trich.org/about/skin-picking.html
     
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910998/
     
    "A variety of psychodermatologic diseases have been associated with skin-picking behavior.4 Pervasive developmental disorder not otherwise specified is a type of autism spectrum disorder not meeting the criteria for either autistic disorder or Asperger syndrome. Self-inflicted skin-picking behavior is frequently noticed in this patient population. In one study, 14.8% of patients with autistic disorders had skin picking.5"
     
    http://www.ncbi.nlm.nih.gov/pubmed/17915977
     
    http://ws.lynchburg.edu/documents/GraduateStudies/Journal/SusanLMcCorkleDecreasingSelfInjuriousBehaviorsinChildrenwithAutismSpectrumDisorders.pdf
     
    "Self-injurious behaviors (SIB) are common in children with ASD according to research by Baghdadli, Pascal, Grisi, and Aussilloux (2003). Their findings show that 50% of children in the study experienced SIB, with 14.6% at severe levels. These behaviors can have far-reaching consequences and may restrict children from reaching their full potential."
     
    "Self-Injurious Behaviors
     
    The Repetitive Behavior Scale-Revised (RBS-R) is based on a questionnaire that examines repetitive and restrictive behaviors in autism. One of the six sub-scales is self-injurious behavior (SIB), defined as "actions that cause or have the potential to cause redness, bruising, or other injury to the body" (Lam & Aman, 2007, p. 856). Included in this sub-scale are eight behaviors: hits with body; hits with object; pulls hair/skin; hits against surface; picks skin; bites self; rubs/scratches; and inserts finger/object (Lam & Aman, 2007). A common SIB is skin picking, defined as "the scratching or picking of healthy skin…often producing tissue damage, infection, and potential scarring" (Ladd, Luiselli, & Baker, 2009, p. 55).
     
    Repetitive behaviors may cause significant impairments to children with ASD that can consume their waking hours and interfere profoundly with daily life. Some behaviors are considered socially inappropriate and may even become stigmatizing to a child. SIB in particular can have short and long term damaging effects on a child and impact the entire family. The most serious effects are tissue damage, disfigurement, health risks due to infection, and stigmatizing consequences (Humenik, Curran, Luiselli, & Child, 2008).

    A study by Baghadadli et al. (2003) sought to identify risk factors for SIB among children with ASD. The results showed a correlation between SIB and lower chronological age, higher degree of ASD, and lower daily living skills. These variables may be helpful in predicting the occurrence of SIB. This may also reinforce the idea that maladaptive behaviors raise the risk of SIB in children with ASD (Baghadadli et al., 2003)."

Reply
  • Thanks.  She's had hand cream for a while now, but she doesn't always use it as she says she can't touch her things once it's on (she has OCD) and refuses to bring it to school to use.  I've just done some research and found this:

    http://www.autism.org.uk/living-with-autism/understanding-behaviour/challenging-behaviour/self-injurious-behaviour.aspx
     
    http://www.trich.org/about/skin-picking.html
     
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910998/
     
    "A variety of psychodermatologic diseases have been associated with skin-picking behavior.4 Pervasive developmental disorder not otherwise specified is a type of autism spectrum disorder not meeting the criteria for either autistic disorder or Asperger syndrome. Self-inflicted skin-picking behavior is frequently noticed in this patient population. In one study, 14.8% of patients with autistic disorders had skin picking.5"
     
    http://www.ncbi.nlm.nih.gov/pubmed/17915977
     
    http://ws.lynchburg.edu/documents/GraduateStudies/Journal/SusanLMcCorkleDecreasingSelfInjuriousBehaviorsinChildrenwithAutismSpectrumDisorders.pdf
     
    "Self-injurious behaviors (SIB) are common in children with ASD according to research by Baghdadli, Pascal, Grisi, and Aussilloux (2003). Their findings show that 50% of children in the study experienced SIB, with 14.6% at severe levels. These behaviors can have far-reaching consequences and may restrict children from reaching their full potential."
     
    "Self-Injurious Behaviors
     
    The Repetitive Behavior Scale-Revised (RBS-R) is based on a questionnaire that examines repetitive and restrictive behaviors in autism. One of the six sub-scales is self-injurious behavior (SIB), defined as "actions that cause or have the potential to cause redness, bruising, or other injury to the body" (Lam & Aman, 2007, p. 856). Included in this sub-scale are eight behaviors: hits with body; hits with object; pulls hair/skin; hits against surface; picks skin; bites self; rubs/scratches; and inserts finger/object (Lam & Aman, 2007). A common SIB is skin picking, defined as "the scratching or picking of healthy skin…often producing tissue damage, infection, and potential scarring" (Ladd, Luiselli, & Baker, 2009, p. 55).
     
    Repetitive behaviors may cause significant impairments to children with ASD that can consume their waking hours and interfere profoundly with daily life. Some behaviors are considered socially inappropriate and may even become stigmatizing to a child. SIB in particular can have short and long term damaging effects on a child and impact the entire family. The most serious effects are tissue damage, disfigurement, health risks due to infection, and stigmatizing consequences (Humenik, Curran, Luiselli, & Child, 2008).

    A study by Baghadadli et al. (2003) sought to identify risk factors for SIB among children with ASD. The results showed a correlation between SIB and lower chronological age, higher degree of ASD, and lower daily living skills. These variables may be helpful in predicting the occurrence of SIB. This may also reinforce the idea that maladaptive behaviors raise the risk of SIB in children with ASD (Baghadadli et al., 2003)."

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