Medicine:Nail biting

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Nail biting
Nailbitebad.jpg
Fingers of a nail-biter.
SpecialtyPediatrics, psychiatry
Risk factorsdamaged cuticles, damaged nails, hangnails, etc.

Nail biting, also known as onychophagy or onychophagia (or even erroneously onyhophagia), is an oral compulsive habit of biting one's fingernails. It is sometimes described as a parafunctional activity, the common use of the mouth for an activity other than speaking, eating, or drinking.

Nail biting is very common, especially amongst children. 25-30 percent of children bite nails. More pathological forms of nails biting are considered an impulse control disorder in the DSM-IV-R and are classified under obsessive-compulsive and related disorders in the DSM-5. The ICD-10 classifies the practice as "other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence".[1] However, not all nail biting is pathological, and the difference between harmful obsession and normal behavior is not always clear.[2] The earliest reference to nail biting as a symptom of anxiety was in late sixteenth century in France.[3]

Signs and symptoms

Nail biting usually leads to harmful effects to the fingers, like infections. These consequences are directly derived from the physical damage of biting or from the hands becoming an infection vector. Moreover, it can also have a social impact, for example social withdrawal and avoiding handshakes.[2]

The ten fingernails are usually equally bitten to approximately the same degree.[4] Often, the adjacent skin is bitten off, too, which is called perionychophagia, a special case of dermatophagia. Biting nails can lead to broken skin on the cuticle. When cuticles are improperly removed, they are susceptible to microbial and viral infections such as paronychia. Saliva may then redden and infect the skin.[2][4] In rare cases, fingernails may become severely deformed after years of nail biting due to the destruction of the nail bed.[2][5]

Nail biting may have an association with oral problems, such as gingival injury, and malocclusion of the anterior teeth.[2][6] It can also transfer pinworms or bacteria buried under the surface of the nail from the anus region to the mouth.[2] If the bitten-off nails are swallowed, stomach problems can occasionally develop.[6]

Nail-biting can be a source of guilt and shame feelings in the nail biter, a reduced quality of life, and increased stigmatization in the inner family circles or at a more societal level.[2][7]

Related disorders

Other body-focused repetitive behaviors include excoriation disorder (skin picking), dermatophagia (skin biting), and trichotillomania (the urge to pull out hair), and all of them tend to coexist with nail biting.[2][8] As an oral parafunctional activity, it is also associated with bruxism (tooth clenching and grinding), and other habits such as pen chewing and cheek biting.[9]

In children nail biting most typically co-occurs with attention deficit hyperactivity disorder (75% of nail biting cases in a study),[2] and other psychiatric disorders including oppositional defiant disorder (36%) and separation anxiety disorder (21%).[2] It is also more common among children and adolescents with obsessive–compulsive disorder.[2][10] Nail biting appeared in a study to be more common in men with eating disorders than in those without them.[11]

Treatment

The most common treatment, which is cheap and widely available, is to apply a clear, bitter-tasting nail polish to the nails. Normally denatonium benzoate is used, the most bitter chemical compound known. The bitter flavor discourages the nail-biting habit.[12]

Behavioral therapy is beneficial when simpler measures are not effective. Habit Reversal Training (HRT), which seeks to unlearn the habit of nail biting and possibly replace it with a more constructive habit, has shown its effectiveness versus placebo in children and adults.[13] A study in children showed that results with HRT were superior to either no treatment at all or the manipulation of objects as an alternative behavior, which is another possible approach to treatment.[14] In addition to HRT, stimulus control therapy is used to both identify and then eliminate the stimulus that frequently triggers biting urges.[15] Other behavioral techniques that have been investigated with preliminary positive results are self-help techniques, such as decoupling[16] and the use of wristbands as non-removable reminders.[17] More recently, technology companies have begun producing wearable devices and smart watch applications that track the position of users' hands but no research has been published so far.

Another treatment for chronic nail biters is the usage of a dental deterrent device that prevents the front teeth from damaging the nails and the surrounding cuticles. After about two months, the device leads to a full oppression of the nail biting urge.[18]

Evidence on the efficacy of drugs is very limited, and they are not routinely used.[19] A small double-blind randomized clinical trial in children and adolescents indicated that N-acetylcysteine, a glutathione and glutamate modulator, could, in the short term only, be more effective than placebo in decreasing the nail-biting behavior.[19]

Nail cosmetics can help to ameliorate nail biting social effects.[20]

Independently of the method used, parental education is useful in the case of young nail biters to maximize the efficacy of the treatment programs, as some behaviors by the parents or other family members may be helping to perpetuate the problem.[2] For example, punishments have been shown to be not better than placebo, and in some cases may even increase the nail biting frequency.[2]

Epidemiology

Onychophagia

While it is rare before the age of 3,[2] about 30 percent of children between 7 and 10 years of age and 45 percent of teenagers engage in nail biting.[2][4] Finally, prevalence decreases in adults.[2] Figures may vary between studies, and could be related to geographic and cultural differences.[2] The proportion of subjects that have ever had the habit (lifetime prevalence) may be much higher than the proportion of current nail-biters (time-point prevalence).[21] Although it does not seem to be more common in either sex, results of epidemiological studies on this issue are not fully consistent.[2] It may be underrecognized since individuals tend to deny or be ignorant of its negative consequences, complicating its diagnosis.[8] Having a parent with a mental disorder is also a risk factor.[2]

References

  1. ↑ "Impulse control disorder". SteadyHealth. 30 December 2010. http://ic.steadyhealth.com/impulse_control_disorder.html. 
  2. ↑ 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 Ghanizadeh, A (Jun 2011). "Nail biting; etiology, consequences and management.". Iranian Journal of Medical Sciences 36 (2): 73–9. PMID 23358880. 
  3. ↑ Aboujaoude, Elias; Koran, Lorrin M., eds (2009). Impulse Control Disorders. doi:10.1017/cbo9780511711930. ISBN 9780511711930. 
  4. ↑ 4.0 4.1 4.2 "Nailbiting". Clin Pediatr (Phila) 29 (12): 690–2. 1990. doi:10.1177/000992289002901201. PMID 2276242. 
  5. ↑ Jabr FI (September 2005). "Severe nail deformity. Nail biting may cause multiple adverse conditions". Postgrad Med 118 (3): 37–8, 42. doi:10.3810/pgm.2005.09.1712. PMID 16201307. 
  6. ↑ 6.0 6.1 "Nailbiting, or onychophagia: a special habit". Am J Orthod Dentofacial Orthop 134 (2): 305–8. August 2008. doi:10.1016/j.ajodo.2006.06.023. PMID 18675214. 
  7. ↑ Pacan, P; Reich, A; Grzesiak, M; Szepietowski, JC (Feb 17, 2014). "Onychophagia is Associated with Impairment of Quality of Life.". Acta Dermato-venereologica 94 (6): 703–6. doi:10.2340/00015555-1817. PMID 24535041. 
  8. ↑ 8.0 8.1 "Pathologic hairpulling, skin picking, and nail biting". Ann Clin Psychiatry 17 (4): 227–32. 2005. doi:10.1080/10401230500295354. PMID 16402755. 
  9. ↑ Cawson's essentials of oral pathology and oral medicine. (7th ed.). Edinburgh: Churchill Livingstone. 2002. p. 66. ISBN 0443071063. https://archive.org/details/cawsonsessential00caws. 
  10. ↑ "Impulse-control disorders in children and adolescents with obsessive–compulsive disorder". Psychiatry Res 175 (1–2): 109–13. January 2010. doi:10.1016/j.psychres.2009.04.006. PMID 20004481. 
  11. ↑ "Eating disorders in men: current features and childhood factors". Eat Weight Disord 15 (1–2): e15–22. 2010. doi:10.1007/BF03325276. PMID 20571316. 
  12. ↑ Allen KW (March 1996). "Chronic nailbiting: a controlled comparison of competing response and mild aversion treatments". Behav Res Ther 34 (3): 269–72. doi:10.1016/0005-7967(95)00078-X. PMID 8881096. 
  13. ↑ Bate, KS; Malouff, JM; Thorsteinsson, ET; Bhullar, N (July 2011). "The efficacy of habit reversal therapy for tics, habit disorders, and stuttering: a meta-analytic review.". Clinical Psychology Review 31 (5): 865–71. doi:10.1016/j.cpr.2011.03.013. PMID 21549664. 
  14. ↑ Ghanizadeh, A; Bazrafshan, A; Firoozabadi, A; Dehbozorgi, G (Jun 2013). "Habit Reversal versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial.". Iranian Journal of Psychiatry 8 (2): 61–7. PMID 24130603. 
  15. ↑ Penzel, Fred. "Skin picking and nail biting: related habits". Western Suffolk Psychological Services. http://westsuffolkpsych.homestead.com/skinpicking.html. 
  16. ↑ Sarris, Jerome; Camfield, David; Berk, Michael (2012). "Complementary medicine, self-help, and lifestyle interventions for Obsessive Compulsive Disorder (OCD) and the OCD spectrum: A systematic review" (in en). Journal of Affective Disorders 138 (3): 213–221. doi:10.1016/j.jad.2011.04.051. https://linkinghub.elsevier.com/retrieve/pii/S0165032711002187. 
  17. ↑ Koritzky, G; Yechiam, E (Nov 2011). "On the value of nonremovable reminders for behavior modification: an application to nail-biting (onychophagia).". Behavior Modification 35 (6): 511–30. doi:10.1177/0145445511414869. PMID 21873368. 
  18. ↑ Davinroy, Donald L. (Oct 2, 2008), Nail biting deterrent device and method, http://www.google.com/patents/US20080236600, retrieved 2016-09-29 
  19. ↑ 19.0 19.1 Ghanizadeh, A; Derakhshan, N; Berk, M (2013). "N-acetylcysteine versus placebo for treating nail biting, a double blind randomized placebo controlled clinical trial.". Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry 12 (3): 223–8. doi:10.2174/1871523011312030003. PMID 23651231. 
  20. ↑ "Nail cosmetics in nail disorders". J Cosmet Dermatol 6 (1): 53–8. March 2007. doi:10.1111/j.1473-2165.2007.00290.x. PMID 17348997. 
  21. ↑ Pacan, P; Grzesiak, M; Reich, A; Kantorska-Janiec, M; Szepietowski, JC (Jan 2014). "Onychophagia and onychotillomania: prevalence, clinical picture and comorbidities.". Acta Dermato-venereologica 94 (1): 67–71. doi:10.2340/00015555-1616. PMID 23756561. 

External links

Classification




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