Skin picking disorder in sexual minority individuals

Abstract

Background

Skin picking disorder (SPD) is common, but little is known about whether or how it differs in sexual minorities. We explored whether sexual minority individuals differ from heterosexual individuals in terms of skin picking and comorbidities. We also evaluated potential differences between gay or lesbian and bisexual individuals.

Methods

293 participants with SPD completed an online survey. Sexual minority participants were compared to heterosexual participants on demographics, how often they picked their skin, and validated self-report measures of SPD and comorbidities. Gay or lesbian and bisexual participants were compared on the same variables.

Results

Sexual minority status was associated with more body-focused repetitive behavior (BFRB) impairment and a greater likelihood of picking 7 days per week. Heterosexual participants reported more alcohol misuse, aggression, and compulsive sexual behavior than sexual minority participants. The groups did not differ in overall BFRB severity or rates of other disorders. Gay or lesbian and bisexual participants did not differ in SPD or comorbidities.

Conclusions

The rate of sexual minority individuals in this study (37.9%) is much higher than the rate in the community (about 10%). Sexual minority individuals with SPD may present with unique clinical symptoms. Treatments should be tailored for this population.