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Mediating effect of loneliness between child maltreatment and skin picking/hairpulling

A multinational study from five Arab countries

Datos Bibliográficos

ID24217841
AutoresMaria Ibrahim (0009-0000-7636-6621, Holy Spirit University of Kaslik), Diana Malaeb (0000-0002-2436-850X, Gulf Medical University), Mirna Fawaz (0000-0002-2058-8572, American University of the Middle East), Nouran Omar El Said (Future University in Egypt), Nisma Merdad (0000-0001-6518-3758, Effat University), Rizwana Amin (0000-0002-3262-6329, Effat University), Wizra Saeed (0000-0002-0381-1832, Effat University), Muna Barakat (0000-0002-7966-1172, Applied Science Private University), Rami Musleh (An-Najah National University), Feten Fekih‐Romdhane (0000-0002-2569-8017, Tunis El Manar University), Souheil Hallit (0000-0001-6918-5689, Holy Spirit University of Kaslik), Sahar Obeid (0000-0002-0735-4704, Lebanese American University)
Año2026
Volumen13
Fecha de publicación2026-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCambridge Prisms Global Mental Health (JOURNAL)
Identificadores de la revistaISSN: 2054-4251 • E-ISSN: 2054-4251
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/gmh.2026.10299
OpenAlexW7214759590
IdiomaEN
Referencias citadas44

Childhood adversities, particularly maltreatment, may contribute to the occurrence and persistence of Body-Focused Repetitive Behaviors (BFRBs). Previous research has documented associations between child maltreatment and BFRBs, while loneliness has also been identified as a potential consequence of early maltreatment. However, the interplay between childhood maltreatment, loneliness and BFRBs remains insufficiently explored. The current study examines the mediating effect of loneliness on the relationship between child maltreatment and skin picking and hair-pulling behaviors among a sample of Arabic-speaking adults from Lebanon, Jordan, Palestine, Egypt and the Kingdom of Saudi Arabia. This is a cross-sectional study that was conducted between December 2024 and January 2025. The study included 1,494 Arabic-speaking participants from the 5 countries previously listed. Participants were recruited using the snowball sampling technique. Participants’ mean age was 24.97 ± 9.09 years, with 74.5% females. The results indicated that loneliness had a partial mediation role in the relationship linking child maltreatment and hairpulling, as well as skin-picking behaviors. Higher levels of child maltreatment were significantly correlated with greater levels of loneliness ( r = 0.19, p

Arab adults · body-focused repetitive behaviors · Child abuse · childhood adversity · hair pulling · Loneliness · Mediation · skin picking · trauma-focused interventions · Child Abuse and Trauma · Obsessive-Compulsive Spectrum Disorders · Psychosomatic Disorders and Their Treatments

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