The effects of trichotillomania disclosure on peer perceptions and social acceptability

Many individuals with trichotillomania (TTM) do not disclose their condition to others. Although disclosure may have beneficial effects, little is known about the consequences of it. The purpose of the current study was to examine the effects of a brief, simplified preventative disclosure of TTM. Young adults (N = 225) read one of four vignettes, which varied in a 2 (male versus female character) × 2 (preventative disclosure of TTM versus nondisclosure) design, and answered several questions regarding the character in the vignette. Although some potential positive effects of disclosure were found (e.g., reduced likelihood of misattribution), some areas of concerns also surfaced. The findings suggest that a brief, simplified preventative disclosure of TTM led to an increase in negative social perceptions compared to non-disclosure. More specifically, those characters that disclosed TTM were evaluated more negatively and more socially rejected than those that did not disclose. However, the overall perceptions of persons with noticeable hair loss, regardless of disclosure status, were not necessarily negative. Implications of the findings, limitations to the study, and directions for future research are discussed.