disabilities are also at an increased risk for excoriation disorder. Excoriation disorder also correlates with "social, occupational, and academic impairments, increased medical and mental health concerns (including anxiety, depression, obsessive–compulsive disorder) ... and financial burden". Excoriation disorder also has a high degree of comorbidity with occupational and marital difficulties. Substance use is often present, and individuals with excoriation disorder are twice as likely to have first-degree relatives who have substance use disorders than those without the condition. Some cases of body-focused repetitive behaviors found in identical twins also suggest a hereditary factor. In a 2020 Study of Excoriation to identify the variable's such as: demographics, SES, marital status and gender, more than 75 % of participants were identified as female, more than 45% of all participants were unemployed, and more than 60% had marital status which ranged from being single to divorced or widowed. With females accounting for diagnosis than any other group, future research should look to uncover reasons why women are more impacted by excoriation, and if excoriation has a correlation with marital status or happiness in life. History The first known mention of excoriation disorder in the print can be found in 1898 by the French dermatologist Louis-Anne-Jean Brocq, describing an adolescent female patient who had uncontrolled picking of acne. Society and culture Excoriation disorder has been the subject of several episodes of Obsessed, a television documentary series that focuses on the treatment of anxiety disorders. Excoriation disorder is shown as a symptom of Nina Sayers' anxiety and OCD in the movie Black Swan. During the 2021 Miss America competition, Miss Alaska 2021 Emma Broyles highlighted her vulnerability and openness on social media about having attention deficit hyperactivity disorder and dermatillomania, as well as her history with volunteering for the Special Olympics. She was crowned Miss America 2022. See also Dermatophagia Morgellons Trichotillomania, a similar compulsive behaviour, characterized by pulling out hair or eyelashes Impulse-control disorder Body-focused repetitive behavior References Further reading External links Self-harm Body-focused repetitive behavior Conditions of the skin appendages Habit and impulse disorders Mania Neurocutaneous conditions