Volume 2 (Issue 3)

pp. 94-99

Open Access

Review paper

Nail Biting among Children: Paediatric Onychophagia

Ulfat Amin*, Asmat Parveen, Insha Rasool, Shahnaz Maqbool

UA, AP: Syed Mantaqui College of Nursing, Islamic University of Science and Technology, Awantipora, Kashmir 192122, J&K, India

IR: Alamdar College of Nursing, Islamic University of Science and Technology, Awantipora, Kashmir 192122, J&K, India

SM: Govt. Medical College Anantnag, Kashmir 192124, J&K, India


*Corresponding author: Ulfat Amin; Email: cuteulfat@gmail.com

DOI:

Received: 

04 August 2022

Published:

04 September 2022

Cite as: Amin, U., Parveen, A., Rasool, I., & Maqbool, S. (2022). Nail Biting among Children: Paediatric Onychophagia. Inventum Biologicum, 2(3), 94–99. https://doi.org/10.5281/zenodo.7048605

Abstract

In psychiatry, psychology, medicine, and dentistry, nail biting (NB) is a frequent yet unsolvable condition. While it may appear that NB is a simple behaviour that can be easily stopped, most children having NB have previously tried and failed. Others, such as siblings and parents, are frustrated as a result of the failed endeavour. The purpose of this review is to give an overview of NB prevalence, consequences, counselling services, and management. Overall, the examined existing literature reveal that psychiatric disorders and other stereotypic behaviours are present in more than 80% of clinical samples of children with NB, and maximum of the parents had psychiatric illnesses, primarily sadness. However, treating NB is not as straightforward as it may look. The management of NB is significantly more complicated than focusing just on its abolition. It's impossible to predict nail-biting without considering its co-morbidities, triggers, and consequences. Children with NB, their family members, siblings, and instructors, according to the reviewed study, should be educated what to do and what not to do about the illness. Sentencing does not work. Furthermore, evidence-based behavioral and pharmacologic therapy procedures must be made available through clinical randomized controlled trials. Nail-biting and lip biting habits develop as a consequence of stress management among children. Such habits help cope with emotional and physical stresses. As a result, this study is critical in raising awareness about such oral habits and the necessary interventions to effectively stop them. This provides a holistic approach to endodontic care and helps prevent future debilitating problems to the oral cavity and the associated structures.

Keywords:

Nail biting, Aetiology, Behavioural therapy, Comorbidities, Behavioural disorder

References

  1. Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., ... & Cho, Y. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128· 9 million children, adolescents, and adults. The lancet, 390(10113), 2627-2642.

  2. Amin B. U. (2022). JOJ Nurse Health Care Art of Parenting. JOJ Nurse Health Care, 12(2). https://doi.org/10.19080/JOJNHC.2021.12.555835

  3. Amin, U. (2017a). All about Breastfeeding for Mothers. Nursing & Healthcare International Journal, 1(3). https://doi.org/10.23880/NHIJ-16000117

  4. Amin, U. (2017b). Post-Traumatic Stress Disorder in Children of Kashmir and Role of Nurse. Journal of Nursing & Care, 06(02). https://doi.org/10.4172/2167-1168.1000385

  5. Amin, U. (2017c). Post Traumatic Stress Disorder (PTSD) in children of Kashmir and role of nurse. Indian Journal of Psychiatric Nursing, 14(1), 37. https://doi.org/10.4103/2231-1505.262422

  6. Amin, U. (2022). Management of Adverse Events Following Immunization. International Journal of Neonatal Care and Pediatric Nursing, 3(1), 11–16. https://doi.org/10.46610/IJNCPN.2022.V03I01.003

  7. Amin, U., Rasool, I., Jan, R., Yousuf, R., Mabool, S., & Qadir, H. (2022). Assess the level of stress and coping level among married working women in Kashmir. IP Journal of Paediatrics and Nursing Science, 5(1), 22–28. https://doi.org/10.18231/J.IJPNS.2022.005

  8. Amin, U., Rasool, I., & Maqbool, S. (2022). Covid-19 Pandemic and Nursing Challenges. Journal of Nursing Science Practice, Research and Advancements, 4(1), 37–39. https://doi.org/10.46610/JNSPRA.2022.V04I01.006

  9. Amin U, Yousuf, R., Rasool S, & Rasool I. (2022). Nursing & Healthcare International Journal Committed to Create Value for Researchers Vital Parameters in Children. https://doi.org/10.23880/nhij-16000259

  10. August, G. P., Caprio, S., Fennoy, I., Freemark, M., Kaufman, F. R., Lustig, R. H., Silverstein, J. H., Speiser, P. W., Styne, D. M., & Montori, V. M. (2008). Prevention and treatment of pediatric obesity: an endocrine society clinical practice guideline based on expert opinion. The Journal of Clinical Endocrinology and Metabolism, 93(12), 4576–4599. https://doi.org/10.1210/JC.2007-2458

  11. Baghchechi, M., Pelletier, J. L., & Jacob, S. E. (2021). Art of Prevention: The importance of tackling the nail biting habit. International Journal of Women’s Dermatology, 7(3), 309–313. https://doi.org/10.1016/J.IJWD.2020.09.008

  12. Bates, C. R., Buscemi, J., Nicholson, L. M., Cory, M., Jagpal, A., & Bohnert, A. M. (2018). Links between the organization of the family home environment and child obesity: a systematic review. Obesity Reviews, 19(5), 716–727. https://doi.org/10.1111/OBR.12662

  13. Baydaş, B., Uslu, H., Yavuz, I., Ceylan, I., & Daǧsuyu, I. M. (2007). Effect of a chronic nail-biting habit on the oral carriage of Enterobacteriaceae. Oral Microbiology and Immunology, 22(1), 1–4. https://doi.org/10.1111/J.1399-302X.2007.00291.X

  14. Bs, M. B., Pelletier, J. L., & Jacob, S. E. (2021a). The art of prevention: The importance of tackling the nail biting habit. https://doi.org/10.1016/j.ijwd.2020.09.008

  15. Bs, M. B., Pelletier, J. L., & Jacob, S. E. (2021b). The art of prevention: The importance of tackling the nail biting habit. International Journal of Women’s Dermatology, 7, 309–313. https://doi.org/10.1016/j.ijwd.2020.09.008

  16. Dufrene, B. A., Steuart Watson, T., & Kazmerski, J. S. (2008). Functional Analysis and Treatment of Nail Biting. Undefined, 32(6), 913–927. https://doi.org/10.1177/0145445508319484

  17. Garver, W. S., Newman, S. B., Gonzales-Pacheco, D. M., Castillo, J. J., Jelinek, D., Heidenreich, R. A., & Orlando, R. A. (2013). The genetics of childhood obesity and interaction with dietary macronutrients. Genes & Nutrition, 8(3), 271. https://doi.org/10.1007/S12263-013-0339-5

  18. Ghanizadeh, A. (2008). Association of nail biting and psychiatric disorders in children and their parents in a psychiatrically referred sample of children. https://doi.org/10.1186/1753-2000-2

  19. Ghanizadeh, A. (2011). Nail biting; etiology, consequences and management. Iranian journal of medical sciences, 36(2), 73.

  20. Kansra, A. R., Lakkunarajah, S., & Jay, M. S. (2021). Childhood and Adolescent Obesity: A Review. Frontiers in Pediatrics, 8. https://doi.org/10.3389/FPED.2020.581461

  21. Ly, K. A., Milgrom, P., & Rothen, M. (2008). The potential of dental-protective chewing gum in oral health interventions. Undefined, 139(5), 553–563. https://doi.org/10.14219/JADA.ARCHIVE.2008.0215

  22. Odenrick, L., & Brattström, V. (1985). Nailbiting: Frequency and Association with Root Resorption during Orthodontic Treatment. Undefined, 12(2), 78–81. https://doi.org/10.1179/BJO.12.2.78

  23. Ricotti, R., Caputo, M., Monzani, A., Pigni, S., Antoniotti, V., Bellone, S., & Prodam, F. (2021). Breakfast skipping, weight, cardiometabolic risk, and nutrition quality in children and adolescents: A systematic review of randomized controlled and intervention longitudinal trials. Nutrients, 13(10). https://doi.org/10.3390/NU13103331

  24. Sachan, A., & Chaturvedi, T. P. (2012). Onychophagia (Nail biting), anxiety, and malocclusion. Indian Journal of Dental Research, 23(5), 680–682. https://doi.org/10.4103/0970-9290.107399

  25. Scaglioni, S., De Cosmi, V., Ciappolino, V., Parazzini, F., Brambilla, P., & Agostoni, C. (2018). Factors influencing children’s eating behaviours. Nutrients, 10(6). https://doi.org/10.3390/NU10060706

  26. Shahraki, N., Yassaei, S., & Moghadam, M. G. (2012). Abnormal oral habits: A review. Journal of Dentistry and Oral Hygiene, 4(2), 12–15. https://doi.org/10.5897/JDOH12.001

  27. Silva, L. C. da, Vedovello, S. A. S., Vedovello Filho, M., Meneghin, M. de C., Ambrosano Bovi, G. M., & Degan, V. V. (2019). Anxiety and oral habits as factors associated with malocclusion. 39(3), 249–253. https://doi.org/10.1080/08869634.2019.1633492

  28. Teng, E. J., Woods, D. W., Twohig, M. P., & Marcks, B. A. (2002). Body-Focused Repetitive Behavior Problems Prevalence in a Nonreferred Population and Differences in Perceived Somatic Activity.

  29. Williams, T. I., Rose, R., & Chisholm, S. (2007). What is the function of nail biting: an analog assessment study. Undefined, 45(5), 989–995. https://doi.org/10.1016/J.BRAT.2006.07.013

  30. Yassaei, S., & Aghihi, H. (2007). Deleterious Oral habits. Journal of Inflammatory Diseases, 10(4), 86–94.

Funding Information

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Declaration of Conflict

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.