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- Title
Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania.
- Authors
Keuthen, Nancy J.; Rothbaum, Barbara O.; Welch, Stacy Shaw; Taylor, Caitlin; Falkenstein, Martha; Heekin, Mary; Jordan, Cathrine Arndt; Timpano, Kiara; Meunier, Suzanne; Fama, Jeanne; Jenike, Michael A.
- Abstract
Background: Not all hair pullers improve acutely with cognitive-behavioral treatment (CBT) and few maintain their gains over time. Methods: We conducted an open clinical trial of a new treatment that addresses affectively triggered pulling and emphasizes relapse prevention in addition to standard CBT approaches. Ten female participants satisfying DSM-IV criteria for trichotillomania (TTM) at two study sites received Dialectical Behavior Therapy (DBT)-enhanced CBT consisting of 11 weekly sessions and 4 maintenance sessions over the following 3 months. Independent assessors rated hair pulling impairment and global improvement at several study time points. Participants completed self-report measures of hair pulling severity and emotion regulation. Results: Significant improvement in hair pulling severity and emotion regulation, as well as hair pulling impairment and anxiety and depressive symptoms, occurred during acute treatment and were maintained during the subsequent 3 months. Significant correlations were reported between changes in emotion regulation and hair pulling severity during both the acute treatment and maintenance phases. Conclusions: This study offers preliminary evidence for the efficacy of DBT-enhanced CBT for TTM and suggests the importance of addressing emotion regulation during TTM treatment. Depression and Anxiety, 2010. © 2010 Wiley-Liss, Inc.
- Subjects
DIALECTICAL behavior therapy; PILOT projects; COMPULSIVE hair pulling; CLINICAL trials; DISEASE relapse prevention; SELF-evaluation; ANXIETY
- Publication
Depression & Anxiety (1091-4269), 2010, Vol 27, Issue 10, p953
- ISSN
1091-4269
- Publication type
Article
- DOI
10.1002/da.20732