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Acceptance-enhanced behavior therapy for trichotillomania in adults: A randomized clinical trial.
Woods, Douglas W; Ely, Laura J; Bauer, Christopher C; Twohig, Michael P; Saunders, Stephen M; Compton, Scott N; Espil, Flint M; Neal-Barnett, Angela; Alexander, Jennifer R; Walther, Michael R; Cahill, Shawn P; Deckersbach, Thilo; Franklin, Martin E.
Afiliación
  • Woods DW; Marquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: douglas.woods@marquette.edu.
  • Ely LJ; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: ely.laura.j@gmail.com.
  • Bauer CC; Marquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: chbauer@mcw.edu.
  • Twohig MP; State University, Department of Psychology, 2810 Old Main Hill, Logan, UT, 84322, USA. Electronic address: michael.twohig@usu.edu.
  • Saunders SM; Marquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA. Electronic address: stephen.saunders@marquette.edu.
  • Compton SN; Duke University School of Medicine, Department of Psychiatry & Behavioral Sciences, 2608 Erwin Rd, Suite 300, Durham, NC, 27705, USA. Electronic address: compt004@duke.edu.
  • Espil FM; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: espil@stanford.edu.
  • Neal-Barnett A; Kent State University, Department of Psychology, 144 Kent Hall, Kent State University, Kent, OH, 44242-0001, USA. Electronic address: aneal@kent.edu.
  • Alexander JR; Marquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA. Electronic address: jalexander@houstonocd.org.
  • Walther MR; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: michael_walther@brown.edu.
  • Cahill SP; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: cahill@uwm.edu.
  • Deckersbach T; University of Applied Sciences, Diploma Hochschule, Germany. Electronic address: thilo.deckersbach@diploma.de.
  • Franklin ME; Rogers Behavioral Health, 1 Winding Drive, Suite 106, Philadelphia, PA, 19131, USA. Electronic address: Martin.Franklin@rogersbh.org.
Behav Res Ther ; 158: 104187, 2022 11.
Article en En | MEDLINE | ID: mdl-36099688
Given the limited treatment options for trichotillomania (TTM), or Hair Pulling Disorder, this large randomized clinical trial evaluated the efficacy of acceptance-enhanced behavior therapy for TTM (AEBT-TTM) in reducing TTM severity relative to psychoeducation and supportive therapy (PST). Eighty-five adults (78 women) with TTM received 10 sessions (over 12 weeks) of either AEBT-TTM or PST. Independent evaluators masked to treatment assignment assessed participants at baseline (week 0), midpoint (week 6), and endpoint (week 12). Consistent with a priori hypotheses, 64% of the adults treated with AEBT-TTM were classified as clinical responders at post-treatment relative to 38% treated with PST. Clinical responders were identified by a score of 1 or 2 on the Clinical Global Impressions-Improvement (CGI-I) scale. Relative to the PST group, the AEBT-TTM group demonstrated significantly greater pre-to post-treatment reductions on the self-report Massachusetts General Hospital-Hairpulling Scale (MGH-HS) and the evaluator-rated National Institute of Mental Health Trichotillomania Severity Scale (NIMH-TSS). There were no significant post-treatment group differences on the Clinical Global Impressions-Severity (CGI-S) scale, or rate of TTM diagnoses. Results suggest AEBT-TTM provides greater treatment benefit than PST. Future research should continue to investigate AEBT-TTM along with mediators and moderators of its efficacy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tricotilomanía Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adult / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Behav Res Ther Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tricotilomanía Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Adult / Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Behav Res Ther Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido