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A Head-to-Head Comparison of Three Self-Help Techniques to Reduce Body-Focused Repetitive Behaviors.
- Source :
-
Behavior Modification . Jul2022, Vol. 46 Issue 4, p894-912. 19p. - Publication Year :
- 2022
-
Abstract
- Body-focused repetitive behaviors (BFRBs) include skin picking, trichotillomania, nail biting and cavitadaxia/lip-cheek biting, among other behaviors. For the first time, we compared three different self-help techniques aimed at reducing BFRBs. We explored the acceptance and preliminary efficacy of the approaches and whether the techniques exerted differential effects depending on BFRB-type. A total of 113 participants with at least one BFRB were randomly allocated to either habit reversal training (HRT; active elements: awareness and competing response training), decoupling (DC) or decoupling in sensu (DC-is). Reassessment was conducted 4 weeks later. The Generic Body-Focused Repetitive Behavior Scale (GBS) served as the primary outcome. The completion rate was best for DC-is (68.6%) as compared to HRT (57.1%) and DC (53.5%). A total of 34.8% of completers in the DC group showed an improvement of at least 35% on the GBS compared to 10.0% in the HRT and 23.3% in the DC-is group. In accordance with previous work, moderator analyses showed that improvement under DC is best for non-skin-pickers. A dose-effect relationship emerged, particularly for HRT. Subjective appraisal ratings were more favorable for DC-is and HRT than for DC. With respect to completion rate, subjective appraisal and symptom improvement, DC-is yielded consistently satisfactory results, whereas HRT showed good subjective but rather poor objective improvement. Those who performed DC, especially non-skin-pickers, showed good improvement but overall completion and subjective efficacy were low. Future studies should investigate whether the three techniques exert add-on effects when combined and whether demonstration via new media (e.g., video) will augment comprehensibility and thus efficacy of the techniques. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COMPULSIVE hair pulling
*NAIL diseases
*HABIT
*BEHAVIOR therapy
*TREATMENT effectiveness
*RANDOMIZED controlled trials
*COMPULSIVE skin picking
*QUALITY assurance
*DESCRIPTIVE statistics
*SOCIAL skills
*STATISTICAL sampling
*HEALTH self-care
*BEHAVIOR modification
*DOSE-response relationship in biochemistry
Subjects
Details
- Language :
- English
- ISSN :
- 01454455
- Volume :
- 46
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Behavior Modification
- Publication Type :
- Academic Journal
- Accession number :
- 157224237
- Full Text :
- https://doi.org/10.1177/01454455211010707