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Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania.
- Source :
-
Depression and anxiety [Depress Anxiety] 2010 Oct; Vol. 27 (10), pp. 953-9. - Publication Year :
- 2010
-
Abstract
- Background: Not all hair pullers improve acutely with cognitive-behavioral treatment (CBT) and few maintain their gains over time.<br />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.<br />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.<br />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.<br /> (Depression and Anxiety, 2010. © 2010 Wiley-Liss, Inc.)
Details
- Language :
- English
- ISSN :
- 1520-6394
- Volume :
- 27
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Depression and anxiety
- Publication Type :
- Academic Journal
- Accession number :
- 20721929
- Full Text :
- https://doi.org/10.1002/da.20732