ACT‐enhanced group behavior therapy for trichotillomania and skin‐picking disorder: A feasibility study
| Autor: | Hanna Delby, Christian Rück, Volen Z. Ivanov, Martin Bellander, Fabian Lenhard, Mia Asplund, Tove Gunnarsson |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
050103 clinical psychology medicine.medical_specialty Group behavior Habit reversal training Group format Trichotillomania 03 medical and health sciences 0302 clinical medicine Primary outcome Arts and Humanities (miscellaneous) Behavior Therapy mental disorders medicine Humans 0501 psychology and cognitive sciences Skin-picking General hospital Adult patients 05 social sciences Attendance Group Processes 030227 psychiatry Clinical Psychology Psychotherapy Group Physical therapy Feasibility Studies Psychology |
| Zdroj: | Journal of Clinical Psychology. 77:1537-1555 |
| ISSN: | 1097-4679 0021-9762 |
| DOI: | 10.1002/jclp.23147 |
| Popis: | OBJECTIVE To evaluate the feasibility and efficacy of ACT-enhanced Group Behavior Therapy (AEGBT) for mixed diagnosis groups including patients with trichotillomania (TTM) and skin-picking disorder (SPD) in routine psychiatric care. METHOD Adult patients (N = 40) with TTM and/or SPD received 10 weeks of AEGBT followed by five booster sessions. The primary outcome measure for TTM was the Massachusetts General Hospital Hairpulling Scale (MGH-HPS) and for SPD the Skin Picking Scale-Revised (SPS-R), assessed at posttreatment and at booster sessions. RESULTS Results showed significant reductions in hair pulling and skin-picking severity from baseline to posttreatment and large effect sizes at posttreatment. Improvements remained significant at the 12-month follow-up for patients with SPD, but not for patients with TTM. Group attendance was high and few patients dropped out from treatment. The group format enabled therapists to see 25% more patients compared with an individual format. CONCLUSION The results provide initial support for the feasibility and efficacy of an adapted treatment approach for TTM and SPD. |
| Databáze: | OpenAIRE |
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