Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania

Autor:	Martha J. Falkenstein, Caitlin E. Taylor, Kiara R. Timpano, Barbara O. Rothbaum, Suzanne A. Meunier, Mary Heekin, Stacy Shaw Welch, Jeanne M. Fama, Michael A. Jenike, Cathrine Arndt Jordan, Nancy J. Keuthen
Rok vydání:	2010
Předmět:	Adult medicine.medical_treatment Emotions Pilot Projects Relapse prevention Severity of Illness Index Trichotillomania Habits Hair-pulling Severity of illness medicine Humans Depression (differential diagnoses) Psychiatric Status Rating Scales Psychotropic Drugs Cognitive Behavioral Therapy Habit reversal Dialectical behavior therapy Clinical trial Psychiatry and Mental health Clinical Psychology Treatment Outcome Anxiety Female medicine.symptom Psychology Clinical psychology
Zdroj:	Depression and anxiety. 27(10)
ISSN:	1520-6394
Popis:	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 CBTconsisting 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 0:1–7, 2010. r 2010 Wiley-Liss, Inc.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b1d0f09d34a570c494abb10484b0653d https://pubmed.ncbi.nlm.nih.gov/20721929 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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