Affective regulation in trichotillomania before and after self-help interventions
| Autor: | Gwyneth Zai, Aba Delsignore, Richard Klaghofer, Steffi Weidt, Annette Beatrix Bruehl, Natalie Drabe, Michael Rufer |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Psychological intervention Online Systems Severity of Illness Index Trichotillomania 03 medical and health sciences Young Adult 0302 clinical medicine Double-Blind Method Severity of illness medicine Humans Young adult Psychiatry Biological Psychiatry Aged Psychiatric Status Rating Scales Analysis of Variance Cognitive Behavioral Therapy Mood Disorders Beck Depression Inventory Middle Aged Emotional dysregulation medicine.disease 030227 psychiatry Psychiatry and Mental health Distress Treatment Outcome Mood disorders Cognitive therapy Female Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Journal of psychiatric research. 75 |
| ISSN: | 1879-1379 |
| Popis: | Trichotillomania (TTM) is characterized by recurrent hair-pulling behaviours that cause significant distress. Deficits in affective regulation have been reported in individuals with TTM. We aimed to investigate temporal stability of affective regulation in TTM individuals.Eighty-one TTM individuals underwent an online intervention. Affective Regulation Scale (ARS), Massachusetts General Hospital Hair-Pulling Scale (MGH-HPS), and Beck Depression Inventory (BDI) scores were obtained at baseline, post-treatment (4 weeks), and follow-up (6 months). We examined the effect of phenotypes including hair-pulling severity and depressive symptoms on absolute and relative stability of affective regulation over time, using multiple linear and hierarchical regression analyses.The ARS total-score from the present TTM sample was significantly lower than the score from non-hair pullers (p0.001). ARS total-scores inversely correlated with the MGH-HPS total-scores at baseline (p = 0.001) and post-treatment (p = 0.02), and with BDI total-scores at all time-points (p0.001). Although ARS total-scores significantly increased, all ARS sub-scores, except guilt sub-scores, did not change over time, indicating absolute stability. Baseline ARS total-, and sub-scores (except tension) were found to predict their ARS follow-up scores (all p0.01), confirming relative stability (i.e., the extent to which the inter-individual differences remained the same over time). The relative stability of ARS total-scores and all but two sub-scores (irritability and guilt) were independent from BDI baseline scores.Individuals with TTM reported deficits in affective regulation that demonstrated mostly high relative stability and partly absolute stability. Therefore, targeting to improve affective regulation in individuals with TTM during therapy is warranted. |
| Databáze: | OpenAIRE |
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