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 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. 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, 2010.
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 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. 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, 2010.
Authors: David C Houghton; Scott N Compton; Michael P Twohig; Stephen M Saunders; Martin E Franklin; Angela M Neal-Barnett; Laura Ely; Matthew R Capriotti; Douglas W Woods Journal: Psychiatry Res Date: 2014-08-13 Impact factor: 3.222
Authors: Martha J Falkenstein; Kate Rogers; Elizabeth J Malloy; David A F Haaga Journal: J Obsessive Compuls Relat Disord Date: 2014-10-01 Impact factor: 1.677
Authors: Nancy J Keuthen; Esther S Tung; Douglas W Woods; Martin E Franklin; Erin M Altenburger; David L Pauls; Christopher A Flessner Journal: Behav Modif Date: 2015-04-13
Authors: Jennifer R Alexander; David C Houghton; Michael P Twohig; Martin E Franklin; Stephen M Saunders; Angela M Neal-Barnett; Scott N Compton; Douglas W Woods Journal: J Obsessive Compuls Relat Disord Date: 2016-08-16 Impact factor: 1.677
Authors: Jennifer R Alexander; David C Houghton; Michael P Twohig; Martin E Franklin; Stephen M Saunders; Angela M Neal-Barnett; Scott N Compton; Douglas W Woods Journal: J Obsessive Compuls Relat Disord Date: 2017-03-04 Impact factor: 1.677