BACKGROUND: Maintenance of gains with cognitive-behavioral treatment for trichotillomania (TTM) has historically been problematic. METHODS: We conducted follow-up assessments 3 and 6 months after completion of a 3-month maintenance phase on 10 individuals with DSM-IV-TR TTM who participated in an open trial of adialectical behavior therapy (DBT)-enhanced habit reversal treatment (HRT). RESULTS: Significant improvement from baseline was reported at 3-and 6-month follow-up on all measures of hair pulling severity and emotion regulation, although some worsening was reported on some measures from earlier study time points. At 6-month follow-up, five and four participants were full and partial responders, respectively. Significant correlations were reported at both follow-up time points between changes in hair pulling severity and emotion regulation capacity. CONCLUSIONS:DBT-enhanced HRT offers promise for improved long-term treatment results in TTM. Changes in TTM severity from baseline to 3-and 6-month follow-up is correlated with changes in emotion regulation capacity.
RCT Entities:
BACKGROUND: Maintenance of gains with cognitive-behavioral treatment for trichotillomania (TTM) has historically been problematic. METHODS: We conducted follow-up assessments 3 and 6 months after completion of a 3-month maintenance phase on 10 individuals with DSM-IV-TR TTM who participated in an open trial of a dialectical behavior therapy (DBT)-enhanced habit reversal treatment (HRT). RESULTS: Significant improvement from baseline was reported at 3-and 6-month follow-up on all measures of hair pulling severity and emotion regulation, although some worsening was reported on some measures from earlier study time points. At 6-month follow-up, five and four participants were full and partial responders, respectively. Significant correlations were reported at both follow-up time points between changes in hair pulling severity and emotion regulation capacity. CONCLUSIONS: DBT-enhanced HRT offers promise for improved long-term treatment results in TTM. Changes in TTM severity from baseline to 3-and 6-month follow-up is correlated with changes in emotion regulation capacity.
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: Joseph F McGuire; Danielle Ung; Robert R Selles; Omar Rahman; Adam B Lewin; Tanya K Murphy; Eric A Storch Journal: J Psychiatr Res Date: 2014-07-26 Impact factor: 4.791
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: David C Houghton; Matthew R Capriotti; Alessandro S De Nadai; Scott N Compton; Michael P Twohig; Angela M Neal-Barnett; Stephen M Saunders; Martin E Franklin; Douglas W Woods Journal: J Anxiety Disord Date: 2015-09-24
Authors: Joseph A Himle; Deborah Bybee; Lisa A O'Donnell; Addie Weaver; Sarah Vlnka; Daniel T DeSena; Jessica M Rimer Journal: J Obsessive Compuls Relat Disord Date: 2017-10-31 Impact factor: 1.677