Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 953-959 |
| Number of pages | 7 |
| Journal | Depression and Anxiety |
| Volume | 27 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 1 2010 |
| Externally published | Yes |
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Keywords
- Dialectical behavior therapy
- Habit reversal
- Hair pulling
- Trichotillomania
ASJC Scopus subject areas
- Psychiatry and Mental health
- Clinical Psychology
Cite this
Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania. / Keuthen, Nancy J.; Rothbaum, Barbara O.; Welch, Stacy Shaw; Taylor, Caitlin; Falkenstein, Martha; Heekin, Mary; Jordan, Cathrine Arndt; Timpano, Kiara R; Meunier, Suzanne; Fama, Jeanne; Jenike, Michael A.
In: Depression and Anxiety, Vol. 27, No. 10, 01.10.2010, p. 953-959.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania
AU - Keuthen, Nancy J.
AU - Rothbaum, Barbara O.
AU - Welch, Stacy Shaw
AU - Taylor, Caitlin
AU - Falkenstein, Martha
AU - Heekin, Mary
AU - Jordan, Cathrine Arndt
AU - Timpano, Kiara R
AU - Meunier, Suzanne
AU - Fama, Jeanne
AU - Jenike, Michael A.
PY - 2010/10/1
Y1 - 2010/10/1
N2 - 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.
AB - 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.
KW - Dialectical behavior therapy
KW - Habit reversal
KW - Hair pulling
KW - Trichotillomania
UR - http://www.scopus.com/inward/record.url?scp=79952117140&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79952117140&partnerID=8YFLogxK
U2 - 10.1002/da.20732
DO - 10.1002/da.20732
M3 - Article
C2 - 20721929
AN - SCOPUS:79952117140
VL - 27
SP - 953
EP - 959
JO - Depression and Anxiety
JF - Depression and Anxiety
SN - 1091-4269
IS - 10
ER -