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

Nancy J. Keuthen, Barbara O. Rothbaum, Stacy Shaw Welch, Caitlin Taylor, Martha Falkenstein, Mary Heekin, Cathrine Arndt Jordan, Kiara R Timpano, Suzanne Meunier, Jeanne Fama, Michael A. Jenike

Research output: Contribution to journalArticle

42 Citations (Scopus)

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 languageEnglish
Pages (from-to)953-959
Number of pages7
JournalDepression and Anxiety
Volume27
Issue number10
DOIs
StatePublished - Oct 1 2010
Externally publishedYes

Fingerprint

Trichotillomania
Behavior Therapy
Habits
Emotions
Cognitive Therapy
Therapeutics
Maintenance
Secondary Prevention
Diagnostic and Statistical Manual of Mental Disorders
Self Report
Anxiety
Clinical Trials
Depression

Keywords

  • Dialectical behavior therapy
  • Habit reversal
  • Hair pulling
  • Trichotillomania

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Keuthen, N. J., Rothbaum, B. O., Welch, S. S., Taylor, C., Falkenstein, M., Heekin, M., ... Jenike, M. A. (2010). Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania. Depression and Anxiety, 27(10), 953-959. https://doi.org/10.1002/da.20732

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 journalArticle

Keuthen, NJ, Rothbaum, BO, Welch, SS, Taylor, C, Falkenstein, M, Heekin, M, Jordan, CA, Timpano, KR, Meunier, S, Fama, J & Jenike, MA 2010, 'Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania', Depression and Anxiety, vol. 27, no. 10, pp. 953-959. https://doi.org/10.1002/da.20732
Keuthen NJ, Rothbaum BO, Welch SS, Taylor C, Falkenstein M, Heekin M et al. Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania. Depression and Anxiety. 2010 Oct 1;27(10):953-959. https://doi.org/10.1002/da.20732
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. / Pilot trial of dialectical behavior therapy-enhanced habit reversal for trichotillomania. In: Depression and Anxiety. 2010 ; Vol. 27, No. 10. pp. 953-959.
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