Affective regulation in trichotillomania: Evidence from a large-scale internet survey

Shusterman, Anna; Feld, Lauren D.; Baer, Lee; Keuthen, Nancy J.

doi:10.1016/j.brat.2009.04.004

Cited by 97 publications

(83 citation statements)

References 23 publications

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“…Our findings from a large Internet survey of TTM demonstrated that hair pullers had more difficulty than normal controls in managing their emotions, with a small to moderate relationship between affective regulation and hair pulling severity (Shusterman et al, 2009). Additionally, using latent class analysis, we identified four subtypes consisting of unique emotional profiles and demonstrated that cluster membership predicted hair pulling severity.…”

Section: Introductionmentioning

confidence: 92%

“…Our research group has been active in exploring the role of affective dysregulation in TTM (Shusterman, Feld, Baer & Keuthen, 2009) and the potential treatment efficacy of Dialectical Behavior Therapy (DBT)-enhanced habit reversal training (Keuthen et al, 2010(Keuthen et al, , 2011. Our findings from a large Internet survey of TTM demonstrated that hair pullers had more difficulty than normal controls in managing their emotions, with a small to moderate relationship between affective regulation and hair pulling severity (Shusterman et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

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DBT-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial

Keuthen¹,

Rothbaum²,

Fama³

et al. 2012

Journal of Behavioral Addictions

111

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Background and aims: Limited treatment options are available for trichotillomania (TTM) and most have modest outcomes. Suboptimal treatment results may be due to the failure of existing approaches to address all TTM styles. Methods: Thirty-eight DSM-IV TTM participants were randomly assigned across two study sites to Dialectical Behavior Therapy (DBT) -enhanced cognitive-behavioral treatment (consisting of an 11-week acute treatment and 3-month maintenance treatment) or a minimal attention control (MAC) condition. MAC participants had active treatment after the 11-week control condition. Follow-up study assessments were conducted three and six months after the maintenance period. Results: Open trial treatment resulted in significant improvement in TTM severity, emotion regulation (ER) capacity, experiential avoidance, anxiety and depression with changes generally maintained over time. In the randomized controlled trial, those with active treatment had greater improvement than those in the MAC condition for both TTM severity and ER capacity. Correlations between changes in TTM severity and ER capacity were not reported at post-treatment but did occur in maintenance and follow-up indicating reduced TTM severity with improved ER capacity. Conclusions: DBT-enhanced cognitive-behavioral treatment is a promising treatment for TTM. Future studies should compare this approach to other credible treatment interventions and investigate the efficacy of this approach in more naturalistic samples with greater comorbidity.

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Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

DBT-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial

Keuthen¹,

Rothbaum²,

Fama³

et al. 2012

Journal of Behavioral Addictions

111

View full text Add to dashboard Cite

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“…Sin embargo, a pesar de estos avances en el tratamiento, sigue siendo un importante problema el ocultamiento que hacen los pacientes de la conducta, evitando en muchas ocasiones incluso el tratamiento, por vergüenza (Diefenbach, Tolin, Hannan, Crocetto y Worhunsky, 2005; Shusterman, Feld, Baer y Keuthen, 2009), o por la creencia de que no se puede hacer nada para tratar el problema (Shusterman et al, 2009;Walsh y McDougle, 2001). También existen diferencias importantes en las estrategias de tratamiento que se utilizan (Duke et al, 2010).…”

Section: Introductionunclassified

El tratamiento psicológico de la tricotolomanía: un estudio de caso

Sarmiento¹,

Guillén²,

Sánchez³

2016

RPPC

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Resumen: En este trabajo se presenta un caso clínico de tricotilomanía, cuyo objetivo es presentar en detalle el procedimiento seguido en un contexto de sanidad pública, utilizando técnicas cognitivo-comportamentales, para profundizar en el conocimiento de la efi cacia de estos procedimientos de tratamiento y mostrar la viabilidad de su aplicación. Los resultados obtenidos muestran mejorías importantes en distintos aspectos clínicos: en primer lugar, desapareció completamente la conducta de arrancamiento del cabello, además disminuyó considerablemente la ansiedad y se normalizó el estado de ánimo. Todo ello nos permite llegar a la conclusión de que la intervención resultó satisfactoria.Palabas clave: Tricotilomanía; tratamiento psicológico cognitivo conductual; diseminación tratamientos psicológicos; estudio de caso. Psychological treatment of trichotillomania: A case studyAbstract: This paper presents a clinical case of trichotillomania, thus aims to present in detail the procedure followed in a public health context, using cognitive-behavioral techniques, in order to deepen the knowledge of the effi cacy of these treatment procedures and demonstrate the feasibility of their use. The results obtained showed signifi cant improvements in different clinical aspects: fi rst, the hair pulling behavior disappeared completely; moreover, anxiety diminished signifi cantly and mood normalized. This allows us to conclude that the intervention was successful.Keywords: Trichotillomania; cognitive behavioral psychological treatment: psychological treatment dissemination; case study. IntroducciónEste problema fue descrito por primera vez por el médico francés Francois Henri Hallopeau (1989). Etimológicamente proviene del griego Trichos (pelo), tylos (estirar) y manía impulso. La tricotilomanía en el DSM-IV estaba dentro de los Trastornos de control de impulsos, ahora se denomina Trastorno de tricotilomanía o de arrancarse el pelo, y se incluye en el DSM-5 dentro de los trastornos obsesivo -compulsivos y relacionados (American Psychiatric Association, 2014) que establece los siguientes criterios: arrancamiento del pelo de forma recurrente, lo que da lugar a su pérdida; este arrancamiento del pelo causa malestar clínicamente signifi cativo o deterioro en lo social, laboral u otras áreas importantes del funcionamiento y existen intentos repetidos de disminuir o dejar de arrancarse el pelo.La característica esencial de la tricotilomanía es el arrancamiento recurrente del cabello que da lugar a una pérdida perceptible de pelo. Puede haber arrancamiento del pelo en cualquier región del cuerpo donde este crezca (incluyendo las regiones axilar, púbica y perirrectal), pero los sitios más frecuentes son la cabeza, existiendo predilección por las regiones coronales o parietales, en el 80-90% de los casos, (Hallopeu, 1989; Papadopoulos, Janniger, y Schwartz, 2003), las cejas y las pestañas (pueden llegar a desaparecer por completo). Una perso-

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“…Subjects with SPD display more OCD and other OC spectrum disorders compared to ones without SPD [3]. Stress, anxiety, boredom, feelings of tiredness or anger have been found to be possible triggers for SPD [4,5]. Subjective difficulties in emotion regulation might predict picking behavior independent from depression and anxiety [6].…”

Section: Introductionmentioning

confidence: 99%

Postpartum-onset and childhood sexual trauma in a patient with skin picking disorder: a case report

Memiş

Kurt

Doğan

et al. 2017

Psychiatry and Clinical Psychopharmacology

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Women are at risk for the development of psychiatric disorders, particularly depression and psychosis in the postpartum period. Few studies have examined anxiety disorders or obsessive-compulsive and related disorders during pregnancy and the postpartum period. The individuals with skin-picking disorder (SPD) frequently have childhood history of sexual abuse. To best of our knowledge, there is no report in literature on postpartum-onset SPD to date. We here report a case of SPD initially presented a postpartum onset and exacerbated following a sexual trauma long years after her delivery. She had no previous history of trauma or psychiatric diagnoses. Pregnancy and sexual trauma seem to be associated with occurrence and relapsing of SPD in this case. ARTICLE HISTORY

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Affective regulation in trichotillomania: Evidence from a large-scale internet survey

Cited by 97 publications

References 23 publications

DBT-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial

DBT-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial

El tratamiento psicológico de la tricotolomanía: un estudio de caso

Postpartum-onset and childhood sexual trauma in a patient with skin picking disorder: a case report

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