Behavior therapy for pediatric trichotillomania: Rationale and methods for a randomized controlled trial

Morris, Sarah; Kratz, Hilary E.; Burke, D; Zickgraf, Hana F.; Coogan, Catherine; Woods, Doug; Franklin, Martin E.

doi:10.1016/j.jocrd.2016.04.004

Cited by 3 publications

(4 citation statements)

References 53 publications

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“…The DSM-IV-TR requires five criteria for the disorder to be diagnosed: (a) one intentionally and repetitively pulls out his or her hair, resulting in noticeable hair loss; (b) an increasing sense of tension occurs immediately before or when trying to resist [5]. The management of the disease is difficult and requires strong cooperation between the physician, patient, and parents [6]. It depends on the age of the child; several treatment options are available to combat trichotilomania [1].…”

Section: Discussionmentioning

confidence: 99%

Trichotillomania of Eyelashes: An Uncommon Disorder

O¹,

AA²

2018

IJPA

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Trichotillomania is a disorder characterized by the noncosmetic, repetitive pulling of hair from any part of one's body, resulting in noticeable hair loss or alopecia. It is included under anxiety disorders because it shares some obsessive-compulsive features. We report a particular case of a 12-year-old girl with one-year history of secondary enuresis, referred by his urologist for the management of an isolated alopecia of the eyelashes.

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Section: Discussionmentioning

confidence: 99%

Trichotillomania of Eyelashes: An Uncommon Disorder

O¹,

AA²

2018

IJPA

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“…There are psychological treatments aimed at guaranteeing behavior control in adolescents with TTM before adulthood and before functional impact in childhood (97). Among these non-pharmacological interventions, cognitive-behavioral therapy and habit reversal training are highlighted (98), since this disorder has a social and economic impact as it affects emotional expressions and social relationships through avoidance, increases medical consults, and decreases productive school and work time (99).…”

Section: Discussionmentioning

confidence: 99%

Rapunzel Syndrome in a Colombian Female Adolescent: A Case Study and Literature Review

Carvajal-Barrios¹,

Río

Torres

2017

Pediatr

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En este artículo se presenta un caso de síndrome de Rapunzel (tricobezoar gástrico con extensión al intestino delgado) en una adolescente con trastorno mixto de ansiedad, depresión y trastorno obsesivo-compulsivo. La paciente sufría de tricotilomanía asociada a disfunción familiar y matoneo escolar. A su llegada al departamento de urgencias, la paciente experimentaba dolor abdominal, aunque no se palpó ni se visualizó por ecografía ninguna masa abdominal, y sus niveles de amilasa y lipasa eran elevados. Debutó con pancreatitis aguda, por lo que requirió laparotomía. En adición al reporte de caso, se presenta una revisión de la literatura disponible sobre el tema.

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“…The CGI was administered by a well-trained independent evaluator (IE) who was blind to the intervention conditions. The CGI has displayed good psychometric properties in child studies (De Los Reyes et al, 2011, Tolin et al, 2007), and has also been used as the main categorical outcome measure in existing psychosocial randomized controlled trials for pediatric TTM (Franklin et al, 2011, Morris et al, 2016).…”

Section: Treatment Response Statusmentioning

confidence: 99%

“…Further, the NIMH-TQ is sensitive to treatment-induced symptom change in adult TTM (Rothbaum, 1992, Woods et al, 2006b. It has also served as the primary outcome measure in existing psychosocial controlled trials for pediatric TTM (Franklin et al, 2011, Morris et al, 2016. In this study, a thoroughly trained and experienced master's level clinician served as a blinded independent evaluator (IE), and 25% of the recorded ratings were reviewed by an independent rater (interrater-rater agreement = 0.91 based on intraclass correlation coefficient).…”

Section: Hair Pulling Symptomsmentioning

confidence: 99%

Computerized response inhibition training for children with trichotillomania

Lee

Espil

Bauer

et al. 2018

Psychiatry Research

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Evidence suggests that trichotillomania is characterized by impairment in response inhibition, which is the ability to suppress pre-potent/dominant but inappropriate responses. This study sought to test the feasibility of computerized response inhibition training for children with trichotillomania. Twenty-two children were randomized to the 8-session response inhibition training (RIT; n = 12) or a waitlisted control (WLT; n = 10). Primary outcomes were assessed by an independent evaluator, using the Clinical Global Impression-Improvement (CGI-I), and the NIMH Trichotillomania Severity (NIMH-TSS) and Impairment scales (NIMH-TIS) at pre, post-training/waiting, and 1-month follow-up. Relative to the WLT group, the RIT group showed a higher response rate (55% vs. 11%) on the CGI-I and a lower level of impairment on the NIMH-TIS, at post-training. Overall symptom reductions rates on the NIMH-TSS were 34% (RIT) vs. 21% (WLT) at post-training. The RIT's therapeutic gains were maintained at 1-month follow-up, as indicated by the CGI-I responder status (= 66%), and a continuing reduction in symptom on the NIMH-TSS. This pattern of findings was also replicated by the 6 waitlisted children who received the same RIT intervention after post-waiting assessment. Results suggest that computerized RIT may be a potentially useful intervention for trichotillomania.

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Behavior therapy for pediatric trichotillomania: Rationale and methods for a randomized controlled trial

Cited by 3 publications

References 53 publications

Trichotillomania of Eyelashes: An Uncommon Disorder

Trichotillomania of Eyelashes: An Uncommon Disorder

Rapunzel Syndrome in a Colombian Female Adolescent: A Case Study and Literature Review

Computerized response inhibition training for children with trichotillomania

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