Cognitive Behavioral Treatment for Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder

Keuthen, Nancy J.; Usmani, Aisha

doi:10.1007/978-1-4939-2605-3_9

Cited by 9 publications

(12 citation statements)

References 42 publications

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“…Dois artigos selecionados na Fase 2, por meio da base das pesquisas nas bases de dados (Fruensgaard, 1991b;Keuthen et al, 2015) não foram encontrados pelos autores para leitura na íntegra e por isso, foram excluídos do estudo. Nenhum artigo nacional foi selecionado na busca bibliográfica.…”

Section: Resultsunclassified

Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Richartz¹,

Gon²,

Zazula³

2018

REBAC

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RESUMOO transtorno de escoriação é definido por um excesso de comportamentos de arranhar, ferir ou esfolar a pele. Os comportamentos não estão relacionados a problemas no neurodesenvolvimento e provocam sofrimento emocional e prejuízos na vida social de quem os apresenta. Além de ser considerado um problema dermatológico, por afetar diretamente a pele e seus anexos, esse transtorno também apresenta características psiquiátricas, recebendo atenção de pesquisadores da área. Conduziu-se uma revisão bibliográfica em periódicos da saúde com os objetivos de identificar pesquisas aplicadas ou relatos de casos realizados com indivíduos com desenvolvimento típico que apresentassem escoriação, descrever as intervenções comportamentais empregadas e relatar os métodos e os resultados dos procedimentos. Uma pesquisa eletrônica foi realizada nas bases de dados PsycINFO, Web of Science, PubMed/MEDLINE e BVS com os seguintes descritores: 'escoriação', 'neurotic excoriation' ou psychogenic excoriation'. Esses foram combinados com 'behavioral treatment'. Dezoito artigos foram recuperados, catalogados e analisados qualitativamente a partir dos objetivos, métodos empregados e resultados das intervenções. Constatou-se que a maioria das pesquisas foi conduzida com adultos e adotaram-se estratégias e métodos da terapia de reversão de hábito e da terapia de aceitação e compromisso. Observou-se que essas intervenções foram efetivas para garantir redução da frequência da escoriação, porém com dificuldade na manutenção dos resultados na avaliação de seguimento. Sugerem-se futuras pesquisas com maior diversidade de variáveis e de participantes, bem como a avaliação funcional do comportamento de escoriação.Palavras-chave: transtorno de escoriação, escoriação psicogênica, skin picking, terapia de reversão de hábito, intervenção comportamental ABSTRACT Excoriation disorder is defined by excessive and recurrent behavior of scratching or injuring the skin. It is not related to neurodevelopment problems, it causes emotional suffering and it negatively affects the social life of those who present the condition. Besides being considered a dermatological problem, as it directly involves the skin and its attachments, the disorder is also a psychiatric condition that has been receiving attention from mental health researchers. A bibliographic review was conducted in health journals in order to identify applied studies and case reports with typically developing individuals that excoriate the skin, to present behavioral interventions employed as treatment, and to report the method and results of the adopted procedures. It was carried out an electronic search at PsycINFO, Web of Science, PubMed / MEDLINE and BVS databases using 'excoriation', 'neurotic excoriation' or 'psychogenic excoriation', combined with 'behavioral treatment', as descriptors. Eighteen articles were retrieved, cataloged and qualitatively analyzed based on their objectives, methods and results. It was found that most of the studies involved adults and used habit reversal therapy and ...

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Section: Resultsunclassified

Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Richartz¹,

Gon²,

Zazula³

2018

REBAC

View full text Add to dashboard Cite

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“…An important challenge in SPD treatment is the lack of trained therapists and the great demand. 12 The group format is a viable way to fill this demand and, to our knowledge, this is the first study to evaluate such a format for SPD treatment.…”

Section: Discussionmentioning

confidence: 99%

“…11 One important limitation of behavioral techniques is the low availability of trained therapists. 12 Recent studies have found that unified cognitive behavioral therapy (CBT) protocols can effectively treat different pathologies in the same spectrum, facilitating therapist training and improving treatment dissemination. [12][13][14] Moreover, group CBT interventions have also been found effective and can treat more patients at the same time.…”

Section: Introductionmentioning

confidence: 99%

“… 12 Recent studies have found that unified cognitive behavioral therapy (CBT) protocols can effectively treat different pathologies in the same spectrum, facilitating therapist training and improving treatment dissemination. 12 - 14 Moreover, group CBT interventions have also been found effective and can treat more patients at the same time. 15 Thus, besides treating more patients, effective group CBT interventions could also train therapists in loco , improving cost effectiveness.…”

Section: Introductionmentioning

confidence: 99%

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Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial

Xavier

Souza

Flores

et al. 2020

Braz. J. Psychiatry

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Introduction: Although behavioral therapies can effectively treat skin picking disorder (SPD), there is no standardized treatment for improving SPD and its comorbidities and there is no group intervention option. This trial aimed to adapt the Rothbaum trichotillomania protocol to SPD (Study 1) and test its efficacy for treating SPD and comorbidities in individual and group formats (Study 2). Methods: The adapted protocol was applied to 16 SPD patients, who were allocated to group or individual treatment (Study 1). Afterwards, 54 patients were randomly allocated to treatment in an individual (n=27) or group format (n=27) (Study 2). In both studies, assessments of SPD severity, anxiety, depression, clinical status and skin lesion severity were performed at baseline and the endpoint. Results: The adapted protocol was feasible in both treatment modalities (Study 1) and led to high SPD remission rates (individual 63%; group 52%), with no significant difference between intervention types (p = 0.4) (Study 2). SPD, anxiety, and depression symptoms and objective patient lesion measures improved after treatment. There was large effect size for SPD symptom improvement in both treatment types (Cohen's d: group = 0.88; individual = 1.15) (Study 2). Conclusion: The adapted Rothbaum protocol was effective for SPD remission, comorbidities, and skin lesions, both in individual and group formats. Clinical trial registration: NCT03182478

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“…Diaries are used to reduce the number of skin-picking episodes. Additional behavioral therapy interventions such as video techniques, self-observation with diaries, stimulus control, and role playing are also employed [101]. Such cognitive interventions are estimated to be up to 50 % effective [102].…”

Section: Artefacts and Skin Picking Disordermentioning

confidence: 99%

Skin and Psychosomatics – Psychodermatology today

Gieler¹,

Gieler²,

Peters

et al. 2020

J Deutsche Derma Gesell

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Modern psychodermatology relies on the bio-psycho-social disease model in psychosomatics, according to which biological, psychological and social factors (on various levels, from molecules to the biosphere) play a major role in the disease pathogenesis through complex, non-linear interactions over the entire disease course. It is nowadays experimentally proven that "emotions get into the skin". Recent research shows close anatomical, physiological and functional connections between skin and nervous system, already known to be ontogenetically related. These connections are reflected in many skin diseases where psychological and somatic etiological factors are closely intertwined. A holistic approach by the physician should do justice to this interdependence; biological, psychological and social factors should be adequately taken into account when taking anamnesis, making a diagnosis and choosing a therapy. The "visibility" of the skin organ bestows dermatology a special position among the various other clinical subjects, and renders a holistic, psychosomatic approach to the patient that is particularly important. The life course belongs also to modern psychodermatological approaches. Based on the modern psychodermatology concept, other corresponding sub-areas such as psychogastroenterology, psychocardiology etc. have emerged. After the theoretical part of this article, some selected skin diseases are discussed in more detail from the psychosomatic point of view.

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Cognitive Behavioral Treatment for Trichotillomania (Hair-Pulling Disorder) and Excoriation (Skin-Picking) Disorder

Cited by 9 publications

References 42 publications

Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial

Skin and Psychosomatics – Psychodermatology today

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