Comprehensive Behavioral Therapy of Trichotillomania: A Multiple-Baseline Single-Case Experimental Design

Bottesi, Gioia; Ouimet, Allison J.; Cerea, Silvia; Granziol, Umberto; Carraro, Eleonora; Sica, Claudio; Ghisi, Marta

doi:10.3389/fpsyg.2020.01210

Cited by 8 publications

(2 citation statements)

References 33 publications

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“…HRT shares the basic principles of CBT but aims to reverse the positive reinforcement developed by patients with trichotillomania. By completing therapy, patients learn to effectively monitor and raise awareness of their hair-pulling behavior [101]. In a study conducted by applying mindfulness therapy, an improvement in quality of life and a decrease in psychiatric symptoms were found in patients with alopecia [102].…”

Section: Author Detailsmentioning

confidence: 99%

Psychological Aspect of Alopecia

Hocaoğlu¹

2023

Alopecia Management - An Update

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Hair is one of the most important components of the individual’s appearance and self-perception, as an organ that has an important role in social and sexual communication in humans. Therefore, hair loss can have negative effects on self-confidence, body image and self-esteem. Trichopsychodermatology is a special field of psychodermatology that deals with the psychosocial causes and consequences of hair loss and hair diseases. Alopecia patients suffer from various mental disorders, especially anxiety and depression. Psychological stress and emotional difficulties act as triggers and accelerators in both trichotillomania, which is within the scope of primary psychiatric diseases, and hair diseases with different etiopathogenesis such as alopecia areata, telogen effluvium, cicatricial alopecia, androgenetic alopecia, anagen alopecia. Providing psychiatric diagnosis and treatment in a patient presenting with alopecia may also have a positive effect on the course of alopecia. In this section, the psychiatric approach to patients with alopecia is discussed. This situation, which is frequently observed by dermatologists in clinical practice, has actually been little studied in the literature.

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Section: Author Detailsmentioning

confidence: 99%

Psychological Aspect of Alopecia

Hocaoğlu¹

2023

Alopecia Management - An Update

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“…An uncontrolled treatment development study found ComB to be highly acceptable to patients, with encouraging data on effects through 3-month follow-up (Falkenstein et al, 2016). A multiple-baseline study conducted in Italy showed favorable effects of ComB in reducing hair pulling frequency (Bottesi et al, 2020). The first randomized clinical trial of ComB compared it to minimal attention control and found statistically significant effects favoring the ComB condition on self-reported, though not on interviewer-rated, symptoms (Carlson et al, 2021).…”

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confidence: 99%

Comprehensive Behavioral Treatment of an Older Adult Man with Trichotillomania

Coyne

Carlson

Flannery

et al. 2022

Clinical Case Studies

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The Comprehensive Behavioral (ComB) model of treatment for trichotillomania (TTM) and other body-focused repetitive behaviors offers a framework for individualized, flexible intervention based on functional analysis. This case report focuses on the treatment of a patient who enrolled in the first randomized clinical trial of ComB for TTM (Carlson et al., 2021) as well as a long-term follow-up of participants from that trial conducted during the COVID-19 pandemic (Flannery et al., in press). Walter (pseudonym) entered the treatment trial at 69, having had TTM since age 17 but not received treatment for it. Walter showed clinically significant improvement in treatment, ultimately abstaining from hair pulling for two years. A single case from a parallel-groups trial cannot support strong conclusions about why his results were favorable, but qualitative review of Walter’s experience in therapy suggested that allowing him a good deal of collaborative input on the specific methods of implementation of ComB principles was helpful. Along with the general literature on patient age as a predictor of therapy outcome, Walter’s case serves as a reminder that older adults, even those with highly chronic clinical conditions, can benefit greatly from psychotherapy.

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