Group Treatment for Trichotillomania

Toledo, Edson Luiz; Muniz, Enilde De Togni; Brito, Antonio Marcelo Cabrita de; Abreu, Cristiano Nabuco de; Tavares, Hermano

doi:10.4088/jcp.13m08964

Cited by 23 publications

(8 citation statements)

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“…The results for the participants with SPD are in line with previous meta-analyses (Schumer et al, 2016;Selles et al, 2016), whereas the effect size of the primary outcome measure for TTM is somewhat lower than in prior studies (McGuire et al, 2014;Slikboer et al, 2017). Posttreatment outcomes in the study are comparable to other studies of behavior group therapy for TTM (Diefenbach et al, 2006;Toledo et al, 2015) and to outcomes in individual behavior therapy for SPD (Schuck et al, 2011).…”

Section: Discussionsupporting

confidence: 86%

ACT‐enhanced group behavior therapy for trichotillomania and skin‐picking disorder: A feasibility study

et al. 2021

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Objective: To evaluate the feasibility and efficacy of ACTenhanced Group Behavior Therapy (AEGBT) for mixed diagnosis groups including patients with trichotillomania (TTM) and skin-picking disorder (SPD) in routine psychiatric care.Method: Adult patients (N = 40) with TTM and/or SPD received 10 weeks of AEGBT followed by five booster sessions. The primary outcome measure for TTM was the Massachusetts General Hospital Hairpulling Scale (MGH-HPS) and for SPD the Skin Picking Scale-Revised (SPS-R), assessed at posttreatment and at booster sessions.Results: Results showed significant reductions in hair pulling and skin-picking severity from baseline to posttreatment and large effect sizes at posttreatment. Improvements remained significant at the 12-month follow-up for patients with SPD, but not for patients with TTM. Group attendance was high and few patients dropped out from treatment. The group format enabled therapists to see 25% more patients compared with an individual format. Conclusion:The results provide initial support for the feasibility and efficacy of an adapted treatment approach for TTM and SPD.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 86%

ACT‐enhanced group behavior therapy for trichotillomania and skin‐picking disorder: A feasibility study

et al. 2021

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“…However, compared with other group studies, our results indicate that ACT-enhanced BT might be superior to BT or CBT, as our one-year follow-up effect size (ES=1.76) on the MGH-HS was larger than the pre-post effect size (ES=1.02) reported by Diefenbach et al (2006) at 6-month follow-up for the BT condition. Moreover, our post-treatment effect size was somewhat larger than the 1.35 effect size of the CBT condition in the study of Toledo et al (2015). It should be noted that Diefenbach and colleagues reported an effect size of 1.39, but when using pooled standard deviations, as we did in our study, we computed an effect size of 1.02 for their data.…”

Section: Discussioncontrasting

confidence: 49%

“…Despite promising evidence in studies of group BT (Mouton and Stanley, 1996, Diefenbach et al, 2006, Toledo et al, 2015, there is preliminary evidence that group BT in the long-term is not superior to an active control (Diefenbach et al, 2006). In the one study, to examine the long-term impact of group BT, Diefenbach et al (2006) compared BT to supportive therapy, provided over 8 weeks.…”

Section: Introductionmentioning

confidence: 99%

ACT-enhanced behavior therapy in group format for Trichotillomania: An effectiveness study

Haaland

Eskeland

Moen

et al. 2017

Journal of Obsessive-Compulsive and Related Disorders

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• The results showed significant decreases in TTM symptoms from pre-treatment to the one-year follow-up. • Nearly 90% of TTM patients scored below the diagnostic threshold at post-treatment on the CGI-TTM, and slightly more than 60% remained so at one-year follow-up. • Overall, patients improved equally well during treatment and it was not until the one-year follow-up that differences in treatment response came to the fore.

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“…10 CBT to be significantly more effective than group support therapy. 24 T A B L E 1 Clinical differentials for TTM 1,2,5,6,9,11,12…”

Section: The Genetics Of Ttmmentioning

confidence: 99%

Recent advances in the treatment of trichotillomania (hair‐pulling disorder)

Everett

Jafferany

Skurya

2020

Dermatologic Therapy

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Trichotillomania (TTM) is a condition in which affected individuals pull out their hair resulting in hair loss. This disorder affects roughly 0.5% to 2.0% of the population and can have significant psychological morbidity. Behavioral therapy has been used with success in the treatment of TTM, but not all patients are willing or able to comply with this treatment strategy. There is a need for effective pharmacological treatment options. Historically, pharmacotherapy for TTM has been inadequate in most cases, but recent advances have been made in this regard. Fluoxetine, clomipramine, olanzapine, and naltrexone have all been used in the treatment of TTM, but evidence of benefit has varied, and side effect profiles can limit practical utility. Recent advances in the understanding of the pathophysiology of TTM, as well as evidence of benefit seen with some glutamate-modulating agents such as N-acetylcysteine and dronabinol, have provided newer potential pharmacotherapy options.

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Group Treatment for Trichotillomania

Abstract: ClinicalTrials.gov identifier: NCT01968343.

Cited by 23 publications

References 0 publications

ACT‐enhanced group behavior therapy for trichotillomania and skin‐picking disorder: A feasibility study

ACT‐enhanced group behavior therapy for trichotillomania and skin‐picking disorder: A feasibility study

ACT-enhanced behavior therapy in group format for Trichotillomania: An effectiveness study

Recent advances in the treatment of trichotillomania (hair‐pulling disorder)

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