Habit reversal training for trichotillomania: A group approach

Mouton, Suzanne G.; Stanley, Melinda A.

doi:10.1016/s1077-7229(96)80036-8

Cited by 72 publications

(36 citation statements)

References 21 publications

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“…The most empirically supported behavioral intervention for TTM is Habit Reversal Training (HRT; Azrin et al, 1980, Rosenbaum and Ayllon, 1981; Tarnowski et al, 1987; Mouton and Stanley, 1996; Stoylen, 1996; Rapp et al, 1998), which consists of awareness training, competing response training, and social support. Unfortunately, evidence suggests that while effective at reducing pulling, HRT does not address the aversive cognitions and emotional states that often trigger pulling episodes (Woods et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Measuring the role of psychological inflexibility in Trichotillomania

Houghton

Compton

Twohig

et al. 2014

Psychiatry Research

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Psychological Inflexibility (PI) is a construct that has gained recent attention as a critical theoretical component of Acceptance and Commitment Therapy (ACT). PI is typically measured by the Acceptance and Action Questionnaire-II (AAQ-II). However, the AAQ-II has shown questionable reliability in clinical populations with specific diagnoses, leading to the creation of content-specific versions of the AAQ-II that show stronger psychometric properties in their target populations. A growing body of literature suggests that PI processes may contribute to hair pulling, and the current study sought to examine the psychometric properties and utility of a Trichotillomania-specific version of the AAQ-II, the AAQ-TTM. A referred sample of 90 individuals completed a battery of assessments as part of a randomized clinical trial of Acceptance-Enhanced Behavior Therapy for Trichotillomania. Results showed that the AAQ-TTM has two intercorrelated factors, adequate reliability, concurrent validity, and incremental validity over the AAQ-II. Furthermore, mediational analysis between emotional variables and hair pulling outcomes provides support for using the AAQ-TTM to measure therapeutic process. Implications for the use of this measure will be discussed, including the need to further investigate the role of PI processes in Trichotillomania.

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Section: Introductionmentioning

confidence: 99%

Measuring the role of psychological inflexibility in Trichotillomania

Houghton

Compton

Twohig

et al. 2014

Psychiatry Research

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“…Post-treatment response rates in studies of individual HRT have ranged from 64% to 100%; however few patients have achieved total abstinence from pulling (e.g., Lerner, Franklin, Meadows, Hembree, & Foa, 1998; Ninan, Rothbaum, Marsteller, Knight, & Eccard, 2000; van Minnen, Hoogduin, Keijsers, Hellenbrand, & Hendriks, 2003). In studies of group HRT, response rates have been more variable, ranging from 17% to 80% (Diefenbach, Tolin, Hannan, Maltby, & Crocetto, 2006; Mouton & Stanley, 1996). Recently, treatment studies have included emotion-regulation skills training with traditional HRT.…”

Section: Introductionmentioning

confidence: 99%

Predictors of relapse following treatment of trichotillomania

Falkenstein

Rogers

Malloy

et al. 2014

Journal of Obsessive-Compulsive and Related Disorders

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Objective This study sought to identify predictors of relapse in a behavior therapy trial for trichotillomania (TTM), or hair-pulling disorder. Relapse is common after treatment for TTM, and only a few studies have examined what might predict relapse. Method Data was examined from a TTM treatment study with a stepped-care approach (step 1. web-based self-help; step 2. individual behavior therapy) (N = 60). Implications of significant predictive relations were illustrated by constructing Probability of Treatment Benefit (PTB) charts (Lindhiem, Kolko, & Cheng, 2012), which quantify the probability of maintaining gains according to predictors of maintenance. Results Abstinence at the conclusion of treatment and lower TTM severity during initial response significantly predicted maintenance. Abstinence periods prior to treatment, residual urges after achieving abstinence, pre-treatment TTM severity, intrinsic motivation, and treatment compliance did not predict maintenance. Conclusions Post-treatment abstinence and lower TTM severity during initial response predicted maintenance. Replications of this research are needed to determine the usefulness of these possible predictors in identifying relapse-prone patients, with the aim of improving clinical decision-making and developing strategies to help these patients better maintain gains. This is the first TTM study to use PTB charts, which can help clarify the meaning of prognostic analyses.

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“…Uit diverse open trial studies (Lerner, Franklin, Meadows, Hembree, & Foa, 1998;Mouton & Stanley, 1996;Rosenbaum & Allyon, 1981;Rothbaum, 1992;Salam, Salama & Aziz, 1999;Vitulano, King, Scahill & Cohen, 1992) is gebleken dat gedragstherapie in de vorm van 'habit reversal' effectief is bij haartrekken. Deze behandeling bestaat uit een combinatie van zelfregistratie, bewustwording, en het uitvoeren van een incompatibele respons (bijvoorbeeld door bij de drang je haren te trekken op je handen te gaan zitten).…”

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