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  1. Article ; Online: Long-term follow-up of acceptance-enhanced behavior therapy for trichotillomania.

    Barber, Kathryn E / Woods, Douglas W / Ely, Laura J / Saunders, Stephen M / Compton, Scott N / Neal-Barnett, Angela / Franklin, Martin E / Capriotti, Matthew R / Conelea, Christine A / Twohig, Michael P

    Psychiatry research

    2024  Volume 333, Page(s) 115767

    Abstract: Acceptance-enhanced behavior therapy for trichotillomania (AEBT-TTM) is effective in reducing trichotillomania (TTM) symptoms, but the durability of treatment effects remains in question. This study analyzed 6-month follow-up data from a large randomized ...

    Abstract Acceptance-enhanced behavior therapy for trichotillomania (AEBT-TTM) is effective in reducing trichotillomania (TTM) symptoms, but the durability of treatment effects remains in question. This study analyzed 6-month follow-up data from a large randomized clinical trial comparing AEBT-TTM to an active psychoeducation and supportive therapy control (PST). Adults with TTM (N=85; 92% women) received 10 sessions of AEBT-TTM or PST across 12 weeks. Independent evaluators assessed participants at baseline, post-treatment, and 6 months follow-up. For both AEBT-TTM and PST, self-reported and evaluator-rated TTM symptom severity decreased from baseline to follow-up. TTM symptoms did not worsen from post-treatment to follow-up. At follow-up, AEBT-TTM and PST did not differ in rates of treatment response, TTM diagnosis, or symptom severity. High baseline TTM symptom severity was a stronger predictor of high follow-up severity for PST than for AEBT-TTM, suggesting AEBT-TTM may be a better option for more severe TTM. Results support the efficacy of AEBT-TTM and show that treatment gains were maintained over time. Although AEBT-TTM yielded lower symptoms at post-treatment, 6-month follow-up outcomes suggest AEBT-TTM and PST may lead to similar symptom levels in the longer term. Future research should examine mechanisms that contribute to long-term gain maintenance.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Behavior Therapy/methods ; Follow-Up Studies ; Treatment Outcome ; Trichotillomania/therapy ; Trichotillomania/diagnosis ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2024-01-30
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.psychres.2024.115767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Acceptance-enhanced behavior therapy for trichotillomania in adults: A randomized clinical trial.

    Woods, Douglas W / Ely, Laura J / Bauer, Christopher C / Twohig, Michael P / Saunders, Stephen M / Compton, Scott N / Espil, Flint M / Neal-Barnett, Angela / Alexander, Jennifer R / Walther, Michael R / Cahill, Shawn P / Deckersbach, Thilo / Franklin, Martin E

    Behaviour research and therapy

    2022  Volume 158, Page(s) 104187

    Abstract: Given the limited treatment options for trichotillomania (TTM), or Hair Pulling Disorder, this large randomized clinical trial evaluated the efficacy of acceptance-enhanced behavior therapy for TTM (AEBT-TTM) in reducing TTM severity relative to ... ...

    Abstract Given the limited treatment options for trichotillomania (TTM), or Hair Pulling Disorder, this large randomized clinical trial evaluated the efficacy of acceptance-enhanced behavior therapy for TTM (AEBT-TTM) in reducing TTM severity relative to psychoeducation and supportive therapy (PST). Eighty-five adults (78 women) with TTM received 10 sessions (over 12 weeks) of either AEBT-TTM or PST. Independent evaluators masked to treatment assignment assessed participants at baseline (week 0), midpoint (week 6), and endpoint (week 12). Consistent with a priori hypotheses, 64% of the adults treated with AEBT-TTM were classified as clinical responders at post-treatment relative to 38% treated with PST. Clinical responders were identified by a score of 1 or 2 on the Clinical Global Impressions-Improvement (CGI-I) scale. Relative to the PST group, the AEBT-TTM group demonstrated significantly greater pre-to post-treatment reductions on the self-report Massachusetts General Hospital-Hairpulling Scale (MGH-HS) and the evaluator-rated National Institute of Mental Health Trichotillomania Severity Scale (NIMH-TSS). There were no significant post-treatment group differences on the Clinical Global Impressions-Severity (CGI-S) scale, or rate of TTM diagnoses. Results suggest AEBT-TTM provides greater treatment benefit than PST. Future research should continue to investigate AEBT-TTM along with mediators and moderators of its efficacy.
    MeSH term(s) Adult ; Behavior Therapy/methods ; Female ; Humans ; Treatment Outcome ; Trichotillomania/psychology ; Trichotillomania/therapy ; United States
    Language English
    Publishing date 2022-09-06
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
    ZDB-ID 211997-3
    ISSN 1873-622X ; 0005-7967
    ISSN (online) 1873-622X
    ISSN 0005-7967
    DOI 10.1016/j.brat.2022.104187
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Acceptance-enhanced behavior therapy for trichotillomania in adults

    Woods, Douglas W. / Ely, Laura J. / Bauer, Christopher C. / Twohig, Michael P. / Saunders, Stephen M. / Compton, Scott N. / Espil, Flint M. / Neal-Barnett, Angela / Alexander, Jennifer R. / Walther, Michael R. / Cahill, Shawn P. / Deckersbach, Thilo / Franklin, Martin E.

    Behaviour Research and Therapy

    A randomized clinical trial

    2022  

    Abstract: Abstract not released by publisher. ...

    Title translation Akzeptanzunterstützte Verhaltenstherapie bei Trichotillomanie bei Erwachsenen: Eine randomisierte klinische Studie
    Abstract Abstract not released by publisher.
    Keywords Acceptance and Commitment Therapy ; Achtsamkeitsinterventionen ; Akzeptanz- und Commitment-Therapie ; Behavior Therapy ; Cognitive Behavior Therapy ; Kognitive Verhaltenstherapie ; Mindfulness-Based Interventions ; Therapieerfolgskontrolle ; Therapieergebnisse ; Treatment Effectiveness Evaluation ; Treatment Outcomes ; Trichotillomania ; Trichotillomanie ; Verhaltenstherapie
    Language English
    Document type Article
    ZDB-ID 211997-3
    ISSN 1873-622X ; 0005-7967
    ISSN (online) 1873-622X
    ISSN 0005-7967
    DOI 10.1016/j.brat.2022.104187
    Database PSYNDEX

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  4. Article ; Online: Pilot Testing Behavior Therapy for Chronic Tic Disorders in Neurology and Developmental Pediatrics Clinics.

    Ricketts, Emily J / Gilbert, Donald L / Zinner, Samuel H / Mink, Jonathan W / Lipps, Tara D / Wiegand, Geoffrey A / Vierhile, Amy E / Ely, Laura J / Piacentini, John / Walkup, John T / Woods, Douglas W

    Journal of child neurology

    2016  Volume 31, Issue 4, Page(s) 444–450

    Abstract: Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study ... ...

    Abstract Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = -2.0, P < .05, r = -.48, as did tic-related impairment, z = -2.4, P < .05, r = -.57. Five of the 9 completers (56%) were classified as treatment responders. Satisfaction ratings were high, and therapeutic alliance ratings were moderately high. Results provide guidance for refinement of this modified CBIT protocol.
    MeSH term(s) Adolescent ; Behavior Therapy/methods ; Child ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Male ; Patient Satisfaction ; Pilot Projects ; Severity of Illness Index ; Tourette Syndrome/psychology ; Tourette Syndrome/therapy ; Treatment Outcome
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 639288-x
    ISSN 1708-8283 ; 0883-0738
    ISSN (online) 1708-8283
    ISSN 0883-0738
    DOI 10.1177/0883073815599257
    Database MEDical Literature Analysis and Retrieval System OnLINE

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