Effectiveness of a cognitive behavioral treatment program for trichotillomania: An uncontrolled evaluation
Effectiveness of a cognitive behavioral treatment program for trichotillomania: An uncontrolled evaluation
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DOI：
10.1016/s0005-7894(98)80036-1
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发表时间：
1998-12-01
期刊：
影响因子：
3.7
通讯作者：
Foa, EB
中科院分区：
文献类型：
--
作者：
Lerner, J;Franklin, ME;Foa, EB
在一项非对照研究中检查了一种认知行为治疗方案对震颤躁狂症的有效性。在治疗后，14名治疗完成者中有12名被归类为应答者（NIMH拔毛症严重程度量表改善>50%）。然而，13例治疗患者中只有4例在随访时被归类为应答者（M = 3年9个月）; 1例治疗后应答者失访。还在拒绝治疗者和脱落者的子集中评估了长期症状严重程度; 10例拒绝治疗者和脱落者中有4例在随访时被分类为改善（M = 3年2个月）。我们的研究结果表明，成功的认知行为治疗后，复发的风险很大。解决这一问题的建议包括延长治疗时间，以实现更大的初始症状减轻和扩大对复发预防战略的重点。
The effectiveness of a cognitive behavioral treatment program for trichotillomania was examined in an uncontrolled study. Immediately following treatment, 12 of 14 treatment completers were classified as responders (>50% improvement on NIMH Trichotillomania Severity Scale). However, only 4 of 13 treated patients were classified as responders at follow-up (M = 3 years, 9 months); one posttreatment responder was lost to follow-up. Long-term symptom severity was also assessed in a subset of treatment refusers and dropouts; 4 of 10 available treatment refusers and dropouts were classified as improved at follow-up (M = 3 years, 2 months). Our findings suggest a significant risk for relapse following successful cognitive behavioral treatment of trichotillomania. Recommendations to address this problem include extending treatment length to achieve greater initial symptom reduction and expanding the focus on relapse prevention strategies.