Awareness Enhancing and Monitoring Device plus Habit Reversal in the Treatment of Trichotillomania: An Open Feasibility Trial.
Awareness Enhancing and Monitoring Device plus Habit Reversal in the Treatment of Trichotillomania: An Open Feasibility Trial.
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DOI：
10.1016/j.jocrd.2017.10.007
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发表时间：
2018-01
影响因子：
1.8
通讯作者：
Rimer JM
中科院分区：
文献类型：
--
作者：
Himle JA;Bybee D;O'Donnell LA;Weaver A;Vlnka S;DeSena DT;Rimer JM
习惯逆转疗法（HRT）对许多患有拔毛癖的人很有帮助。然而，成功的习惯逆转疗法需要意识到拔毛行为。现有的监测拔毛行为的方法并不理想，特别是当患者不知道他们的拔毛相关行为时。这项公开的可行性试验包括20名拔毛癖患者，他们接受了9周的HRT治疗，由经验丰富的临床医生按照一套完善的HRT方案进行治疗。HRT配备了一个电子意识增强和监测装置（AEMD），旨在提醒用户手与头接触，并监测与拉扯相关行为的频率。AEMD包括一个颈部单元和两个手腕单元，每个单元都配备了振动警报功能。公开试验的结果显示，临床医生和自我报告评定量表测量的拔毛癖症状有显著改善。大多数参与者符合HRT完成的研究标准，治疗效果很大。参与者报告说，AEMD在运行时，可以有效地提醒参与者注意与ttm相关的行为。AEMD的监测功能没有按设计运行。对AEMD概念的主观反馈是积极的，但AEMD的可靠性问题和对设备可穿戴性的抱怨也很普遍。包括对AEMD设计修改的建议。
Habit Reversal Therapy (HRT) is helpful for many persons suffering from trichotillomania. However successful habit reversal therapy requires awareness of hair pulling behaviors. Available methods to monitor hair pulling behaviors are less than ideal, particularly when sufferers are unaware of their pulling-related behaviors. This open feasibility trial included 20 persons with trichotillomania who were treated with nine weeks of HRT with experienced clinicians following a well-established HRT protocol. HRT was augmented with an electronic Awareness Enhancing and Monitoring Device (AEMD) designed to alert users of hand to head contact and to monitor the frequency of pulling-related behaviors. The AEMD included a neck unit and two wrist units, each equipped with vibrating alert functions. The results of the open trial revealed significant improvements in trichotillomania symptoms as measured by clinician and self-report rating scales. Most participants met study criteria for HRT completion and treatment effects were large. Participants reported that the AEMD, when operational, was effective in alerting participants to TTM-related behaviors. The monitoring function of the AEMD did not operate as designed. Subjective feedback focused on the AEMD concept was positive but AEMD reliability problems and complaints about the wearability the units were common. Recommendations for AEMD design modifications were included.
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DOI：
10.1007/s10862-005-0633-7
发表时间：
2005-09-01
影响因子：
1.6
作者：
Diefenbach, GJ;Tolin, DF;Hannan, S
通讯作者：
Hannan, S
影响因子：
7.4
作者：
Keuthen, Nancy J.;Rothbaum, Barbara O.;Welch, Stacy Shaw
通讯作者：
Welch, Stacy Shaw
影响因子：
10.3
作者：
Duke, Danny C.;Bodzin, Danielle K.;Storch, Eric A.
通讯作者：
Storch, Eric A.
影响因子：
4.1
作者：
Keijsers, GPJ;van Minnen, A;Tanis-Jacobs, J
通讯作者：
Tanis-Jacobs, J
影响因子：
3.7
作者：
Lerner, J;Franklin, ME;Foa, EB
通讯作者：
Foa, EB