DBT-ENHANCED HABIT REVERSAL TREATMENT FOR TRICHOTILLOMANIA: 3-AND 6-MONTH FOLLOW-UP RESULTS
DBT-ENHANCED HABIT REVERSAL TREATMENT FOR TRICHOTILLOMANIA: 3-AND 6-MONTH FOLLOW-UP RESULTS
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DOI：
10.1002/da.20778
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发表时间：
2011-04-01
影响因子：
7.4
通讯作者：
Welch, Stacy Shaw
中科院分区：
文献类型：
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作者：
Keuthen, Nancy J.;Rothbaum, Barbara O.;Welch, Stacy Shaw
背景：通过认知行为疗法治疗毛发狂症(TTM)来维持收益一直是有问题的。方法：我们对参与辩证行为疗法(DBT)强化习惯逆转疗法(HRT)开放试验的10名DSM-IV-TRTTM患者在完成为期3个月的维持阶段3个月和6个月后进行了随访评估。结果：在3个月和6个月的随访中，所有的拔头发严重程度和情绪调节的指标都比基线有了显著的改善，尽管在早期的研究时间点上，一些指标出现了一些恶化。在6个月的随访中，分别有5名和4名参与者完全有效和部分有效。据报道，在随后的两个时间点上，拔发严重程度的变化与情绪调节能力之间都存在显著的相关性。结论：DBT增强的HRT有望改善TTM的长期治疗效果。TTM严重程度从基线到3个月和6个月随访的变化与情绪调节能力的变化相关。抑郁与焦虑28：310-313,2011。(C)2010年Wiley-Liss公司
Background: Maintenance of gains with cognitive-behavioral treatment for trichotillomania (TTM) has historically been problematic. Methods: We conducted follow-up assessments 3 and 6 months after completion of a 3-month maintenance phase on 10 individuals with DSM-IV-TR TTM who participated in an open trial of a dialectical behavior therapy (DBT)-enhanced habit reversal treatment (HRT). Results: Significant improvement from baseline was reported at 3- and 6-month follow-up on all measures of hair pulling severity and emotion regulation, although some worsening was reported on some measures from earlier study time points. At 6-month follow-up, five and four participants were full and partial responders, respectively. Significant correlations were reported at both follow-up time points between changes in hair pulling severity and emotion regulation capacity. Conclusions: DBT-enhanced HRT offers promise for improved long-term treatment results in TTM. Changes in TTM severity from baseline to 3- and 6-month follow-up is correlated with changes in emotion regulation capacity. Depression and Anxiety 28:310-313, 2011. (C) 2010 Wiley-Liss, Inc.