Journal
DEPRESSION AND ANXIETY
Volume 28, Issue 4, Pages 310-313Publisher
WILEY-BLACKWELL
DOI: 10.1002/da.20778
Keywords
trichotillomania; hair pulling; habit reversal; dialectical behavior therapy
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Funding
- David Judah Fund
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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.
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