Behavioural treatment of trichotillomania: two-year follow-up results
Abstract
Post-treatment evaluation studies of behaviour therapy (BT) for trichotillomania (TTM) have shown that BT is successful in reducing symptoms in this impulse-control disorder. The present study was aimed at investigating gain maintenance at long-term follow-up. TTM-related symptoms and other symptom characteristics were evaluated in 28 patients suffering from TTM before and after brief BT and at a 3-month and 2-year follow-up. The manual-based BT consisted of self-control procedures offered in six sessions. Pre-post effect sizes for TTM symptoms at post-treatment evaluation and at the two follow-ups were 2.91, 1.47, and .87. Compared to the post-treatment effects, the 3-month and 2-year follow-up effect sizes had decreased by 49% and 70%, respectively. Better 2-year follow-up results were associated with lower pre-treatment levels of depressive symptoms and with complete abstinence from hair pulling immediately after treatment.
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There are a number of previous studies that have reported elevated relapse rates for patients with TTM.
“There are a number of previous studies that have reported elevated relapse rates for patients with TTM (Woods et al., 2006b; Diefenbach et al., 2006; Keijsers et al., 2006)”
From Internet-delivered acceptance-based behavior therapy for trichotillomania and skin-picking disorder in a psychiatric setting: A feasibility trial (2022) · cites this paper as Keijsers et al., 2006
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- Authors
- Keijsers, G. P. J., van Minnen, A., Hoogduin, C. A. L., Klaassen, B. N. W., Hendriks, M. J., & Tanis-Jacobs, J.
- Affiliations
- Radboud University Nijmegen (NL)
- Corresponding author
- Keijsers, Ger P.J.
- ORCID
- Keijsers, Ger P.J.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2006-03
- Volume
- 44
- Issue
- 3
- Pages
- 359-370
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1966073625
- Cited by
- 76
- References
- 33
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 7 · 2019: 3 · 2018: 2 · 2017: 8 · 2016: 4 · 2015: 10 · 2014: 1 · 2013: 4 · 2012: 3
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- trichotillomania, behavior therapy, long-term follow-up, impulse control disorders, depressive symptoms, treatment outcomes
- MeSH terms
- Adolescent, Adult, Analysis of Variance, Behavior Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Psychotherapy, Brief, Regression Analysis, Trichotillomania, Treatment Outcome
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