The relationship between experiential avoidance and the severity of trichotillomania in a nonreferred sample
Abstract
In this study 436 adults, who reported being diagnosed with trichotillomania (TTM), completed an anonymous survey examining the relationship between experiential avoidance (i.e., escape from or avoidance of unwanted thoughts or emotions) and TTM severity. Results showed a significant positive correlation between measures of experiential avoidance and TTM severity, indicating that more experientially avoidant individuals tended to exhibit more severe TTM. Subsequent analyses found that persons who scored higher on a measure of experiential avoidance reported more frequent and intense urges to pull, were less able to control their urges, and experienced more pulling-related distress than persons who were not experientially avoidant. Conversely, results also showed that individuals who were more experientially avoidant were no more likely to actually pull and were no less successful in actually stopping themselves from pulling than non-avoidant individuals. The results of this study suggest that experiential avoidance may be an important issue in understanding and possibly treating some persons with TTM.
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Individuals with greater experiential avoidance have more severe hair pulling.
“In an anonymous Internet survey, Begotka, Woods and Wetterneck (2004) demonstrated that individuals with greater experiential avoidance had more severe hair pulling.”
From Dbt-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial (2012) · cites this paper as Begotka, Woods and Wetterneck (2004)
Experiential avoidance has been associated with anxiety.
“Experiential avoidance seeks to control the way or frequency of aversive private experiences [37] and has been associated with anxiety [38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54].”
From The Effect of Anxiety and Nutritional Habits on the Body Distortion of Athletes. (2025) · cites this paper as [38]
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Psychometric Properties of Persian Version of Young-Rygh Avoidance Inventory
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Phenomenology of Trichotillomania
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A functional and cohesive treatment of Tourette's disorder and chewing tobacco use
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Review of Psychotherapeutic Approaches for OCD and Related Disorders
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Mindfulness-Based Therapies for Psychological Health Conditions: A Meta-Analysis
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Acceptance-Enhanced Behavior Therapy for Trichotillomania in Youth
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Trichotillomania: Hair Pulling Disorder
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- Authors
- Begotka, A. M., Woods, D. W., & Wetterneck, C. T.
- Affiliations
- University of Wisconsin–Milwaukee (US)
- Corresponding author
- Begotka, Andrea M.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2004-03
- Volume
- 35
- Issue
- 1
- Pages
- 17-24
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2102461271
- Cited by
- 132
- References
- 21
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 26 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 7 · 2017: 8 · 2016: 11 · 2015: 7 · 2014: 8 · 2013: 4 · 2012: 11
- FWCI
- 6.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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 › Mindfulness and Compassion Interventions
- Keywords
- trichotillomania, experiential avoidance, symptom severity, cognitive behavioral therapy
- MeSH terms
- Adolescent, Adult, Affect, Avoidance Learning, Depression, Female, Humans, Male, Middle Aged, Psychotherapy, Surveys and Questionnaires, Severity of Illness Index, Stress Disorders, Post-Traumatic, Thinking, Trichotillomania, Internet
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