The DOI matches its Crossref record; 19 of the 21 references it cites were found in a registry or an index.
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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“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)
In the citing paper
“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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Cites
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Measuring experiential avoidance: A preliminary test of a working model
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“The MGH-HS also has strong convergent validity with other measures of pulling severity, and divergent validity with other measures of psychiatric impairment such as depression and anxiety (O’Sullivan et al., 1995).”
InfluentialThe Demography, Phenomenology, and Family History of 22 Persons with Compulsive Hair Pulling
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“The AAQ has high concurrent validity with measures of depression (BDI; BDI-II; Dykstra & Follette, 1998), anxiety (BAI; Toarmino, Pistorello, & Hayes, 1997), general psychopathology (BSI; Batten, Follette, & Aban, 2001), and symptoms of trauma (TSI; Batten et al., 2001).”
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Flagged first, then by citations
2 of the 21 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
- Hayes, 1996, Experiential avoidance and behavioral disorders, Journal of Consulting and Clinical Psychology, 64, 1152, 10.1037/0022-006X.64.6.1152 · DOI · Paper page
- Moon-Fanelli, A.A., Dodman, N.H., & O’Sullivan, R.L. (1999). Veterinary models of compulsive self-grooming: Parallels with trichotillomania. In D.J., Stein, G.A., Christenson, & Hollander (Eds.), Trichotillomania. (pp. 63–92). Washington, D.C.: American Psychiatric Press, Inc.
Cited by
Sorted by citations
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587
The Nature, Diagnosis, and Treatment of Neuroticism: Back to the Future
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Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review
Chawla, N., & Ostafin, B. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20400 · Cited by 805
Woods, D. W., Wetterneck, C. T., & Flessner, C. A. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.05.006 · Cited by 381
Acceptance and commitment therapy for anxiety and OCD spectrum disorders: An empirical review
Bluett, E. J., Homan, K. J., Morrison, K. L., Levin, M. E., & Twohig, M. P. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.06.008 · Cited by 306
Metadata
- 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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