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A preliminary investigation of acceptance and commitment therapy and habit reversal as a treatment for trichotillomania
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“There is evidence for the effectiveness of ACT in the treatment of OCD-spectrum disorders such as skin picking and trichotillomania (Twohig & Woods, 2004; Twohig, Hayes, & Masuda, 2006a; Woods, Wetterneck, & Flessner, 2006).”
From A randomized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive-compulsive disorder (2010) · cites this paper as Twohig & Woods, 2004
In the citing paper
“Acceptance and Commitment Therapy (ACT) has been demonstrated as effective in improving psychological well-being in several clinical domains”
In the citing paper
“Additionally, reductions in experiential avoidance were significantly associated with reductions in hair pulling severity at 3-month follow-up.”
From Dbt-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial (2012) · cites this paper as Twohig & Woods, 2004
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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
Acceptance and commitment therapy: A meta-analytic review
Powers, M. B., Zum Vörde Sive Vörding, M. B., & Emmelkamp, P. M. G. (2009) · Psychotherapy and Psychosomatics · doi:10.1159/000190790 · Cited by 619
(2010) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 542
Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H., & Woidneck, M. R. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0020508 · Cited by 434
“There is evidence for the effectiveness of ACT in the treatment of OCD spectrum disorders such as skin picking and trichotillomania (Twohig, Hayes, & Masuda, 2006b; Twohig & Woods, 2004; Woods, Wetterneck, & Flessner, 2006).”
BackgroundSelf-citationUsing acceptance and commitment training in the support of parents of children diagnosed with autism
Blackledge, J. T., & Hayes, S. C. (2006) · Child & Family Behavior Therapy · doi:10.1300/j019v28n01_01 · Cited by 383
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
Self-citationAcceptance and Commitment Therapy for Generalized Social Anxiety Disorder: A Pilot Study
Dalrymple, K. L., & Herbert, J. D. (2007) · Behavior Modification · doi:10.1177/0145445507302037 · Cited by 312
“Researchers more recently have begun to apply ACT to anxiety disorders (e.g., Orsillo, Roemer, & Barlow, 2003; Twohig & Woods, 2004; Zettle, 2003).”
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
Self-citationForman, E. M., Hoffman, K. L., McGrath, K. B., Herbert, J. D., Brandsma, L. L., & Lowe, M. R. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.04.004 · Cited by 295
“Paradoxically, acceptance-based strategies have been shown to relieve distress and increase tolerance of previously avoided or suppressed internal experiences (Levitt, Brown, Orsillo, & Barlow, 2004; Twohig & Woods, 2004; Zettle, 2003).”
BackgroundTwohig, M. P., Hayes, S. C., & Masuda, A. (2006) · Behavior Therapy · doi:10.1016/j.beth.2005.02.001 · Cited by 290
“A modified version of the TEI-SF, which contained seven questions instead of nine, was used in this study (also used by Twohig & Woods, 2004).”
BackgroundMethodInfluentialSelf-citationAcceptance and Commitment Therapy as a Treatment for Problematic Internet Pornography Viewing
Twohig, M. P., & Crosby, J. M. (2010) · Behavior Therapy · doi:10.1016/j.beth.2009.06.002 · Cited by 198
“Finally, there is extensive research on ACT and habit reversal in the treatment of trichotillomania (Twohig & Woods, 2004; Woods, Wetterneck, & Flessner, 2006), and ACT alone for chronic skin picking (Twohig, Hayes, Masuda, 2006b); both trichotillomania and chronic skin picking are types of impulse…”
MethodSelf-citationEmotion regulation and other psychological models for body-focused repetitive behaviors.
Roberts, S., O'Connor, K., & Bélanger, C. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.05.004 · Cited by 169
Acceptance: An Historical and Conceptual Review
Williams, J. C., & Lynn, S. J. (2010) · Imagination, Cognition and Personality · doi:10.2190/ic.30.1.c · Cited by 155
“…Alcaine, & Behar, 2004), eating disorders (Kristeller & Hallett, 1999; Wilson, 1996), substance abuse (Hayes et al., 2004b), trichotilomania (Twohig & Woods, 2004), nicotine dependence (Gifford et al., 2004), and chronic pain (Dahl, Wilson, & Nilsson, 2004; Kabat-Zinn, 1982; Kabat-Zinn,…”
Twohig, M. P., Hayes, S. C., & Masuda, A. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.10.002 · Cited by 143
“A modified version of the TEI-SF, which contained seven questions instead of nine, was used in this study (also used by Twohig & Woods, 2004).”
BackgroundMethodInfluentialSelf-citationLloyd, T., & Hastings, R. P. (2008) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2007.00974.x · Cited by 132
Begotka, A. M., Woods, D. W., & Wetterneck, C. T. (2004) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2004.02.001 · Cited by 132
Dbt-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial
Keuthen, N. J., Rothbaum, B. O., Fama, J., Altenburger, E., Falkenstein, M. J., Sprich, S. E., Kearns, M., Meunier, S., Jenike, M. A., & Welch, S. S. (2012) · Journal of Behavioral Addictions · doi:10.1556/jba.1.2012.003 · Cited by 124
“A multiple baseline study of ACT-enhanced habit reversal training revealed significant reduction in hair pulling severity with self-monitored pulling frequency, self-rated pulling severity and social validity ratings (Twohig & Woods, 2004).”
BackgroundEmotion regulation and trichotillomania: a comparison of clinical and nonclinical hair pulling.
Diefenbach, G., Tolin, D., Meunier, S. A., & Worhunsky, P. (2008) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2006.09.002 · Cited by 94
Measuring avoidance and inflexibility in weight related problems.
Lillis, J., & Hayes, S. C. (2008) · International Journal of Behavioral Consultation and Therapy · doi:10.1037/h0100865 · Cited by 121
Herzberg, K. N., Sheppard, S. C., Forsyth, J. P., Credé, M., Earleywine, M., & Eifert, G. H. (2012) · Psychological Assessment · doi:10.1037/a0027782 · Cited by 121
Acceptance-Enhanced Behavior Therapy (AEBT) for Trichotillomania and Chronic Skin Picking
Flessner, C. A., Busch, A. M., Heideman, P. W., & Woods, D. W. (2008) · Behavior Modification · doi:10.1177/0145445507313800 · Cited by 112
Self-citationDiagnosis, Evaluation, and Management of Trichotillomania
Woods, D. W., & Houghton, D. (2014) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2014.05.005 · Cited by 93
“Twohig and Woods (2004) and Woods, Wetterneck, and Flessner (2006) incorporated stimulus control and HRT components into an acceptance-based treatment designed to teach patients to mindfully accept unpleasant urges, emotions, cognitions and sensory experiences Psychiatr Clin North Am.”
BackgroundSelf-citationThe Application of Acceptance and Commitment Therapy to Obsessive-Compulsive Disorder
Twohig, M. P. (2009) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2008.02.008 · Cited by 89
“ACT with the addition of habit reversal has also been shown to be effective as a treatment for TTM ( Twohig & Woods, 2004; Woods, Wetterneck, & Flessner, 2006), and ACTalone has been shown to be an effective treatment for chronic skin picking (Twohig, Hayes, & Masuda, 2006b).”
InfluentialSelf-citationExperiential avoidance as a mediator of relationships between cognitions and hair-pulling severity
Norberg, M. M., Wetterneck, C. T., Woods, D. W., & Conelea, C. A. (2007) · Behavior Modification · doi:10.1177/0145445506297343 · Cited by 86
“ACT has been used successfully as a treatment for TTM in preliminary studies (e.g., Twohig & Woods, 2004; Woods, Wetterneck, & Flessner, 2006), but it remains to be seen whether ACT is more effective, or functionally different, than a cognitive restructuring component for TTM.”
MethodSelf-citationLee, E. B., Homan, K. J., Morrison, K. L., Ong, C. W., Levin, M. E., & Twohig, M. P. (2018) · Behavior Modification · doi:10.1177/0145445518794366 · Cited by 88
“The initial pilot study of ACT/HRT included six participants with trichotillomania and employed a multiple baseline across participants design (Twohig & Woods, 2004).”
BackgroundMethodSelf-citationMeasuring the role of psychological inflexibility in trichotillomania
Houghton, D. C., Compton, S. N., Twohig, M. P., Saunders, S. M., Franklin, M. E., Neal-Barnett, A. M., Ely, L., Capriotti, M. R., & Woods, D. W. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.08.003 · Cited by 84
“ACT has been found generally effective for a variety of mental health issues (Hayes et al., 2006), and components have been successfully incorporated into HRT for TTM (Twohig and Woods, 2004; Woods et al., 2006; Flessner et al., 2008a).”
BackgroundSelf-citationGroup treatment for trichotillomania: behavior therapy versus supportive therapy
Diefenbach, G. J., Tolin, D. F., Hannan, S., Maltby, N., & Crocetto, J. (2006) · Behavior Therapy · doi:10.1016/j.beth.2006.01.006 · Cited by 73
Armstrong, A. B., Morrison, K. L., & Twohig, M. P. (2013) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.27.2.175 · Cited by 68
Self-citationAcceptance and Commitment Therapy and Habit Reversal Training for the Treatment of Trichotillomania
Crosby, J. M., Dehlin, J. P., Mitchell, P. R., & Twohig, M. (2012) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2012.02.002 · Cited by 48
Self-citationAbnormal perceptual sensitivity in body-focused repetitive behaviors
Houghton, D. C., Alexander, J. R., Bauer, C. C., & Woods, D. W. (2017) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2017.12.005 · Cited by 58
“Although effect sizes are high for such treatments [4, 71], complete remission is infrequent [6, 72] and long-term relapse is common [[73], [74], [75], [76], [77]].”
Self-citationCase study: A novel application of mindfulness- and acceptance-based components to treat misophonia
Schneider, R. L., & Arch, J. J. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.04.003 · Cited by 51
Acceptance-Enhanced Behavior Therapy for Trichotillomania in Adolescents
Fine, K. M., Walther, M. R., Joseph, J. M., Robinson, J. S., Ricketts, E., Bowe, W. E., & Woods, D. W. (2012) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.10.002 · Cited by 34
“A preliminary investigation of AEBT using a multiple baseline design showed that treatment was effective in reducing the number of hairs pulled to rates approaching zero in 80% of the participants (Twohig & Woods, 2004).”
MethodSelf-citationAcceptance-enhanced behavior therapy for trichotillomania in adults: A randomized clinical trial
Woods, D. W., Ely, L. J., Bauer, C. C., Twohig, M. P., Saunders, S. M., Compton, S. N., Espil, F. M., Neal-Barnett, A., Alexander, J. R., Walther, M. R., et al. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104187 · Cited by 51
Self-citationCognitive Behavioral Therapy for Body Dysmorphic Disorder
Veale, D. M. (2010) · Psychiatric Annals · doi:10.3928/00485713-20100701-06 · Cited by 47
Twohig, M. P., Petersen, J. M., Fruge, J. E., Ong, C. W., Barney, J. L., Krafft, J., Lee, E. B., & Levin, M. E. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2021.01.004 · Cited by 46
Self-citationMarino, F., Failla, C., Chilà, P., Minutoli, R., Puglisi, A., Arnao, A. A., Pignolo, L., Presti, G., Pergolizzi, F., Moderato, P., et al. (2021) · Brain Sciences · doi:10.3390/brainsci11070880 · Cited by 45
“The ACT model has been demonstrated as useful for treating anxiety and stress [22,23], pain [24], substance use [25,26], depression [27,28], and burnout [20].”
MethodACT-enhanced behavior therapy in group format for Trichotillomania: An effectiveness study
Haaland, Å., Eskeland, S. O., Moen, E. M., Vogel, P. A., Haseth, S., Mellingen, K., Himle, J. A., Woods, D. W., & Hummelen, B. (2017) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.01.005 · Cited by 25
Self-citationCodd, R. T., Twohig, M. P., Crosby, J. M., & Enno, A. (2011) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.25.3.203 · Cited by 44
“There is also evidence for the efficacy of ACT, or ACT plus habit reversal, in the treatment of OCD spectrum disorders, such as skin picking and trichotillomania (Twohig et al., 2006b; Twohig & Woods, 2004; Woods, Wetterneck, & Flessner, 2006).”
BackgroundSelf-citationLee, E. B., Haeger, J., Levin, M. E., Ong, C. W., & Twohig, M. P. (2018) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2018.04.003 · Cited by 45
Self-citationSoo, C., Tate, R. L., & Lane-Brown, A. (2011) · Brain Impairment · doi:10.1375/brim.12.1.54 · Cited by 42
“The RCTs and SCEDs identified in this review examined OCD, maths anxiety, mixed depression and anxiety, TTM, and skin picking.”
BackgroundInfluentialAcceptance-based exposure therapy for body dysmorphic disorder: A pilot study
Linde, J., Rück, C., Bjureberg, J., Ivanov, V. Z., Djurfeldt, D. R., & Ramnerö, J. (2015) · Behavior Therapy · doi:10.1016/j.beth.2015.05.002 · Cited by 41
Emotion regulation deficits in persons with body-focused repetitive behavior disorders
Alexander, J. R., Houghton, D. C., Bauer, C. C., Lench, H. C., & Woods, D. W. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.11.035 · Cited by 43
Self-citationAcceptance and Commitment Therapy as a Treatment for Anxiety Disorders
Twohig, M. P., Masuda, A., Varra, A. A., & Hayes, S. C. (2007) · Springer eBooks · doi:10.1007/0-387-25989-9_4 · Cited by 36
“Trichotillomania and skin picking ( Twohig & Woods, 2004; Twohig, Hayes, & Masuda, in press, 2004).”
BackgroundSelf-citationThe Clinical Applications of Acceptance and Commitment Therapy with Clients Who Stutter
Palasik, S., & Hannan, J. (2013) · Perspectives on Fluency and Fluency Disorders · doi:10.1044/ffd23.2.54 · Cited by 34
StopPulling.com: An Interactive, Self-Help Program for Trichotillomania
Mouton‐Odum, S., Keuthen, N. J., Wagener, P. D., & Stanley, M. A. (2006) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2005.05.004 · Cited by 35
Heinicke, M. R., Stiede, J. T., Miltenberger, R. G., & Woods, D. W. (2020) · Journal of Applied Behavior Analysis · doi:10.1002/jaba.745 · Cited by 32
“…common being traditional cognitive behavior therapy (Ninan et al., 2000) and two of its offshoots: acceptance and commitment therapy (Crosby et al., 2012; Flessner et al., 2008; Haaland et al., 2017; Twohig & Woods, 2004; Woods et al., 2006) and dialectical behavior therapy (Keuthen et al., 2011).”
BackgroundSelf-citationRecent Advances in the Understanding and Treatment of Trichotillomania
Walther, M. R., Ricketts, E. J., Conelea, C. A., & Woods, D. W. (2010) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.24.1.46 · Cited by 34
“In the initial feasibility trial (Twohig & Woods, 2004), a 7-session treatment manual was implemented with 6 adult participants, utilizing two separate multiple baseline across subjects designs.”
MethodSelf-citationConciencia plena (mindfulness) y psicoterapia: concepto, evaluación y aplicaciones clínicas
Pérez, M. A., & Botella, L. (2006) · Revista de Psicoterapia · doi:10.33898/rdp.v17i66/67.907 · Cited by 39
Rehm, I. C., Nedeljkovic, M., Thomas, A. C., & Moulding, R. (2015) · Behaviour Change · doi:10.1017/bec.2015.11 · Cited by 30
“Alternatively, acceptance and commitment therapy (ACT) has been combined with HRT (Crosby, Dehlin, Mitchell, & Twohig, 2012; Twohig & Woods, 2004; Woods, Wetterneck, & Flessner, 2006).”
Hair pulling antecedents in trichotillomania: Their relationship with experiential avoidance
Wetterneck, C. T., Singh, R. S., & Woods, D. W. (2020) · Bulletin of the Menninger Clinic · doi:10.1521/bumc_2020_84_01 · Cited by 28
Self-citationPredictors of relapse following treatment of trichotillomania
Falkenstein, M. J., Rogers, K., Malloy, E. J., & Haaga, D. A. F. (2014) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2014.09.001 · Cited by 29
Shareh, H. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465817000546 · Cited by 25
Petersen, J. M., Barney, J. L., Fruge, J. E., Lee, E. B., Levin, M. E., & Twohig, M. (2022) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2022.100725 · Cited by 6
Self-citationAcceptance & Commitment Therapy: An Overview of Techniques and Applications
Larmar, S., Wiatrowski, S., & Lewis-Driver, S. (2014) · Journal of Service Science and Management · doi:10.4236/jssm.2014.73019 · Cited by 35
Barney, J. L., Field, C. E., Morrison, K. L., & Twohig, M. P. (2016) · Psychology in the Schools · doi:10.1002/pits.21984 · Cited by 24
Self-citationCrowe, E., Staiger, P. K., Bowe, S. J., Rehm, I. C., Moulding, R., Herrick, C. A., & Hallford, D. J. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.11.010 · Cited by 31
Capel, L. K., Petersen, J. M., Becker, M. R., Levin, M. E., & Twohig, M. P. (2023) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2023.100800 · Cited by 20
Self-citationNewer Generations of CBT for Anxiety Disorders
Twohig, M. P., Woidneck, M. R., & Crosby, J. M. (2013) · CBT for Anxiety Disorders · doi:10.1002/9781118330043.ch9 · Cited by 19
Self-citationPsychological treatments for trichotillomania: Update and future directions
Rehm, I., Moulding, R., & Nedeljkovic, M. (2015) · Australasian Psychiatry · doi:10.1177/1039856215590029 · Cited by 16
A Comparison of Two Brief Interventions for Obsessional Thoughts: Exposure and Acceptance.
Fabricant, L. E., Abramowitz, J. S., Dehlin, J. P., & Twohig, M. P. (2013) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.27.3.195 · Cited by 18
Self-citationLópez, F. J. C., & Valdivia‐Salas, S. (2009) · Dialnet (Universidad de la Rioja) · Cited by 16
Izadi, R., & Abedi, M. R. (2013) · KAUMS Journal · Cited by 15
Crosby, J. M. (2011) · PubMed · doi:10.26076/2096-a019 · Cited by 17
Neal-Barnett, A. M., Woods, D. W., Espil, F. M., Davis, M., Alexander, J. R., Compton, S. N., Walther, M. R., Twohig, M. P., Saunders, S. M., Cahill, S. P., et al. (2019) · Bulletin of the Menninger Clinic · doi:10.1521/bumc_2019_83_04 · Cited by 15
Self-citationSuarez, V., Moon, E. I., & Najdowski, A. C. (2021) · Behavior Analysis in Practice · doi:10.1007/s40617-021-00567-7 · Cited by 11
Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder: 2021 Update
Noppen, B. L. V., Sassano-Higgins, S. A., Appasani, R. K., & Sapp, F. (2021) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20210015 · Cited by 15
Wetterneck, C. T., Lee, E. B., Flessner, C. A., Leonard, R. C., & Woods, D. W. (2015) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2015.12.003 · Cited by 10
Self-citationEisenhauer, J., Buckland, A., Watson, S., & Stell, R. (2024) · Movement Disorders Clinical Practice · doi:10.1002/mdc3.14260 · Cited by 9
“25 Recently, it has been combined with HRT to treat habit disorders such as trichotillomania 13 – 16 and tics.”
Single case designs in clinical practice: A contemporary CBS perspective on why and how to
Holman, G. I., & Koerner, K. (2014) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2014.04.006 · Cited by 12
The development and preliminary psychometric properties of the Values Wheel
O’Connor, M., Tennyson, A., Timmons, M., & McHugh, L. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.01.005 · Cited by 8
Trichotillomania and post-traumatic stress disorder: a case study.
Corso, K. A., & McGeary, D. D. (2008) · Military Medicine · doi:10.7205/milmed.173.11.1136 · Cited by 8
Psychosocial Treatment of Trichotillomania: A Review
Capel, L., Woolley, M. G., & Twohig, M. (2024) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2024.05.003 · Cited by 9
Self-citationEmotion regulation and experiential avoidance in intimate partner violence
Langer, A., & Lawrence, E. E. (2010) · Cited by 7
Clinical Aspects of Hair Pulling, Skin Picking, and Nail Biting
Falkenstein, M. J. (2016) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-016-0096-3 · Cited by 5
Mindfulness-Based Cognitive Therapy for Trichotillomania: A Bayesian Case-Control Study
Heeren, A., Busana, C., Coussement, C., & Philippot, P. (2015) · Psychologica Belgica · doi:10.5334/pb.bj · Cited by 5
Zucchelli, F., Donnelly, O., Sharratt, N., Hooper, N., & Williamson, H. (2021) · European Journal of Counselling Psychology · doi:10.46853/001c.22012 · Cited by 9
“Future research could more systematically test ACT for this patient group by conducting cross-centre multiple baseline studies, a useful methodology for specialist areas of clinical health psychology (e.g., Twohig & Woods, 2004).”
MethodLong-term follow-up of acceptance-enhanced behavior therapy for trichotillomania
Barber, K. E., Woods, D. W., Ely, L. J., Saunders, S. M., Compton, S. N., Neal-Barnett, A. M., Franklin, M. E., Capriotti, M. R., Conelea, C. A., & Twohig, M. P. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2024.115767 · Cited by 8
Self-citationTrichotillomania: Behavioral Assessment and Treatment Interventions
Kell, B. L., & Kress, V. (2006) · International Journal of Behavioral Consultation and Therapy · doi:10.1037/h0100767 · Cited by 7
“The MGH Hairpulling Scale (MGH-HPS) is a self-report instrument that provides information concerning the frequency, intensity, associated stress and attempts to control behaviors connected with Trichotillomania (Diefenbach et al., 2005; Twohig & Woods, 2004).”
BackgroundCurrent issues in the treatment of OC-spectrum conditions
Wetterneck, C. T., Teng, E. J., & Stanley, M. A. (2010) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2010.74.2.141 · Cited by 6
Lootens, C. M., & Nelson‐Gray, R. O. (2016) · Clinical Case Studies · doi:10.1177/1534650116649438 · Cited by 5
Trichotillomania and its treatment: an updated review and recommendations
DuBois, M. C., Feler, B., Flessner, C., & Franklin, M. E. (2025) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2025.2557395 · Cited by 5
“Acceptance-enhanced behavior therapy is a treatment developed by Twohig and Woods [67] intended to combine HRT with core concepts of ACT (i.e. decreasing experiential avoidance and increasing acceptance of negative emotions that may contribute to focused pulling).”
A Review of Behavioral and Pharmacological Treatments for Adult Trichotillomania
Bennett, L., & Ryznar, R. (2024) · Psychology International · doi:10.3390/psycholint6020031 · Cited by 4
“A small, uncontrolled case series resulted in four of six participants reaching “near zero” pulling after a seven-week HRT intervention, with three subjects maintaining their progress at a three-month follow-up assessment [43].”
BackgroundTwohig, M. P., & Capel, L. K. (2025) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2025.02.011 · Cited by 5
“28 In the first RCT of A-EBT for trichotillomania, participants (N=28) received 10 sessions over 12 weeks and from pre-to post-treatment, participants reported 45% reduction in the treatment condition compared to no change in the waitlist condition based on the Massachusetts General Hospital Hair…”
Self-citationReuman, L., & Abramowitz, J. S. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2020.12.008 · Cited by 4
Trichotillomania: Therapist Guide
Twohig, M. P., & Woods, D. W. (2023) · doi:10.1093/med-psych/9780197670309.001.0001 · Cited by 4
Self-citationHoughton, D., Franklin, M., Twohig, M., Franklin, M. E., Compton, S., Neal-Barnett, A., Saunders, S., & Woods, D. W. (2016) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-016-9536-z · Cited by 3
Self-citationIs Mattering what Matters: A Validation Study of the Meta-Valuing Measure of Flexible Valuing
Taravella, C. C. (2010) · doi:10.12794/metadc30517 · Cited by 4
A preliminary trial of ACT skills training for aggressive behavior
Zarling, A. N. (2013) · doi:10.17077/etd.vevz0zh6 · Cited by 4
“For example, ACT has been explored in the treatment of substance abuse (e.g., Wilson & Byrd, 2004), trichotillomania (e.g., Twohig & Woods, 2004), PTSD (e.g., Batten, Orsillo, & Walser, 2005), high-risk sexual behaviors (e.g., Batten, Follette, & Aban, 2001), exhibitionism (e.g., Paul, Marx &…”
Conelea, C. A., Tucker, B. T. P., & Woods, D. W. (2010) · Springer eBooks · doi:10.1007/978-0-387-09757-2_51 · Cited by 3
Self-citationAcceptance and Commitment Therapy Inside Behavior Analysis
Tarbox, J., Chastain, A. N., & Szabo, T. G. (2022) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197550076.013.31 · Cited by 2
Usmani, A., Szkutak, A., & Keuthen, N. J. (2023) · Current clinical psychiatry · doi:10.1007/978-3-031-29368-9_12 · Cited by 2
Rehm, I. C., Moulding, R., & Nedeljkovic, M. (2024) · Australian Psychologist · doi:10.1080/00050067.2024.2376881 · Cited by 3
Mindfulness and Distress Tolerance: A Review of the Literature
Bliesner, A. E. (2010) · CommonKnowledge Research Repository (Pacific University Oregon) · Cited by 2
Obsessive Compulsive and Related Disorders
Lee, E. B., Arendtson, M., & Wall, A. (2022) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197550076.013.16 · Cited by 2
Psychological Treatment of Trichotillomania
Francazio, S., Murphy, Y. E., & Flessner, C. (2017) · doi:10.1002/9781118890233.ch57 · Cited by 1
Mindfulness-Based Therapies for Psychological Health Conditions: A Meta-Analysis
McCarney, R. (2010) · University of Hertfordshire Research Archive (University of Hertfordshire) · Cited by 2
Acceptance-Enhanced Behavior Therapy for Trichotillomania in Youth
Petersen, J. (2024) · Journal of Cognitive Psychotherapy · doi:10.1891/jcp-2023-0012 · Cited by 1
Löchner, C., Louw, D., Kidd, M., & Stein, D. J. (2020) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2020.100617 · Cited by 1
Skin Picking: Clinical Aspects
Çalıkuşu, C., & Tecer, Ö. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511711930.012 · Cited by 1
Acceptance and Commitment Therapy in the Treatment of PTSD: Theoretical and Applied Issues
Walser, R. D., & Hayes, S. C. (2006) · Cited by 1
Metadata
- Authors
- Twohig, M. P., & Woods, D. W.
- Affiliations
- University of Wisconsin–Milwaukee (US)
- Corresponding author
- Woods, Douglas W.
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2004
- Volume
- 35
- Issue
- 4
- Pages
- 803-820
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W2072038988
- Cited by
- 141
- References
- 37
- Citations by year
- 2025: 3 · 2024: 7 · 2023: 22 · 2022: 6 · 2021: 8 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 8 · 2016: 4 · 2015: 6 · 2014: 8 · 2013: 8 · 2012: 5
- FWCI
- 7.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Therapy (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- trichotillomania, acceptance and commitment therapy, habit reversal, combination therapy, self-monitoring, hair pulling, treatment acceptability, multiple baseline design, adults
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