Effectiveness of a cognitive behavioral treatment program for trichotillomania: An uncontrolled evaluation

Julie Lerner, Martin E. Franklin, Elizabeth A. Meadows, Elizabeth Hembree, Edna B. Foa

Research output: Contribution to journalReview articlepeer-review

73 Scopus citations

Abstract

The effectiveness of a cognitive behavioral treatment program for trichotillomania was examined in an uncontrolled study. Immediately following treatment, 12 of 14 treatment completers were classified as responders (>50% improvement on NIMH Trichotillomania Severity Scale). However, only 4 of 13 treated patients were classified as responders at follow-up (M = 3 years, 9 months); one posttreatment responder was lost to follow-up. Long-term symptom severity was also assessed in a subset of treatment refusers and dropouts; 4 of 10 available treatment refusers and dropouts were classified as improved at follow-up (M = 3 years, 2 months). Our findings suggest a significant risk for relapse following successful cognitive behavioral treatment of trichotillomania. Recommendations to address this problem include extending treatment length to achieve greater initial symptom reduction and expanding the focus on relapse prevention strategies.

Original languageEnglish
Pages (from-to)157-171
Number of pages15
JournalBehavior Therapy
Volume29
Issue number1
DOIs
StatePublished - 1998

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