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

doi:10.1016/S0005-7894(98)80036-1

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

Psychology

Research output: Contribution to journal › Review article › peer-review

76 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 language	English
Pages (from-to)	157-171
Number of pages	15
Journal	Behavior Therapy
Volume	29
Issue number	1
DOIs	https://doi.org/10.1016/S0005-7894(98)80036-1
State	Published - 1998

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title = "Effectiveness of a cognitive behavioral treatment program for trichotillomania: An uncontrolled evaluation",

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.",

author = "Julie Lerner and Franklin, {Martin E.} and Meadows, {Elizabeth A.} and Elizabeth Hembree and Foa, {Edna B.}",

note = "Funding Information: Elizabeth A. Meadows is now at the Department of Psychology, Central Michigan University. Correspondence concerning this article should be directed to: Martin Franklin, Center for the Treatment and Study of Anxiety, Allegheny University of the Health Sciences, 3200 Henry Avenue, Philadelphia, PA 19129; (215) 842-4010; e-mail: franklin@auhs.edu. This article is based in part on the first author's dissertation; we would like to thank the dissertation committee chair, Ragmar Storaasli, for his valuable assistance. We also wish to thank Arthur Sturm, who facilitated data entry by designing a database for this study. This research was supported in part by NIMH Grant No. MH 45404 awarded to the last author.",

year = "1998",

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language = "English",

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AU - Foa, Edna B.

N1 - Funding Information: Elizabeth A. Meadows is now at the Department of Psychology, Central Michigan University. Correspondence concerning this article should be directed to: Martin Franklin, Center for the Treatment and Study of Anxiety, Allegheny University of the Health Sciences, 3200 Henry Avenue, Philadelphia, PA 19129; (215) 842-4010; e-mail: franklin@auhs.edu. This article is based in part on the first author's dissertation; we would like to thank the dissertation committee chair, Ragmar Storaasli, for his valuable assistance. We also wish to thank Arthur Sturm, who facilitated data entry by designing a database for this study. This research was supported in part by NIMH Grant No. MH 45404 awarded to the last author.

PY - 1998

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N2 - 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.

AB - 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.

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

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