Allison F Coyne, Emily J Carlson, Elizabeth J Malloy, David A F Haaga
{"title":"用综合行为模型(ComB)预测毛发躁狂症治疗后的反应和复发。","authors":"Allison F Coyne, Emily J Carlson, Elizabeth J Malloy, David A F Haaga","doi":"10.1521/bumc.2024.88.1.81","DOIUrl":null,"url":null,"abstract":"<p><p>Prior studies of behavior therapy for trichotillomania (TTM) have shown that response is variable, and relapse after treatment discontinuation is common. Little information is available concerning prognostic factors capable of predicting individual differences in response or maintenance of improvement. The present study is a secondary analysis of a randomized controlled trial (N = 36) of the Comprehensive Behavioral (ComB) model of treatment for TTM (Carlson et al., 2021). We investigated age, disorder history, pre-treatment symptom severity, longest prior period of abstinence from pulling, and Emotion and Intention hair pulling styles as predictors of initial response. We studied age, disorder history, pre-treatment symptom severity, longest prior period of abstinence from pulling, and post-treatment symptom severity or hair-pulling abstinence as predictors of relapse following treatment. Older age significantly predicted lower TTM severity following treatment. Lower pre-treatment severity significantly predicted lower severity of TTM at the 3-month follow-up.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Predicting response to and relapse after treatment of trichotillomania with the Comprehensive Behavioral model (ComB).\",\"authors\":\"Allison F Coyne, Emily J Carlson, Elizabeth J Malloy, David A F Haaga\",\"doi\":\"10.1521/bumc.2024.88.1.81\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Prior studies of behavior therapy for trichotillomania (TTM) have shown that response is variable, and relapse after treatment discontinuation is common. Little information is available concerning prognostic factors capable of predicting individual differences in response or maintenance of improvement. The present study is a secondary analysis of a randomized controlled trial (N = 36) of the Comprehensive Behavioral (ComB) model of treatment for TTM (Carlson et al., 2021). We investigated age, disorder history, pre-treatment symptom severity, longest prior period of abstinence from pulling, and Emotion and Intention hair pulling styles as predictors of initial response. We studied age, disorder history, pre-treatment symptom severity, longest prior period of abstinence from pulling, and post-treatment symptom severity or hair-pulling abstinence as predictors of relapse following treatment. Older age significantly predicted lower TTM severity following treatment. Lower pre-treatment severity significantly predicted lower severity of TTM at the 3-month follow-up.</p>\",\"PeriodicalId\":51683,\"journal\":{\"name\":\"Bulletin of the Menninger Clinic\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bulletin of the Menninger Clinic\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1521/bumc.2024.88.1.81\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bulletin of the Menninger Clinic","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1521/bumc.2024.88.1.81","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Predicting response to and relapse after treatment of trichotillomania with the Comprehensive Behavioral model (ComB).
Prior studies of behavior therapy for trichotillomania (TTM) have shown that response is variable, and relapse after treatment discontinuation is common. Little information is available concerning prognostic factors capable of predicting individual differences in response or maintenance of improvement. The present study is a secondary analysis of a randomized controlled trial (N = 36) of the Comprehensive Behavioral (ComB) model of treatment for TTM (Carlson et al., 2021). We investigated age, disorder history, pre-treatment symptom severity, longest prior period of abstinence from pulling, and Emotion and Intention hair pulling styles as predictors of initial response. We studied age, disorder history, pre-treatment symptom severity, longest prior period of abstinence from pulling, and post-treatment symptom severity or hair-pulling abstinence as predictors of relapse following treatment. Older age significantly predicted lower TTM severity following treatment. Lower pre-treatment severity significantly predicted lower severity of TTM at the 3-month follow-up.
期刊介绍:
The Bulletin of the Menninger Clinic offers a psychodynamic perspective on the application of theory and research in outpatient psychotherapy, attachment theory, developments in cognitive neuroscience and psychopathologies, as well as the integration of different modes of therapy. This widely indexed, peer-reviewed journal has been published since 1936 by the Menninger Clinic. Topical issues focus on critical subjects such as disordered attachments, panic disorder, trauma, and evidence-based interventions.