以网路为基础的身体重复性行为自助工具的叙述回顾：临床实践的建议。

IF 3.5 3区医学 Q1 DERMATOLOGY

Dermatology and Therapy Pub Date : 2025-04-01 Epub Date: 2025-03-19 DOI:10.1007/s13555-025-01380-8

Emi M Murase, Sawye Raygani, Jenny E Murase

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引用次数: 0

摘要

以身体为中心的重复性行为（bfrb），如抠皮肤、拔头发和咬指甲，会损害生活质量（QOL）。虽然习惯逆转训练（HRT）是有效的，但机会往往有限。基于互联网的自助干预提供了另一种选择，改善了无法参加面对面治疗的患者的可及性。方法：我们回顾了分析成人bfrb的自助或基于互联网的干预措施的随机对照试验。PubMed检索产生了1033项研究，其中12项符合纳入标准，重点关注各种bfrb的自我引导干预。结果：回顾发现“Free from BFRB”网站是研究最多的资源，并且患者满意度一直很高。自我引导的HRT、解耦和感官解耦一致地减轻了症状并改善了生活质量。解耦技术对拔毛癖和咬指甲特别有效。讨论：基于互联网的自助干预措施，特别是自助HRT、解耦和意义上的解耦，为管理bfrb提供了有效和可获得的治疗选择，特别是对于那些面临传统治疗障碍（如耻辱、成本或地点）的患者。参与和使用频率对自助选择的效果很重要，治疗师指导的治疗可能提供更个性化、更全面的护理。

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查看原文本刊更多论文

Narrative Review of Internet-Based Self-Help Tools for Body-Focused Repetitive Behaviors: Recommendations for Clinical Practice.

Introduction: Body-focused repetitive behaviors (BFRBs), such as skin-picking, hair-pulling, and nail-biting, impair quality of life (QOL). While habit reversal training (HRT) is effective, access is often limited. Internet-based self-help interventions offer an alternative, improving accessibility for patients unable to attend in-person therapy.

Methods: We reviewed randomized controlled trials analyzing self-help or internet-based interventions for BFRBs in adults. PubMed searches yielded 1033 studies, 12 of which met the inclusion criteria, focusing on self-guided interventions for various BFRBs.

Results: The review found that the "Free from BFRB" website was the most studied resource and consistently had high patient satisfaction. Self-guided HRT, decoupling, and decoupling in-sensu consistently reduced symptoms and improved QOL. Decoupling techniques were especially effective for trichotillomania and nail-biting.

Discussion: Internet-based self-help interventions, especially self-help HRT, decoupling, and decoupling in-sensu, offer effective and accessible treatment options for managing BFRBs, particularly for those facing barriers to traditional therapy such as stigma, cost, or location. Engagement and frequency of use are important for the efficacy of self-help options, and therapist-guided treatments may offer more personalized, comprehensive care.

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来源期刊

Dermatology and Therapy Medicine-Dermatology

CiteScore

6.00

自引率

8.80%

发文量

187

审稿时长

6 weeks

期刊介绍： Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.