title: Simplified habit reversal treatment for chronic hair pulling in three adolescents: a clinical replication with direct observation.
abstract: Three developmentally normal adolescents with chronic hair pulling were treated with a simplified habit reversal procedure consisting of awareness training, competing response training, and social support. Treatment resulted in an immediate reduction to near-zero levels of hair pulling, with one to three booster sessions required to maintain these levels. The results were maintained from 18 to 27 weeks posttreatment, although 1 participant reported difficulty at follow-up. The effectiveness of simplified habit reversal and suggestions for future research are discussed.
authors.affiliation: Department of Psychology, North Dakota State University, Fargo 58105, USA.
authors.forename: J T
authors.initials: JT
authors.lastname: Rapp
authors.forename: R G
authors.initials: RG
authors.lastname: Miltenberger
authors.forename: E S
authors.initials: ES
authors.lastname: Long
authors.forename: A J
authors.initials: AJ
authors.lastname: Elliott
authors.forename: V A
authors.initials: VA
authors.lastname: Lumley
mesh_terms: D001364:Awareness; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D005260:Female; D006184:Habits; D006801:Humans; D008297:Male; D012056:Reinforcement, Social; D014256:Trichotillomania / Q000628:therapy*