Acceptance-enhanced behavior therapy (AEBT) for trichotillomania and chronic skin picking: exploring the effects of component sequencing.
This pilot study examined the utility of acceptance-enhanced behavior therapy (AEBT) for trichotillomania (TTM) and chronic skin picking (CSP) and the impact of altering treatment sequence on overall treatment efficacy. Participants referred to a TTM and CSP specialty clinic were assessed by an independent evaluator within separate, nonconcurrent, multiple-baseline designs across participants. The first group of three participants received habit-reversal training (HRT) followed by acceptance and commitment therapy (ACT), and the second group of two participants received ACT followed by HRT. Results indicated that AEBT greatly reduced pulling/picking for all five participants and that the order in which ACT and HRT were implemented made little or no difference in short-term treatment outcome. Conclusions, limitations, and future areas of research are discussed.
Flessner
Christopher A
CA
Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA.
Busch
Andrew M
AM
Heideman
Paul W
PW
Woods
Douglas W
DW
D000328:Adult; D000368:Aged; D002648:Child; D003071:Cognition; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011581:Psychological Tests; D012649:Self Concept; D012652:Self Mutilation / Q000523:psychology* / Q000628:therapy*; D016896:Treatment Outcome; D014256:Trichotillomania / Q000523:psychology* / Q000628:therapy*; D014922:Wisconsin