title: DBT-enhanced habit reversal treatment for trichotillomania: 3-and 6-month follow-up results.
abstract: BACKGROUND
  Maintenance of gains with cognitive-behavioral treatment for trichotillomania (TTM) has historically been problematic.
  
  
  METHODS
  We conducted follow-up assessments 3 and 6 months after completion of a 3-month maintenance phase on 10 individuals with DSM-IV-TR TTM who participated in an open trial of a dialectical behavior therapy (DBT)-enhanced habit reversal treatment (HRT).
  
  
  RESULTS
  Significant improvement from baseline was reported at 3-and 6-month follow-up on all measures of hair pulling severity and emotion regulation, although some worsening was reported on some measures from earlier study time points. At 6-month follow-up, five and four participants were full and partial responders, respectively. Significant correlations were reported at both follow-up time points between changes in hair pulling severity and emotion regulation capacity.
  
  
  CONCLUSIONS
  DBT-enhanced HRT offers promise for improved long-term treatment results in TTM. Changes in TTM severity from baseline to 3-and 6-month follow-up is correlated with changes in emotion regulation capacity.
authors: Trichotillomania Clinic and Research Unit, Massachusetts General Hospital/Harvard Medical School, 185 Cambridge Street, Boston, MA 02114, USA. nkeuthen@partners.org
authors: Nancy J
authors: NJ
authors: Keuthen
authors: Barbara O
authors: BO
authors: Rothbaum
authors: Martha J
authors: MJ
authors: Falkenstein
authors: Suzanne
authors: S
authors: Meunier
authors: Kiara R
authors: KR
authors: Timpano
authors: Michael A
authors: MA
authors: Jenike
authors: Stacy Shaw
authors: SS
authors: Welch
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D015897:Comorbidity; D004644:Emotions; D005260:Female; D005500:Follow-Up Studies; D006184:Habits; D006801:Humans; D019122:Meditation; D010865:Pilot Projects; D014256:Trichotillomania / Q000523:psychology / Q000628:therapy*