title: Race/Ethnicity and Treatment Outcome in a Randomized Controlled Trial for Trichotillomania (Hair-Pulling Disorder).
abstract: OBJECTIVE
  Treatment outcome was compared among non-Hispanic White and racial/ethnic minority participants with trichotillomania (TTM), or hair-pulling disorder.
  
  
  METHODS
  Symptom severity, quality of life, and TTM-related disability were compared in a behavior therapy trial with a stepped care approach: web-based self-help and then individual behavior therapy. The sample comprised 72% (n = 38) non-Hispanic White participants and 28% (n = 15) minority participants.
  
  
  RESULTS
  The ethnic groups responded differently to treatment, with fewer minority participants showing improvement during web-based self-help. Response rates were equivalent between ethnic groups during the in-person behavior therapy. These results should be interpreted with caution because of the small sample size of minorities in the study and consequent inability to analyze results for each racial/ethnic group individually.
  
  
  CONCLUSIONS
  Future studies should focus on the investigation of factors that may enable or hinder racial and ethnic minority participants to benefit from online and/or self-help behavior therapy for TTM.
authors.affiliation: American University.
authors.forename: Martha J
authors.initials: MJ
authors.lastname: Falkenstein
authors.affiliation: American University.
authors.forename: Kate
authors.initials: K
authors.lastname: Rogers
authors.affiliation: American University.
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Malloy
authors.affiliation: American University.
authors.forename: David A F
authors.initials: DA
authors.lastname: Haaga
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D005006:Ethnicity / Q000208:ethnology*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D012648:Self Care / Q000379:methods; D016896:Treatment Outcome; D014256:Trichotillomania / Q000208:ethnology* / Q000628:therapy*; D044465:White People / Q000208:ethnology*
keywords: hair-pulling disorder; obsessive-compulsive related disorders; racial/ethnic minorities; treatment outcome; trichotillomania
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