Acceptance-Enhanced Behavior Therapy (AEBT) for trichotillomania and chronic skin picking: Exploring the effects of component sequencing

Behavior Modification

Volumn 32, Issue 5, 2008, Pages 579-594

  Flessner, Christopher A ^a   Busch, Andrew M ^a   Heideman, Paul W ^a   Woods, Douglas W ^a,b  

^a UNIVERSITY OF WISCONSIN MILWAUKEE   (United States)

^b Department of Psychology ^*  (United States)

Author keywords

Acceptance; ACT; Habit reversal; Sequence; Skin picking

Indexed keywords

ADULT; AGED; ARTICLE; AUTOMUTILATION; CHILD; COGNITION; COGNITIVE THERAPY; COMPARATIVE STUDY; FEMALE; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; PILOT STUDY; PSYCHOLOGIC TEST; PSYCHOLOGICAL ASPECT; SELF CONCEPT; TREATMENT OUTCOME; TRICHOTILLOMANIA; UNITED STATES;

ADULT; AGED; CHILD; COGNITION; COGNITIVE THERAPY; FEMALE; HUMANS; MALE; MIDDLE AGED; PILOT PROJECTS; PSYCHOLOGICAL TESTS; SELF CONCEPT; SELF MUTILATION; TREATMENT OUTCOME; TRICHOTILLOMANIA; WISCONSIN;

EID: 48249115593     PISSN: 01454455     EISSN: 15524167     Source Type: Journal    
DOI: 10.1177/0145445507313800     Document Type: Article

References (46)

1. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4 th ed., text rev.). Washington, DC: APA.
2. Arnold, L.M., Auchenbach, M.B., & McElroy, S.L. (2001). Psychogenic excoriation: Clinical features, proposed diagnostic criteria, epidemiology, and approaches to treatment. Central Nervous System Drugs, 15, 351-359.
3. Azrin, N.H., & Nunn, R.G. (1973). Habit reversal: A method of eliminating nervous habits and tics. Behaviour Research and Therapy, 11, 619-628.
4. Azrin, N.H., Nunn, R.G., & Franz, S.E. (1980). Treatment of hairpulling (trichotillomania): A comparative study of habit reversal and negative practice training. Journal of Behavior Therapy and Experimental Psychiatry, 11, 13-20.
5. Barlow, D.H., & Hersen, M. (1984). Single case experimental designs: Strategies for studying behavior change (2 nd ed.). Boston: Allyn & Bacon.
6. Begotka, A.M., Woods, D.W., & Wetterneck, C.T. (2004). The relationship between experiential avoidance and the severity of trichotillomania in a nonreferred sample. Journal of Behavior Therapy and Experimental Psychiatry, 35, 17-24.
7. Bloch, M.R., Elliot, M., Thompson, H., & Koran, L.M. (2001). Fluoxetine in pathologic skin-picking. Psychosomatics, 42, 314-319.
8. Bohne, A., Wilhelm, S., Keuthen, N.J., Baer, L., & Jenike, M.A. (2002). Skin picking in German students: Prevalence, phenomenology, and associated characteristics. Behavior Modification, 26, 320-339.
9. Christenson, G.A., & Mackenzie, T.B. (1994). Trichotillomania. In M. Hersen & R. T. Ammerman (Eds.), Handbook of prescriptive treatment for adults (pp. 217-235). New York: Plenum Press.
10. Christenson, G.A., Pyle, R.L., & Mitchell, J.E. (1991). Estimated lifetime prevalence of trichotillomania in college-students. Journal of Clinical Psychiatry, 52, 415-417.
11. Cullen, B.A., Samuels, J.F., Bienvenu, G.J., Grados, M., Hoehn-Saric, R., Hahn, J., et al. (2001). The relationship of pathological skin picking to obsessive-compulsive disorder. Journal of Nervous & Mental Disease, 189, 193-195.
12. Deckersbach, T., Wilhelm, S., Keuthen, N.J., Baer, L., & Jenike, M.A. (2002). Cognitive-behavior therapy for self-injurious skin picking: A case series. Behavior Modification, 26, 361-377.
13. Diefenbach, G.J., Tolin, D.F., Crocetto, J., Maltby, N., & Hannan, S. (2005). Assessment of trichotillomania: A psychometric evaluation of hair-pulling scales. Journal of Psychopathology and Behavioral Assessment, 27, 169-178.
14. du Toit, P.L., van Kradenburg, J., Niehaus, D.J.H., & Stein, D.J. (2001). Characteristics and phenomenology of hair-pulling: An exploration of subtypes. Comprehensive Psychiatry, 42, 247-256.
15. First, M.B., Spitzer, R.I., Gibbon, M., & Williams, J.B.W. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders-Clinician Version (SCID-CV). Washington, DC: American Psychiatric Press.
16. Flessner, C.A., & Woods, D.W. (2006) Phenomenological characteristics, social problems, and economic impact associated with skin picking (SP) and problem skin picking (PSP). Behavior Modification, 30, 944-963.
17. Flessner, C.A., Woods, D.W., Franklin, M.E., Cashin, S.E., & Keuthen, N.J. (in press). The Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A): The development of an instrument for the assessment of "focused" and "automatic" hair pulling. Journal of Psychopathology and Behavioral Assessment.
18. Graber, J., & Arndt, W.B. (1993). Trichotillomania. Comprehensive Psychiatry, 34 (5). 340-346.
19. Hajcak, G., Franklin, M.E., Simons, R.F., & Keuthen, N.J. (2006). Hairpulling and skin picking in relation to affective distress and obsessive-compulsive symptoms. Journal of Psychopathology and Behavioral Assessment, 28, 179-187.
20. Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (2003). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
21. Kent, A., & Drummond, L.M. (1989). Acne-excoriee-A case report of treatment using habit reversal. Clinical and Experimental Dermatology, 14, 163-164.
22. Keuthen, N.J., Deckersbach, T., Wilhelm, S., Hale, E., Fraim, C., Baer, L., et al. (2000). Repetitive skin-picking in a student population and comparison with a sample of self-injurious skin-pickers. Psychosomatics, 41, 210-215.
23. Keuthen, N.J., Flessner, C.A., Woods, D.W., Franklin, M.E., Stein, D.J., Cashin, S.E., et al. (2007). Factor analysis of the Massachusetts General Hospital (MGH) Hairpulling Scale. Journal of Psychosomatic Research, 62, 707-709.
24. Keuthen, N.J., O'Sullivan, R.L., Ricciardi, J.N., Shera, D., Savage, C.R., Borgmann, A.S., et al. (1995). The Massachusetts-General-Hospital (MGH) Hairpulling Scale. 1. Development and factor-analyses. Psychotherapy and Psychosomatics, 64, 141-145.
25. Keuthen, N.J., Wilhelm, S., & Deckersbach, T. (2000). [Skin Picking Inventory]. Unpublished raw data.
26. Lochner, C., Simeon, D., Niehaus, D.J.H., & Stein, D.J. (2002). Trichotillomania and skin-picking: A phenomenological comparison. Depression and Anxiety, 15, 83-86.
27. Mouton, S.G., & Stanley, M.A. (1996). Habit reversal training for trichotillomania: A group approach. Cognitive and Behavioral Practice, 3, 159-182.
28. Ninan, P.T., Rothbaum, B.O., Marsteller, F.A., Knight, B.T., & Eccard, M.B. (2000). A placebo-controlled trial of cognitive-behavior therapy and clomipramine in trichotillomania. Journal of Clinical Psychology, 61, 47-50.
29. Norberg, M.M., Wetterneck, C.T., Woods, D.W., & Conelea, C.A. (2007). Experiential avoidance as a mediator of relationships between cognitions and hair-pulling severity. Behavior Modification, 31, 367-381.
30. O'Sullivan, R.L., Keuthen, N.J., Hayday, C.F., Ricciardi, J.N., Buttolph, M.L., Jenike, M.A., et al. (1995). The Massachusetts-General-Hospital (MGH) Hairpulling Scale. 2. Reliability and validity. Psychotherapy and Psychosomatics, 64, 146-148.
31. Rapp, J.T., Miltenberger, R.G., Long, E.S., Elliot, A.J., & Lumley, A. (1998). Simplified habit reversal treatment for chronic hair pulling in three adolescents: A clinical replication with direct observation. Journal of Applied Behavior Analysis, 31, 299-302.
32. Rosenbaum, M.S., & Allyon, T. (1981). The habit-reversal technique in treating trichotillomania. Behavior Therapy, 12, 474-481.
33. Rothbaum, B.O., & Ninan, P.T. (1994). The assessment of trichotillomania. Behavior Research and Therapy, 32, 651-662.
34. Simeon, D., Stein, D.J., Gross, S., Islam, N., Schmeidler, J., & Hollander, E. (1997). A double-blind trial of fluoxetine in pathologic skin picking. Journal of Clinical Psychiatry, 58, 341-347.
35. Teng, E.J., Woods, D.W., & Twohig, M.P. (2006). Habit reversal as a treatment for chronic skin picking: A pilot investigation. Behavior Modification, 30, 411-422.
36. Teng, E.J., Woods, D.W., Twohig, M.P., & Marcks, B.A. (2002). Body-focused repetitive behavior problems: Prevalence in a nonreferred population and differences in perceived somatic activity. Behavior Modification, 26, 340-360.
37. Twohig, M.P., Hayes, S.C., & Masuda, A. (2006). A preliminary investigation of acceptance and commitment therapy as a treatment for chronic skin picking. Behaviour Research and Therapy, 44, 1513-1522.
38. Twohig, M.P., & Woods, D.W. (2001). Habit reversal as a treatment for chronic skin picking in typically developing adult male siblings. Journal of Applied Behavior Analysis, 34, 217-220.
39. Twohig, M.P., & Woods, D.W. (2004). A preliminary investigation of acceptance and commitment therapy and habit reversal as a treatment for trichotillomania. Behavior Therapy, 35, 803-820.
40. van Minnen, A., Hoogduin, K.A.L., Keijsers, G.P.J., Hellenbrand, I., & Hendriks, G. (2003). Treatment of trichotillomania with behavioral therapy or fluoxetine. Archives of General Psychiatry, 60, 517-522.
41. Walther, M.W., Flessner, C.A., Conelea, C.A., & Woods, D.W. (2007). The Milwaukee dimensions of adult skin picking scale (MIDAS): Initial development and psychometric properties. Manuscript submitted for publication.
42. Wechsler, D.A. (1999). Wechsler Abbreviated Scale of Intelligence. San Antonio, TX: The Psychological Corporation.
43. Wilhelm, S., Keuthen, N.J., Deckersbach, T., Engelhard, I.M., Forker, A.E., Baer, L., et al. (1999). Self-injurious skin picking: Clinical characteristics and comorbidity. Journal of Clinical Psychiatry, 60, 454-459.
44. Woods, D.W., Wetterneck, C.T., & Flessner, C.A. (2006). A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behaviour Research and Therapy, 44, 639-656.
45. Woods, D.W., Flessner, C.A., Franklin, M.E., Wetterneck, C.T., Walther, M.R., Anderson, E.R., et al. (2006). Understanding and treating trichotillomania: What we know and what we don't. Psychiatric Clinics of North America, 29, 487-502.
46. Yeh, A.H., Taylor, S., Thordarson, D.S., & Corcoran, K.M. (2003). Efficacy of telephone-administered cognitive-behaviour therapy for obsessive-compulsive spectrum disorders: Case studies. Cognitive Behaviour Therapy, 32, 75-81.