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Behavior therapy for pediatric trichotillomania: a randomized controlled trial.

Martin E Franklin¹, Aubrey L Edson, Deborah A Ledley

¹Child/Adolescent OCD, Tics, Trichotillomania and Anxiety Group (COTTAGe), Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. marty@mail.med.upenn.edu

Journal of the American Academy of Child and Adolescent Psychiatry

|July 26, 2011

Summary

Behavioral therapy (BT) for pediatric trichotillomania (TTM) significantly outperformed a minimal attention control (MAC). This treatment showed durable results, maintaining gains after acute therapy for TTM.

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Area of Science:

Psychiatry and Behavioral Science
Child and Adolescent Mental Health

Background:

Trichotillomania (TTM) is a disorder characterized by repetitive hair pulling.
Pediatric TTM requires effective and durable treatment interventions.
Cognitive Behavioral Treatment (CBT) approaches are being explored for TTM.

Purpose of the Study:

To evaluate the efficacy of a behavioral therapy (BT) protocol for pediatric TTM.
To compare BT with a minimal attention control (MAC) condition.
To assess the durability of treatment gains through a maintenance phase.

Main Methods:

A randomized controlled trial involving 24 youths with TTM.
Participants were assigned to either an 8-week BT protocol or an 8-week MAC condition.
Outcomes were assessed using the National Institute of Mental Health Trichotillomania Severity Scale (NIMH-TSS) at pretreatment, post-treatment (week 8), and follow-up (week 16 for BT).

Main Results:

The BT group showed significantly lower NIMH-TSS scores at week 8 compared to the MAC group.
BT participants demonstrated significant reductions in TTM severity from week 0 to week 8.
Gains achieved during acute BT treatment were maintained through an 8-week maintenance phase.

Conclusions:

BT is superior to a minimal attention control for pediatric TTM.
BT effectively reduces TTM severity in youth.
The observed maintenance of gains suggests preliminary support for the durability of BT.