A Pilot Randomized Controlled Trial of Online-Delivered ACT-Enhanced Behavior Therapy for Trichotillomania in Adolescents
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| Titel: | A Pilot Randomized Controlled Trial of Online-Delivered ACT-Enhanced Behavior Therapy for Trichotillomania in Adolescents |
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| Autoren: | Michael P. Twohig, Julie M. Petersen, Jeremiah Fruge, Clarissa W. Ong, Jennifer L. Barney, Jennifer Krafft, Eric B. Lee, Michael E. Levin |
| Weitere Verfasser: | Elsevier Ltd |
| Quelle: | Psychology Student Research |
| Verlagsinformationen: | Elsevier BV, 2021. |
| Publikationsjahr: | 2021 |
| Schlagwörter: | Zoom, 03 medical and health sciences, 0302 clinical medicine, 05 social sciences, Adolescent Trichotillomania, Psychiatry and Psychology, 0501 psychology and cognitive sciences, ACT-Enhanced Behavior Therapy, Online Therapy, 3. Good health |
| Beschreibung: | Treatment of adolescent trichotillomania is understudied, and treatment providers are difficult to find. In this pilot study, we compared ACT-enhanced behavior therapy to a waitlist, with treatment delivered over Zoom, to 28 adolescents who met criteria for trichotillomania. This study partially occurred during the COVID-19 pandemic. A detailed description of the treatment protocol is provided for ACT-enhanced behavior therapy adapted to a Zoom format for adolescents. Pretreatment assessments were completed over Zoom by an assessor unaware of study condition; pretreatment and posttreatment questionnaires were completed online. Results indicated that therapy was delivered with fidelity and competence over Zoom, with 100% session completion. Adolescents reported that pulling severity decreased significantly more in the treatment condition than waitlist. No differences were seen in other adolescent or parent-reported pulling severity or distress. However, significant medium to large within-condition effect sizes were observed in the treatment condition. Medium effect size changes were seen in the treatment group on a measure of trichotillomania-related psychological flexibility, and a small effect size was seen for psychological distress. Overall, pilot results provide preliminary support for ACT-enhanced behavior therapy, delivered over Zoom, for adolescent trichotillomania, indicating the need for a fully powered confirmatory efficacy trial. |
| Publikationsart: | Article Other literature type |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 1077-7229 |
| DOI: | 10.1016/j.cbpra.2021.01.004 |
| Zugangs-URL: | https://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=1049&context=psych_stures https://www.sciencedirect.com/science/article/abs/pii/S1077722921000377 https://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=1049&context=psych_stures https://digitalcommons.usu.edu/psych_stures/50/ https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/zh/covidwho-1498845 https://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=1049&context=psych_stures https://digitalcommons.usu.edu/psych_stures/50 |
| Rights: | Elsevier TDM PDM |
| Dokumentencode: | edsair.doi.dedup.....2292ef82c5e1446b7866a6b6968226e7 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Treatment of adolescent trichotillomania is understudied, and treatment providers are difficult to find. In this pilot study, we compared ACT-enhanced behavior therapy to a waitlist, with treatment delivered over Zoom, to 28 adolescents who met criteria for trichotillomania. This study partially occurred during the COVID-19 pandemic. A detailed description of the treatment protocol is provided for ACT-enhanced behavior therapy adapted to a Zoom format for adolescents. Pretreatment assessments were completed over Zoom by an assessor unaware of study condition; pretreatment and posttreatment questionnaires were completed online. Results indicated that therapy was delivered with fidelity and competence over Zoom, with 100% session completion. Adolescents reported that pulling severity decreased significantly more in the treatment condition than waitlist. No differences were seen in other adolescent or parent-reported pulling severity or distress. However, significant medium to large within-condition effect sizes were observed in the treatment condition. Medium effect size changes were seen in the treatment group on a measure of trichotillomania-related psychological flexibility, and a small effect size was seen for psychological distress. Overall, pilot results provide preliminary support for ACT-enhanced behavior therapy, delivered over Zoom, for adolescent trichotillomania, indicating the need for a fully powered confirmatory efficacy trial. |
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| ISSN: | 10777229 |
| DOI: | 10.1016/j.cbpra.2021.01.004 |