Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Sorlandet Hospital HF | OTHER_GOV |
| St. Olavs Hospital | OTHER |
| Texas A&M University | OTHER |
| University of Michigan |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study aims at evaluating the effectiveness of group-based cognitive behavioral therapy for trichotillomania at three clinical sites in Norway.
The Norwegian Trichotillomania Project is a multicenter study that aims at evaluating the effectiveness of behavioral group therapy for TTM, i.e., ACT (Acceptance and commitment therapy) enhanced habit reversal training (ACT-enhanced HRT).
Participants are adults or adolescents (16 year or older) who fulfill criteria for TTM according to DSM-IV. Inclusion started in January 2013 and will be completed by Mai 2016. Treatment is delivered at three treatment sites in Norway; in Kristiansand, Oslo, and Trondheim. Treatment is manualized, following the manual of Twohig and Woods, and consists of ten group sessions of three hours delivered at consecutive weeks, and two or three booster sessions during the first year after treatment.
Treatment outcome is evaluated by three outcome measures; the Massachusetts General Hospital - Hairpulling Scale (self-report); the National Institute of Mental Health Trichotillomania Severity Scale (clinical interview, conducted by independent evaluators); and the Clinical Global Impression Scale for TTM. Outcome is measured at three points in time; at baseline, at the end of treatment, and at one-year follow-up. Mixed models procedures in SPSS is used to analyze longitudinal data.
The first paper will be written on patients admitted to treatment from January 2013 to September 2014, and includes 53 patients (49 women and four men). By January 2016, fifty-one patients (96%) had participated in the one-year follow-up evaluation.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive behavioral therapy | Behavioral | 10 sessions Group therapy during 10-12 weeks. The first three sessions focus on habit reversal training, the fourth to sixth session on acceptance and commitment therapy and the last four sessions aims at integrating the two approaches. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in National Institute of Mental Health Trichotillomania Severity Scale (NIMH-TSS) | clinical interview | baseline, 12 weeks, 12 months |
| Change in Massachusetts General Hospital - Hairpulling Scale (MGH-HS) | self-report | baseline, 12 weeks, 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change Patient Health Questionnaire-9 (PHQ-9) | self-report depressive symptoms | baseline, 12 weeks, 12 months |
| Change General Anxiety Disorder Scale (GAD-7) | self-report anxiety symptoms |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Patients referred for treatment of trichotillomania (TTM)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Benjamin Hummelen, Ph.D., M.D. | Contact | +4795741039 | uxbeum@ous-hf.no | |
| Erna M Moen, Master | Contact | +4722118080 | ernmoe@ous-hf.no |
| Name | Affiliation | Role |
|---|---|---|
| Benjamin Hummelen, Ph.D., M.D. | Oslo University Hospital, Oslo, Norway | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo University Hospital | Recruiting | Oslo | 0607 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20533371 | Background | Stein DJ, Grant JE, Franklin ME, Keuthen N, Lochner C, Singer HS, Woods DW. Trichotillomania (hair pulling disorder), skin picking disorder, and stereotypic movement disorder: toward DSM-V. Depress Anxiety. 2010 Jun;27(6):611-26. doi: 10.1002/da.20700. | |
| 17880861 | Background | Stein DJ, Garner JP, Keuthen NJ, Franklin ME, Walkup JT, Woods DW. Trichotillomania, stereotypic movement disorder, and related disorders. Curr Psychiatry Rep. 2007 Aug;9(4):301-2. doi: 10.1007/s11920-007-0036-4. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D014256 | Trichotillomania |
| ID | Term |
|---|---|
| D009771 | Obsessive-Compulsive Disorder |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
| D007174 | Disruptive, Impulse Control, and Conduct Disorders |
Not provided
Not provided
| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D064869 | Acceptance and Commitment Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
Not provided
Not provided
| OTHER |
Not provided
Not provided
Not provided
| baseline, 12 weeks, 12 months |
| Change Metacognition Questionnaire (MCQ-30) | self-reported metacognitions | baseline, 12 weeks, 12 months |
| Change in Acceptance and Action Questionnaire for Trichotillomania | self-report | baseline, 12 weeks, 12 months |
| 16039603 | Background | Woods DW, Wetterneck CT, Flessner CA. A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behav Res Ther. 2006 May;44(5):639-56. doi: 10.1016/j.brat.2005.05.006. Epub 2005 Jul 22. |
| 26165460 | Background | Keuthen NJ, Rothbaum BO, Fama J, Altenburger E, Falkenstein MJ, Sprich SE, Kearns M, Meunier S, Jenike MA, Welch SS. DBT-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial. J Behav Addict. 2012 Sep;1(3):106-14. doi: 10.1556/JBA.1.2012.003. |
| 26422605 | Result | Houghton DC, Capriotti MR, De Nadai AS, Compton SN, Twohig MP, Neal-Barnett AM, Saunders SM, Franklin ME, Woods DW. Defining treatment response in trichotillomania: a signal detection analysis. J Anxiety Disord. 2015 Dec;36:44-51. doi: 10.1016/j.janxdis.2015.09.008. Epub 2015 Sep 24. |