Evidence map›Paper›PMID 36099688›Full record

Trial reportBehaviour research and therapy2022

Acceptance-enhanced behavior therapy for trichotillomania in adults: A randomized clinical trial.

Douglas W Woods, Laura J Ely, Christopher C Bauer, Michael P Twohig, Stephen M Saunders, Scott N Compton, Flint M Espil, Angela Neal-Barnett, Jennifer R Alexander, Michael R Walther and 3 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behaviour research and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
9.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Untroubled Pullers: An Examination of Nonclinical Hair-Pulling.Journal of obsessive-compulsive and related disorders · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Douglas W WoodsMarquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: douglas.woods@marquette.edu.
Laura J ElyUniversity of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: ely.laura.j@gmail.com.
Christopher C BauerMarquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA; University of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: chbauer@mcw.edu.
Michael P TwohigState University, Department of Psychology, 2810 Old Main Hill, Logan, UT, 84322, USA. Electronic address: michael.twohig@usu.edu.
Stephen M SaundersMarquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA. Electronic address: stephen.saunders@marquette.edu.
Scott N ComptonDuke University School of Medicine, Department of Psychiatry & Behavioral Sciences, 2608 Erwin Rd, Suite 300, Durham, NC, 27705, USA. Electronic address: compt004@duke.edu.
Flint M EspilUniversity of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: espil@stanford.edu.
Angela Neal-BarnettKent State University, Department of Psychology, 144 Kent Hall, Kent State University, Kent, OH, 44242-0001, USA. Electronic address: aneal@kent.edu.
Jennifer R AlexanderMarquette University, Department of Psychology, Cramer Hall, Room 317, 604 N. 16th St., Milwaukee, WI, 53233, USA. Electronic address: jalexander@houstonocd.org.
Michael R WaltherUniversity of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: michael_walther@brown.edu.
Shawn P CahillUniversity of Wisconsin-Milwaukee, Department of Psychology, Garland Hall, Room 224, 2441 E. Hartford Ave., Milwaukee, WI, 53211, USA. Electronic address: cahill@uwm.edu.
Thilo DeckersbachUniversity of Applied Sciences, Diploma Hochschule, Germany. Electronic address: thilo.deckersbach@diploma.de.
Martin E FranklinRogers Behavioral Health, 1 Winding Drive, Suite 106, Philadelphia, PA, 19131, USA. Electronic address: Martin.Franklin@rogersbh.org.
Marquette University · USUniversity of Wisconsin–Milwaukee · USDiploma Hochschule · DEDuke University · USKent State University · USRogers Behavioral Health · USUtah State University · US

Funding

Acceptance Enhanced Behavior Therapy for TrichotillomaniaR01MH080966 · NIMH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI WOODS, DOUGLAS W · 2009 to 2013
$1.8M
NIMH NIH HHS R01 MH080966
6 · The paper itself

Abstract

Given the limited treatment options for trichotillomania (TTM), or Hair Pulling Disorder, this large randomized clinical trial evaluated the efficacy of acceptance-enhanced behavior therapy for TTM (AEBT-TTM) in reducing TTM severity relative to psychoeducation and supportive therapy (PST). Eighty-five adults (78 women) with TTM received 10 sessions (over 12 weeks) of either AEBT-TTM or PST. Independent evaluators masked to treatment assignment assessed participants at baseline (week 0), midpoint (week 6), and endpoint (week 12). Consistent with a priori hypotheses, 64% of the adults treated with AEBT-TTM were classified as clinical responders at post-treatment relative to 38% treated with PST. Clinical responders were identified by a score of 1 or 2 on the Clinical Global Impressions-Improvement (CGI-I) scale. Relative to the PST group, the AEBT-TTM group demonstrated significantly greater pre-to post-treatment reductions on the self-report Massachusetts General Hospital-Hairpulling Scale (MGH-HS) and the evaluator-rated National Institute of Mental Health Trichotillomania Severity Scale (NIMH-TSS). There were no significant post-treatment group differences on the Clinical Global Impressions-Severity (CGI-S) scale, or rate of TTM diagnoses. Results suggest AEBT-TTM provides greater treatment benefit than PST. Future research should continue to investigate AEBT-TTM along with mediators and moderators of its efficacy.

Indexed as

TrichotillomaniaAdultBehavior TherapyFemaleHumansTreatment OutcomeUnited StatesBehavior therapyHabitsMindfulnessObsessive compulsive disorderTreatment effectivenessTrichotillomania

Identifiers

PMID36099688
PMCPMC9561035
OpenAlexW4294740943

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.