This work may not be copied, distributed, displayed, published, reproduced, transmitted, modified, posted, sold, licensed, or used for commercial purposes. By downloading this file, you are agreeing to the publisher’s Terms & Conditions.

Original Research

Longitudinal Follow-Up of Naturalistic Treatment Outcome in Patients With Trichotillomania

Nancy J. Keuthen, Catherine Fraim, Thilo Deckersbach, Darin D. Dougherty, Lee Baer, and Michael A. Jenike

Published: February 2, 2001

Article Abstract

Background: Little is known about thelongitudinal course of treatment outcome in patients withtrichotillomania. The authors conducted a second follow-upassessment on a cohort of hair pullers previously studied.

Method: Forty-four subjects completed ahair-pulling questionnaire and paper-and-pencil measures ofhair-pulling severity and impact, psychosocial functioning,depression, anxiety, and self-esteem. Mean time elapsed betweenthe first and second follow-up assessment was 2.5 years (indexevaluation to first follow-up = 3.5 years).

Results: Twenty-seven subjects (61.4%) hadactive treatment since the first follow-up. No significantchanges in hair pulling, depression, anxiety, or psychosocialfunctioning were reported from first to second follow-up.Self-esteem scores significantly worsened during this period (p =.000). A trend toward worsening also existed for psychosocialimpact scores. Comparison of scores at index evaluation withsecond follow-up still showed significant improvement over timefor hair pulling (p = .001) but significant worsening inself-esteem (p = .000). Treatment and responder status wereunrelated to clinical functioning, with the exception ofdepression and psychosocial impact.

Conclusion: Although hair pullers exhibitinitial improvement with treatment, scale scores plateau orworsen by second follow-up. Significant worsening in self-esteemat second follow-up may be related to the absence of furtherimprovements in hair-pulling severity. Future research shouldfocus on the interrelationships among self-esteem, depression,and hair pulling during treatment for this disorder.

Volume: 62

Quick Links:

Continue Reading…

Subscribe to read the entire article


Buy this Article as a PDF