Deckersbach Thilo, Wilhelm Sabine, Keuthen Nancy J, Baer Lee, Jenike Michael A
Harvard Medical School, Cognitive-Behavior Therapy Program, Obsessive-Compulsive Disorder Clinic, Psychiatric Neuroscience Program, Massachusetts General Hospital, USA.
Behav Modif. 2002 Jul;26(3):361-77. doi: 10.1177/0145445502026003004.
Self-injurious skin picking is characterized by repetitive, ritualistic, or impulsive skin picking that leads to tissue damage and causes significant distress or impairment in daily functioning. Little is known about effective behavioral or cognitive-behavioral treatments for self-injurious skin picking. As described by Azrin and colleagues, habit reversal is a promising behavioral treatment for modifying nervous habits or tics. To the authors' knowledge, only one case series currently exists in the literature that shows self-injurious skin picking, in the absence of an underlying dermatological condition or without psychiatric comorbidity, can be successfully treated with habit reversal. In the current article, the authors describe the implementation and outcome of cognitive-behavior therapy for three patients with severe self-injurious skin picking, two of which had psychiatric comorbidity.
自我伤害性皮肤搔抓的特征是反复、仪式化或冲动性地搔抓皮肤，导致组织损伤，并在日常功能中引起显著困扰或损害。关于自我伤害性皮肤搔抓的有效行为或认知行为治疗知之甚少。正如阿兹林及其同事所描述的，习惯逆转是一种有前景的用于改变紧张习惯或抽搐的行为治疗方法。据作者所知，目前文献中仅有一个病例系列表明，在没有潜在皮肤病或精神疾病共病的情况下，自我伤害性皮肤搔抓可以通过习惯逆转成功治疗。在本文中，作者描述了对三名严重自我伤害性皮肤搔抓患者实施认知行为疗法的过程及结果，其中两名患者患有精神疾病共病。
