Keuthen Nancy J, Tung Esther S, Reese Hannah E, Raikes Jennifer, Lee Leslie, Mansueto Charles S
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA. E-mail:
Ann Clin Psychiatry. 2015 Feb;27(1):10-5.
To date, there has been no investigation of dissemination outcomes for cognitive-behavioral training programs for body-focused repetitive behaviors (BFRBs).
Sixty-three past participants of the Trichotillomania Learning Center (TLC) intensive professional training institutes completed an online survey assessing referral sources, skills utilization, and treatment outcomes before and after training. The intensive training focused on the treatment of trichotillomania (hair-pulling) disorder and excoriation (skin-picking) disorder using in-person or videotaped didactics, role playing, and case presentations with supervision upon request.
Participants endorsed a greater number of referral sources and BFRB patients after attending training. Paired t tests indicated significant pre- to post-training increases in self-reported utilization of all individual cognitive-behavioral therapy (CBT) skills as well as overall mean skills usage (both P<.001). Changes after training in the reported percent of abstinent patients and mean reduction in symptom severity were also noted.
The TLC intensive professional training institutes may be useful for disseminating CBT skills for the treatment of BFRBs, but additional research is warranted.
迄今为止，尚未对针对聚焦身体的重复行为（BFRBs）的认知行为训练项目的传播效果进行调查。
63名拔毛癖学习中心（TLC）强化专业培训机构的既往参与者完成了一项在线调查，评估培训前后的转介来源、技能运用情况和治疗效果。强化培训聚焦于拔毛癖（拔毛发）障碍和皮肤搔抓（抠皮肤）障碍的治疗，采用面对面或录像教学、角色扮演以及应要求进行有督导的病例展示。
参与者在参加培训后认可了更多的转介来源和BFRB患者。配对t检验表明，所有个体认知行为疗法（CBT）技能的自我报告运用以及总体平均技能使用情况在培训前到培训后均有显著增加（均P<.001）。还注意到培训后报告的戒断患者百分比和症状严重程度平均降低的变化。
TLC强化专业培训机构可能有助于传播用于治疗BFRBs的CBT技能，但仍需进一步研究。
