Neal-Barnett Angela, Woods Douglas W, Espil Flint M, Davis Martale, Alexander Jennifer R, Compton Scott N, Walther Michael R, Twohig Michael P, Saunders Stephen M, Cahill Shawn P, Franklin Martin E
Kent State University, Kent, Ohio.
Texas A&M University, College Station, Texas.
Bull Menninger Clin. 2019 Fall;83(4):399-431. doi: 10.1521/bumc_2019_83_04. Epub 2019 Aug 5.
Trichotillomania (TTM) involves the chronic pulling out of hair to the point of hair loss or thinning, which continues despite repeated attempts to stop. Behavior therapy is a promising treatment for the condition, but studies have been limited by the lack of a credible control condition, small sample sizes, follow-up periods of short duration, and low participation by underrepresented populations. In the current article, the authors describe the theoretical rationale for an acceptance-enhanced form of behavior therapy for TTM in adults and describe the methodology used to test the efficacy of this intervention against a psychoeducation and supportive control condition. In addition, the authors discuss the importance of and difficulties encountered with enrolling minority participants into TTM research, as well as strategies used to enhance minority recruitment. Finally, the authors discuss the instruments, procedures, and related outcomes of the fidelity measures used in the randomized controlled trial.
拔毛癖（TTM）表现为长期反复拔毛发，直至毛发脱落或变稀疏，尽管多次尝试停止但仍持续。行为疗法是治疗该病的一种有前景的方法，但以往研究存在局限性，包括缺乏可靠的对照条件、样本量小、随访期短以及少数群体参与度低。在本文中，作者阐述了针对成人TTM的一种增强接纳的行为疗法的理论依据，并描述了用于测试该干预措施相对于心理教育和支持性对照条件的疗效的方法。此外，作者讨论了招募少数群体参与者参与TTM研究的重要性和遇到的困难，以及用于加强少数群体招募的策略。最后，作者讨论了随机对照试验中使用的保真度测量的工具、程序和相关结果。
