Keuthen N J, O'Sullivan R L, Goodchild P, Rodriguez D, Jenike M A, Baer L
Department of Psychiatry, Massachusetts General Hospital 02129, USA.
Am J Psychiatry. 1998 Apr;155(4):560-1. doi: 10.1176/ajp.155.4.560.
The authors' goal was to assess naturalistic treatment outcome in trichotillomania.
Sixty-three patients who had been treated in a specialty clinic for trichotillomania over a period of 6 years were contacted. The patients were given paper-and-pencil instruments that assessed current severity of hairpulling, depression, anxiety, self-esteem, and psychosocial functioning.
Significant mean improvement was found on measures of hairpulling, depression, anxiety, self-esteem, and psychosocial functioning. Improvement in hairpulling was associated with greater depression at the time of their index clinic evaluation as well as more improvement in depression after treatment.
State-of-the-art behavioral and pharmacological treatments offer substantial clinical benefit to patients with trichotillomania, both in hairpulling symptoms and ancillary measures of functioning.
作者的目标是评估拔毛癖的自然主义治疗结果。
联系了63名在一家专科诊所接受了6年拔毛癖治疗的患者。给患者发放了纸笔式问卷，以评估当前拔毛的严重程度、抑郁、焦虑、自尊和心理社会功能。
在拔毛、抑郁、焦虑、自尊和心理社会功能的测量方面发现了显著的平均改善。拔毛的改善与首次诊所评估时更严重的抑郁以及治疗后抑郁的更多改善有关。
先进的行为和药物治疗为拔毛癖患者在拔毛症状和功能辅助测量方面都带来了实质性的临床益处。
