Treating Trichotillomania (Hair-Pulling Disorder) in a Child

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• 作者：Ivar Snorrason ; Michael R. Walther ; T. David Elkin and Douglas W. Woods
• 刊名：Journal of Clinical Psychology
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：72
• 期：11
• 页码：1200-1208
• 全文大小：152K
• ISSN：1097-4679

文摘

Although cognitive behavioral treatments (CBTs) have been recommended as first-line interventions for trichotillomania (hair-pulling disorder [HPD]), research on CBT for young children with HPD is limited. We illustrate the use of family-based CBT for HPD in an 8-year-old boy. The client had a 5-year history of chronic HPD and several large bald spots on the crown of his head. Treatment primarily comprised habit reversal training (HRT) and function-based interventions. The child showed significant improvement in HPD severity and impairment after 8 weekly sessions, although complete abstinence was not achieved. The findings underscore the importance of parental involvement in the treatment and show that children as young as 8 years of age can successfully use strategies taught in HRT.