Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial

Detalhes bibliográficos
Autor(a) principal: Xavier,Alice C.M.
Data de Publicação: 2020
Outros Autores: de Souza,Camila M.B., Flores,Luís H.F., Bermudez,Mariane B., Silva,Renata M.F., de Oliveira,Ariadne C., Dreher,Carolina B.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020000500510
Resumo: Introduction: Although behavioral therapies can effectively treat skin picking disorder (SPD), there is no standardized treatment for improving SPD and its comorbidities and there is no group intervention option. This trial aimed to adapt the Rothbaum trichotillomania protocol to SPD (Study 1) and test its efficacy for treating SPD and comorbidities in individual and group formats (Study 2). Methods: The adapted protocol was applied to 16 SPD patients, who were allocated to group or individual treatment (Study 1). Afterwards, 54 patients were randomly allocated to treatment in an individual (n=27) or group format (n=27) (Study 2). In both studies, assessments of SPD severity, anxiety, depression, clinical status and skin lesion severity were performed at baseline and the endpoint. Results: The adapted protocol was feasible in both treatment modalities (Study 1) and led to high SPD remission rates (individual 63%; group 52%), with no significant difference between intervention types (p = 0.4) (Study 2). SPD, anxiety, and depression symptoms and objective patient lesion measures improved after treatment. There was large effect size for SPD symptom improvement in both treatment types (Cohen’s d: group = 0.88; individual = 1.15) (Study 2). Conclusion: The adapted Rothbaum protocol was effective for SPD remission, comorbidities, and skin lesions, both in individual and group formats. Clinical trial registration: NCT03182478
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spelling Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trialSkin picking disordercognitive behavioral therapypsychotherapygroup psychotherapy Introduction: Although behavioral therapies can effectively treat skin picking disorder (SPD), there is no standardized treatment for improving SPD and its comorbidities and there is no group intervention option. This trial aimed to adapt the Rothbaum trichotillomania protocol to SPD (Study 1) and test its efficacy for treating SPD and comorbidities in individual and group formats (Study 2). Methods: The adapted protocol was applied to 16 SPD patients, who were allocated to group or individual treatment (Study 1). Afterwards, 54 patients were randomly allocated to treatment in an individual (n=27) or group format (n=27) (Study 2). In both studies, assessments of SPD severity, anxiety, depression, clinical status and skin lesion severity were performed at baseline and the endpoint. Results: The adapted protocol was feasible in both treatment modalities (Study 1) and led to high SPD remission rates (individual 63%; group 52%), with no significant difference between intervention types (p = 0.4) (Study 2). SPD, anxiety, and depression symptoms and objective patient lesion measures improved after treatment. There was large effect size for SPD symptom improvement in both treatment types (Cohen’s d: group = 0.88; individual = 1.15) (Study 2). Conclusion: The adapted Rothbaum protocol was effective for SPD remission, comorbidities, and skin lesions, both in individual and group formats. Clinical trial registration: NCT03182478Associação Brasileira de Psiquiatria2020-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020000500510Brazilian Journal of Psychiatry v.42 n.5 2020reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/1516-4446-2019-0636info:eu-repo/semantics/openAccessXavier,Alice C.M.de Souza,Camila M.B.Flores,Luís H.F.Bermudez,Mariane B.Silva,Renata M.F.de Oliveira,Ariadne C.Dreher,Carolina B.eng2020-10-15T00:00:00Zoai:scielo:S1516-44462020000500510Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2020-10-15T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
title Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
spellingShingle Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
Xavier,Alice C.M.
Skin picking disorder
cognitive behavioral therapy
psychotherapy
group psychotherapy
title_short Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
title_full Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
title_fullStr Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
title_full_unstemmed Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
title_sort Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial
author Xavier,Alice C.M.
author_facet Xavier,Alice C.M.
de Souza,Camila M.B.
Flores,Luís H.F.
Bermudez,Mariane B.
Silva,Renata M.F.
de Oliveira,Ariadne C.
Dreher,Carolina B.
author_role author
author2 de Souza,Camila M.B.
Flores,Luís H.F.
Bermudez,Mariane B.
Silva,Renata M.F.
de Oliveira,Ariadne C.
Dreher,Carolina B.
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Xavier,Alice C.M.
de Souza,Camila M.B.
Flores,Luís H.F.
Bermudez,Mariane B.
Silva,Renata M.F.
de Oliveira,Ariadne C.
Dreher,Carolina B.
dc.subject.por.fl_str_mv Skin picking disorder
cognitive behavioral therapy
psychotherapy
group psychotherapy
topic Skin picking disorder
cognitive behavioral therapy
psychotherapy
group psychotherapy
description Introduction: Although behavioral therapies can effectively treat skin picking disorder (SPD), there is no standardized treatment for improving SPD and its comorbidities and there is no group intervention option. This trial aimed to adapt the Rothbaum trichotillomania protocol to SPD (Study 1) and test its efficacy for treating SPD and comorbidities in individual and group formats (Study 2). Methods: The adapted protocol was applied to 16 SPD patients, who were allocated to group or individual treatment (Study 1). Afterwards, 54 patients were randomly allocated to treatment in an individual (n=27) or group format (n=27) (Study 2). In both studies, assessments of SPD severity, anxiety, depression, clinical status and skin lesion severity were performed at baseline and the endpoint. Results: The adapted protocol was feasible in both treatment modalities (Study 1) and led to high SPD remission rates (individual 63%; group 52%), with no significant difference between intervention types (p = 0.4) (Study 2). SPD, anxiety, and depression symptoms and objective patient lesion measures improved after treatment. There was large effect size for SPD symptom improvement in both treatment types (Cohen’s d: group = 0.88; individual = 1.15) (Study 2). Conclusion: The adapted Rothbaum protocol was effective for SPD remission, comorbidities, and skin lesions, both in individual and group formats. Clinical trial registration: NCT03182478
publishDate 2020
dc.date.none.fl_str_mv 2020-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462020000500510
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/1516-4446-2019-0636
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dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Brazilian Journal of Psychiatry v.42 n.5 2020
reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
instname:Associação Brasileira de Psiquiatria (ABP)
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instname_str Associação Brasileira de Psiquiatria (ABP)
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reponame_str Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
collection Brazilian Journal of Psychiatry (São Paulo. 1999. Online)
repository.name.fl_str_mv Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv ||rbp@abpbrasil.org.br
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