Behavior Modification

 

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First published on March 11, 2008, doi:10.1177/0145445507313800

Behavior Modification 2008;32:579.

A more recent version of this article appeared on September 1, 2008

Article

Acceptance-Enhanced Behavior Therapy (AEBT) for Trichotillomania and Chronic Skin Picking: Exploring the Effects of Component Sequencing

Christopher A. Flessner, M.S., Andrew M. Busch, Ph.D., Paul W. Heideman, M.S., and Douglas W. Woods, M.S.*

University of Wisconsin–Milwaukee

* To whom correspondence should be addressed. E-mail: dwoods{at}uwm.edu.


  Abstract
This pilot study examined the utility of acceptance-enhanced behavior therapy (AEBT) for trichotillomania (TTM) and chronic skin picking (CSP) and the impact of altering treatment sequence on overall treatment efficacy. Participants referred to a TTM and CSP specialty clinic were assessed by an independent evaluator within separate, nonconcurrent, multiple-baseline designs across participants. The first group of three participants received habit-reversal training (HRT) followed by acceptance and commitment therapy (ACT), and the second group of two participants received ACT followed by HRT. Results indicated that AEBT greatly reduced pulling/picking for all five participants and that the order in which ACT and HRT were implemented made little or no difference in short-term treatment outcome. Conclusions, limitations, and future areas of research are discussed.


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