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Am J Psychiatry 155:560-561, April 1998
© 1998 American Psychiatric Association


Brief Report

Retrospective Review of Treatment Outcome for 63 Patients With Trichotillomania

Nancy J. Keuthen, Ph.D., Richard L. O'Sullivan, M.D., Paige Goodchild, B.A., Dayami Rodriguez, B.A., Michael A. Jenike, M.D., and Lee Baer, Ph.D.

OBJECTIVE: The authors' goal was to assess naturalistic treatment outcome in trichotillomania. METHOD: 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. RESULTS: 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. CONCLUSIONS: 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.




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