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Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention

BACKGROUND: Many patients suffering from trichotillomania (TTM) have never undergone treatment. Without treatment, TTM often presents with a chronic course. Characteristics of TTM individuals who have never been treated (untreated) remain largely unknown. Whether treatment history impacts Internet-b...

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Autores principales: Weidt, Steffi, Bruehl, Annette Beatrix, Delsignore, Aba, Zai, Gwyneth, Kuenburg, Alexa, Klaghofer, Richard, Rufer, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407455/
https://www.ncbi.nlm.nih.gov/pubmed/28461751
http://dx.doi.org/10.2147/NDT.S128592
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author Weidt, Steffi
Bruehl, Annette Beatrix
Delsignore, Aba
Zai, Gwyneth
Kuenburg, Alexa
Klaghofer, Richard
Rufer, Michael
author_facet Weidt, Steffi
Bruehl, Annette Beatrix
Delsignore, Aba
Zai, Gwyneth
Kuenburg, Alexa
Klaghofer, Richard
Rufer, Michael
author_sort Weidt, Steffi
collection PubMed
description BACKGROUND: Many patients suffering from trichotillomania (TTM) have never undergone treatment. Without treatment, TTM often presents with a chronic course. Characteristics of TTM individuals who have never been treated (untreated) remain largely unknown. Whether treatment history impacts Internet-based interventions has not yet been investigated. We aimed to answer whether Internet-based interventions can reach untreated individuals and whether treatment history is associated with certain characteristics and impacts on the outcome of an Internet-based intervention. METHODS: We provided Internet-based interventions. Subjects were characterized at three time points using the Massachusetts General Hospital Hairpulling Scale, Hamilton Depression Rating Scale, and the World Health Organization Quality of Life questionnaire. RESULTS: Of 105 individuals, 34 were untreated. Health-related quality of life (HRQoL) was markedly impaired in untreated and treated individuals. Symptom severity did not differ between untreated and treated individuals. Nontreatment was associated with fewer depressive symptoms (P=0.002). Treatment history demonstrated no impact on the outcome of Internet-based interventions. CONCLUSION: Results demonstrate that Internet-based interventions can reach untreated TTM individuals. They show that untreated individuals benefit as much as treated individuals from such interventions. Future Internet-based interventions should focus on how to best reach/support untreated individuals with TTM. Additionally, future studies may examine whether Internet-based interventions can reach and help untreated individuals suffering from other psychiatric disorders.
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spelling pubmed-54074552017-05-01 Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention Weidt, Steffi Bruehl, Annette Beatrix Delsignore, Aba Zai, Gwyneth Kuenburg, Alexa Klaghofer, Richard Rufer, Michael Neuropsychiatr Dis Treat Original Research BACKGROUND: Many patients suffering from trichotillomania (TTM) have never undergone treatment. Without treatment, TTM often presents with a chronic course. Characteristics of TTM individuals who have never been treated (untreated) remain largely unknown. Whether treatment history impacts Internet-based interventions has not yet been investigated. We aimed to answer whether Internet-based interventions can reach untreated individuals and whether treatment history is associated with certain characteristics and impacts on the outcome of an Internet-based intervention. METHODS: We provided Internet-based interventions. Subjects were characterized at three time points using the Massachusetts General Hospital Hairpulling Scale, Hamilton Depression Rating Scale, and the World Health Organization Quality of Life questionnaire. RESULTS: Of 105 individuals, 34 were untreated. Health-related quality of life (HRQoL) was markedly impaired in untreated and treated individuals. Symptom severity did not differ between untreated and treated individuals. Nontreatment was associated with fewer depressive symptoms (P=0.002). Treatment history demonstrated no impact on the outcome of Internet-based interventions. CONCLUSION: Results demonstrate that Internet-based interventions can reach untreated TTM individuals. They show that untreated individuals benefit as much as treated individuals from such interventions. Future Internet-based interventions should focus on how to best reach/support untreated individuals with TTM. Additionally, future studies may examine whether Internet-based interventions can reach and help untreated individuals suffering from other psychiatric disorders. Dove Medical Press 2017-04-21 /pmc/articles/PMC5407455/ /pubmed/28461751 http://dx.doi.org/10.2147/NDT.S128592 Text en © 2017 Weidt et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Weidt, Steffi
Bruehl, Annette Beatrix
Delsignore, Aba
Zai, Gwyneth
Kuenburg, Alexa
Klaghofer, Richard
Rufer, Michael
Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
title Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
title_full Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
title_fullStr Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
title_full_unstemmed Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
title_short Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
title_sort trichotillomania: the impact of treatment history on the outcome of an internet-based intervention
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407455/
https://www.ncbi.nlm.nih.gov/pubmed/28461751
http://dx.doi.org/10.2147/NDT.S128592
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