Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome
<p>Abstract</p> <p>Background</p> <p>A randomized controlled trial examining the efficacy of behavior therapy for pediatric trichotillomania was recently completed with 24 participants ranging in age from 7 - 17. The broad age range raised a question about whether young...
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| Format: | Article |
| Language: | English |
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BMC
2010-06-01
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| Series: | Child and Adolescent Psychiatry and Mental Health |
| Online Access: | http://www.capmh.com/content/4/1/18 |
| _version_ | 1811277661062823936 |
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| author | Freeman Jennifer B Edson Aubrey L Franklin Martin E |
| author_facet | Freeman Jennifer B Edson Aubrey L Franklin Martin E |
| author_sort | Freeman Jennifer B |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>A randomized controlled trial examining the efficacy of behavior therapy for pediatric trichotillomania was recently completed with 24 participants ranging in age from 7 - 17. The broad age range raised a question about whether young children, older children, and adolescents would respond similarly to intervention. In particular, it is unclear whether the younger children have the cognitive capacity to understand concepts like "urges" and whether they are able to introspect enough to be able to benefit from awareness training, which is a key aspect of behavior therapy for trichotillomania.</p> <p>Methods</p> <p>Participants were randomly assigned to receive either behavior therapy (N = 12) or minimal attention control (N = 12), which was included to control for repeated assessments and the passage of time. Primary outcome measures were the independent evaluator-rated NIMH-Trichotillomania Severity Scale, a semi-structured interview often used in trichotillomania treatment trials, and a post-treatment clinical global impression improvement rating (CGI-I).</p> <p>Results</p> <p>The correlation between age and change in symptom severity for all patients treated in the trial was small and not statistically significant. A 2 (group: behavioral therapy, minimal attention control) × 2 (time: week 0, 8) × 2 (children < 9 yrs., children > 10) ANOVA with independent evaluator-rated symptom severity scores as the continuous dependent variable also detected no main effects for age or for any interactions involving age. In light of the small sample size, the mean symptom severity scores at weeks 0 and 8 for younger and older patients randomized to behavioral therapy were also plotted. Visual inspection of these data indicated that although the groups appeared to have started at similar levels of severity for children ≤ 9 vs. children ≥ 10; the week 8 data show that the three younger children did at least as well as if not slightly better than the nine older children and adolescents.</p> <p>Conclusions</p> <p>Behavior therapy for pediatric trichotillomania appears to be efficacious even in young children. The developmental and clinical implications of these findings will be discussed.</p> <p>Trial Registration</p> <p>Clinicaltrials.gov NCT00043563.</p> |
| first_indexed | 2024-04-13T00:19:41Z |
| format | Article |
| id | doaj.art-fb94d45ec6984ff4a237e3c62671fa12 |
| institution | Directory Open Access Journal |
| issn | 1753-2000 |
| language | English |
| last_indexed | 2024-04-13T00:19:41Z |
| publishDate | 2010-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Child and Adolescent Psychiatry and Mental Health |
| spelling | doaj.art-fb94d45ec6984ff4a237e3c62671fa122022-12-22T03:10:49ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002010-06-01411810.1186/1753-2000-4-18Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcomeFreeman Jennifer BEdson Aubrey LFranklin Martin E<p>Abstract</p> <p>Background</p> <p>A randomized controlled trial examining the efficacy of behavior therapy for pediatric trichotillomania was recently completed with 24 participants ranging in age from 7 - 17. The broad age range raised a question about whether young children, older children, and adolescents would respond similarly to intervention. In particular, it is unclear whether the younger children have the cognitive capacity to understand concepts like "urges" and whether they are able to introspect enough to be able to benefit from awareness training, which is a key aspect of behavior therapy for trichotillomania.</p> <p>Methods</p> <p>Participants were randomly assigned to receive either behavior therapy (N = 12) or minimal attention control (N = 12), which was included to control for repeated assessments and the passage of time. Primary outcome measures were the independent evaluator-rated NIMH-Trichotillomania Severity Scale, a semi-structured interview often used in trichotillomania treatment trials, and a post-treatment clinical global impression improvement rating (CGI-I).</p> <p>Results</p> <p>The correlation between age and change in symptom severity for all patients treated in the trial was small and not statistically significant. A 2 (group: behavioral therapy, minimal attention control) × 2 (time: week 0, 8) × 2 (children < 9 yrs., children > 10) ANOVA with independent evaluator-rated symptom severity scores as the continuous dependent variable also detected no main effects for age or for any interactions involving age. In light of the small sample size, the mean symptom severity scores at weeks 0 and 8 for younger and older patients randomized to behavioral therapy were also plotted. Visual inspection of these data indicated that although the groups appeared to have started at similar levels of severity for children ≤ 9 vs. children ≥ 10; the week 8 data show that the three younger children did at least as well as if not slightly better than the nine older children and adolescents.</p> <p>Conclusions</p> <p>Behavior therapy for pediatric trichotillomania appears to be efficacious even in young children. The developmental and clinical implications of these findings will be discussed.</p> <p>Trial Registration</p> <p>Clinicaltrials.gov NCT00043563.</p>http://www.capmh.com/content/4/1/18 |
| spellingShingle | Freeman Jennifer B Edson Aubrey L Franklin Martin E Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome Child and Adolescent Psychiatry and Mental Health |
| title | Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome |
| title_full | Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome |
| title_fullStr | Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome |
| title_full_unstemmed | Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome |
| title_short | Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome |
| title_sort | behavior therapy for pediatric trichotillomania exploring the effects of age on treatment outcome |
| url | http://www.capmh.com/content/4/1/18 |
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