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

Steffi Weidt,1 Annette Beatrix Bruehl,2,3 Aba Delsignore,1 Gwyneth Zai,2,4–6 Alexa Kuenburg,1 Richard Klaghofer,1 Michael Rufer1 1Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland; 2Department of Psychiatry, Behavioural and C...

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Autores principales:	Weidt S, Bruhl AB, Delsignore A, Zai G, Kuenburg A, Klaghofer R, Rufer M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	trichotillomania health-related quality of life treatment experience internet online hair-pulling; Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2f76b5d37645400eafe95571c2cc0234
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spelling	oai:doaj.org-article:2f76b5d37645400eafe95571c2cc02342021-12-02T01:31:37ZTrichotillomania: the impact of treatment history on the outcome of an Internet-based intervention1178-2021https://doaj.org/article/2f76b5d37645400eafe95571c2cc02342017-04-01T00:00:00Zhttps://www.dovepress.com/trichotillomania-the-impact-of-treatment-history-on-the-outcome-of-an--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Steffi Weidt,1 Annette Beatrix Bruehl,2,3 Aba Delsignore,1 Gwyneth Zai,2,4–6 Alexa Kuenburg,1 Richard Klaghofer,1 Michael Rufer1 1Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland; 2Department of Psychiatry, Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK; 3Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry, Zurich, Switzerland; 4Department of Psychiatry, Institute of Medical Science, University of Toronto, 5Neurogenetics Section, Centre for Addiction and Mental Health, 6Department of Psychiatry, Frederick W. Thompson Anxiety Disorders Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada 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. Keywords: trichotillomania, health-related quality of life, treatment experience, Internet, online, hairpullingWeidt SBruhl ABDelsignore AZai GKuenburg AKlaghofer RRufer MDove Medical Pressarticletrichotillomaniahealth-related quality of lifetreatment experienceinternetonlinehair-pulling;Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1153-1162 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	trichotillomania health-related quality of life treatment experience internet online hair-pulling; Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	trichotillomania health-related quality of life treatment experience internet online hair-pulling; Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Weidt S Bruhl AB Delsignore A Zai G Kuenburg A Klaghofer R Rufer M Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention
description	Steffi Weidt,1 Annette Beatrix Bruehl,2,3 Aba Delsignore,1 Gwyneth Zai,2,4–6 Alexa Kuenburg,1 Richard Klaghofer,1 Michael Rufer1 1Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Zurich, Switzerland; 2Department of Psychiatry, Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK; 3Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry, Zurich, Switzerland; 4Department of Psychiatry, Institute of Medical Science, University of Toronto, 5Neurogenetics Section, Centre for Addiction and Mental Health, 6Department of Psychiatry, Frederick W. Thompson Anxiety Disorders Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada 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. Keywords: trichotillomania, health-related quality of life, treatment experience, Internet, online, hairpulling
format	article
author	Weidt S Bruhl AB Delsignore A Zai G Kuenburg A Klaghofer R Rufer M
author_facet	Weidt S Bruhl AB Delsignore A Zai G Kuenburg A Klaghofer R Rufer M
author_sort	Weidt S
title	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_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_sort	trichotillomania: the impact of treatment history on the outcome of an internet-based intervention
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/2f76b5d37645400eafe95571c2cc0234
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Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention

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