Moderators and Preliminary Processes of Change in a Randomized Controlled Trial of a Fully Automated, Website Delivering AEBT for Adults with Trichotillomania.
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| Title: | Moderators and Preliminary Processes of Change in a Randomized Controlled Trial of a Fully Automated, Website Delivering AEBT for Adults with Trichotillomania. |
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| Authors: | Capel, Leila K. (AUTHOR), Petersen, Julie M. (AUTHOR), Levin, Michael E. (AUTHOR), Twohig, Michael P. (AUTHOR) |
| Source: | Cognitive Therapy & Research. Feb2024, Vol. 48 Issue 1, p107-118. 12p. |
| Subjects: | Compulsive hair pulling, Randomized controlled trials, Adaptability (Personality), Behavior therapy, Adults, Health services accessibility |
| Abstract: | Introduction: Access to treatment for trichotillomania has barriers and many people never receive evidence-based treatment. Understanding what treatments and modalities work, and how people get better through those treatments and modalities, is needed. Methods: We include analyses of moderators of treatment outcomes and preliminary processes of change from a randomized controlled trial assessing the efficacy of a fully automated website delivering acceptance-enhanced behavior therapy (AEBT) for adults (N = 81) with trichotillomania. All participants received an eight-module website of AEBT, and assessments were completed at baseline, mid-, post-treatment, and a one-month follow-up. Using multilevel modeling, the moderation effects of baseline trichotillomania specific psychological flexibility, age, baseline and time -varying anxiety, and baseline and time varying depression were explored. Preliminary process of change using psychological flexibility was explored. Results: Baseline trichotillomania-specific psychological flexibility is correlated with changes in symptom severity over time but not by condition. Lower trichotillomania specific psychological flexibility at baseline was associated with better outcomes. Age also moderated treatment outcomes, specifically, participants between 18 and 30 had better treatment outcomes than participants over 30 years old. Baseline anxiety correlated with symptom severity but did not moderate intervention effects. Changes in anxiety were correlated with symptom severity over time. Baseline depression was not a significant moderator. Preliminary process of change analyses suggests that changes in psychological flexibility is correlated with changes in trichotillomania symptom severity across time. This relationship did not change in strength over time and was not moderated by condition. Conclusion: This study highlights how baseline trichotillomania specific psychological flexibility and anxiety impact changes in symptom severity and the function in a website delivered AEBT for adults with trichotillomania. Additionally, it provides preliminary support of the role of trichotillomania-specific psychological flexibility as a process of change in treatment of trichotillomania. Implications are discussed. [ABSTRACT FROM AUTHOR] |
| Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 175635479 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Moderators and Preliminary Processes of Change in a Randomized Controlled Trial of a Fully Automated, Website Delivering AEBT for Adults with Trichotillomania. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Capel%2C+Leila+K%2E%22">Capel, Leila K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Petersen%2C+Julie+M%2E%22">Petersen, Julie M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Levin%2C+Michael+E%2E%22">Levin, Michael E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Twohig%2C+Michael+P%2E%22">Twohig, Michael P.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Cognitive+Therapy+%26+Research%22">Cognitive Therapy & Research</searchLink>. Feb2024, Vol. 48 Issue 1, p107-118. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Compulsive+hair+pulling%22">Compulsive hair pulling</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Adaptability+%28Personality%29%22">Adaptability (Personality)</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Introduction: Access to treatment for trichotillomania has barriers and many people never receive evidence-based treatment. Understanding what treatments and modalities work, and how people get better through those treatments and modalities, is needed. Methods: We include analyses of moderators of treatment outcomes and preliminary processes of change from a randomized controlled trial assessing the efficacy of a fully automated website delivering acceptance-enhanced behavior therapy (AEBT) for adults (N = 81) with trichotillomania. All participants received an eight-module website of AEBT, and assessments were completed at baseline, mid-, post-treatment, and a one-month follow-up. Using multilevel modeling, the moderation effects of baseline trichotillomania specific psychological flexibility, age, baseline and time -varying anxiety, and baseline and time varying depression were explored. Preliminary process of change using psychological flexibility was explored. Results: Baseline trichotillomania-specific psychological flexibility is correlated with changes in symptom severity over time but not by condition. Lower trichotillomania specific psychological flexibility at baseline was associated with better outcomes. Age also moderated treatment outcomes, specifically, participants between 18 and 30 had better treatment outcomes than participants over 30 years old. Baseline anxiety correlated with symptom severity but did not moderate intervention effects. Changes in anxiety were correlated with symptom severity over time. Baseline depression was not a significant moderator. Preliminary process of change analyses suggests that changes in psychological flexibility is correlated with changes in trichotillomania symptom severity across time. This relationship did not change in strength over time and was not moderated by condition. Conclusion: This study highlights how baseline trichotillomania specific psychological flexibility and anxiety impact changes in symptom severity and the function in a website delivered AEBT for adults with trichotillomania. Additionally, it provides preliminary support of the role of trichotillomania-specific psychological flexibility as a process of change in treatment of trichotillomania. Implications are discussed. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10608-023-10418-0 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 107 Subjects: – SubjectFull: Compulsive hair pulling Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Adaptability (Personality) Type: general – SubjectFull: Behavior therapy Type: general – SubjectFull: Adults Type: general – SubjectFull: Health services accessibility Type: general Titles: – TitleFull: Moderators and Preliminary Processes of Change in a Randomized Controlled Trial of a Fully Automated, Website Delivering AEBT for Adults with Trichotillomania. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Capel, Leila K. – PersonEntity: Name: NameFull: Petersen, Julie M. – PersonEntity: Name: NameFull: Levin, Michael E. – PersonEntity: Name: NameFull: Twohig, Michael P. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 01475916 Numbering: – Type: volume Value: 48 – Type: issue Value: 1 Titles: – TitleFull: Cognitive Therapy & Research Type: main |
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