Psychological Inflexibility as a Session-to-Session Process of Change in Acceptance and Commitment Therapy-Enhanced Behavior Therapy for Adults With Trichotillomania.

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Title: Psychological Inflexibility as a Session-to-Session Process of Change in Acceptance and Commitment Therapy-Enhanced Behavior Therapy for Adults With Trichotillomania.
Authors: Capel, Leila K., Woolley, Mercedes G., Bowers, Emily M., Soileau, Keaton J., Thomas, Garth, Levin, Michael E., Twohig, Michael P.
Source: Journal of Cognitive Psychotherapy. 2025, Vol. 39 Issue 4, p306-320. 15p.
Subjects: Psychotherapy, Psychological distress, Research funding, Questionnaires, Compulsive hair pulling, Treatment effectiveness, Severity of illness index, White people, Descriptive statistics, Acceptance & commitment therapy, Data analysis software, Behavior therapy, Psychosocial factors, Adults
Abstract: One potential explanation for difficulty in treating trichotillomania despite increased research on evidence-based treatments is the heterogeneity in symptom presentation. An individualized treatment approach may help increase treatment response and recovery. Additionally, understanding which processes help improve treatment outcomes in psychosocial interventions may be particularly important. This study examined how changes in trichotillomania-specific psychological inflexibility related to week-to-week levels of hair-pulling severity and distress. We also explored a potential bidirectional relationship between hair-pulling severity and trichotillomania-specific psychological inflexibility. Results indicated that trichotillomania symptom severity predicted trichotillomania-specific psychological inflexibility and vice versa, suggesting a bidirectional relationship. Additionally, trichotillomania-specific psychological inflexibility may play a more central role in trichotillomania symptom changes. Moreover, distress was strongly predicted by current trichotillomania-specific psychological inflexibility. Trichotillomania-specific psychological inflexibility appears to be a process of change in treatment for trichotillomania. Clinical implications are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Cognitive Psychotherapy is the property of Springer Publishing Company, Inc. 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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  Data: Psychological Inflexibility as a Session-to-Session Process of Change in Acceptance and Commitment Therapy-Enhanced Behavior Therapy for Adults With Trichotillomania.
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  Data: One potential explanation for difficulty in treating trichotillomania despite increased research on evidence-based treatments is the heterogeneity in symptom presentation. An individualized treatment approach may help increase treatment response and recovery. Additionally, understanding which processes help improve treatment outcomes in psychosocial interventions may be particularly important. This study examined how changes in trichotillomania-specific psychological inflexibility related to week-to-week levels of hair-pulling severity and distress. We also explored a potential bidirectional relationship between hair-pulling severity and trichotillomania-specific psychological inflexibility. Results indicated that trichotillomania symptom severity predicted trichotillomania-specific psychological inflexibility and vice versa, suggesting a bidirectional relationship. Additionally, trichotillomania-specific psychological inflexibility may play a more central role in trichotillomania symptom changes. Moreover, distress was strongly predicted by current trichotillomania-specific psychological inflexibility. Trichotillomania-specific psychological inflexibility appears to be a process of change in treatment for trichotillomania. Clinical implications are discussed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Cognitive Psychotherapy is the property of Springer Publishing Company, Inc. 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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        Value: 10.1891/JCP-2025-0021
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      – Code: eng
        Text: English
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        PageCount: 15
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        Type: general
      – SubjectFull: Psychological distress
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      – SubjectFull: Research funding
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      – SubjectFull: Questionnaires
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      – SubjectFull: Compulsive hair pulling
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Severity of illness index
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      – SubjectFull: Acceptance & commitment therapy
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              Text: 2025
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