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. |
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| 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 |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 190405108 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Psychological Inflexibility as a Session-to-Session Process of Change in Acceptance and Commitment Therapy-Enhanced Behavior Therapy 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><br /><searchLink fieldCode="AR" term="%22Woolley%2C+Mercedes+G%2E%22">Woolley, Mercedes G.</searchLink><br /><searchLink fieldCode="AR" term="%22Bowers%2C+Emily+M%2E%22">Bowers, Emily M.</searchLink><br /><searchLink fieldCode="AR" term="%22Soileau%2C+Keaton+J%2E%22">Soileau, Keaton J.</searchLink><br /><searchLink fieldCode="AR" term="%22Thomas%2C+Garth%22">Thomas, Garth</searchLink><br /><searchLink fieldCode="AR" term="%22Levin%2C+Michael+E%2E%22">Levin, Michael E.</searchLink><br /><searchLink fieldCode="AR" term="%22Twohig%2C+Michael+P%2E%22">Twohig, Michael P.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Cognitive+Psychotherapy%22">Journal of Cognitive Psychotherapy</searchLink>. 2025, Vol. 39 Issue 4, p306-320. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+hair+pulling%22">Compulsive hair pulling</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Acceptance+%26+commitment+therapy%22">Acceptance & commitment therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink> – Name: Abstract Label: Abstract Group: Ab 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] – Name: AbstractSuppliedCopyright Label: Group: Ab 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.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=190405108 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1891/JCP-2025-0021 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 306 Subjects: – SubjectFull: Psychotherapy Type: general – SubjectFull: Psychological distress Type: general – SubjectFull: Research funding Type: general – SubjectFull: Questionnaires Type: general – SubjectFull: Compulsive hair pulling Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Severity of illness index Type: general – SubjectFull: White people Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Acceptance & commitment therapy Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Behavior therapy Type: general – SubjectFull: Psychosocial factors Type: general – SubjectFull: Adults Type: general Titles: – TitleFull: Psychological Inflexibility as a Session-to-Session Process of Change in Acceptance and Commitment Therapy-Enhanced Behavior Therapy for Adults With Trichotillomania. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Capel, Leila K. – PersonEntity: Name: NameFull: Woolley, Mercedes G. – PersonEntity: Name: NameFull: Bowers, Emily M. – PersonEntity: Name: NameFull: Soileau, Keaton J. – PersonEntity: Name: NameFull: Thomas, Garth – PersonEntity: Name: NameFull: Levin, Michael E. – PersonEntity: Name: NameFull: Twohig, Michael P. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: 2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 08898391 Numbering: – Type: volume Value: 39 – Type: issue Value: 4 Titles: – TitleFull: Journal of Cognitive Psychotherapy Type: main |
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