Assessment of Trichotillomania: A Psychometric Evaluation of Hair-Pulling Scales

Diefenbach, Gretchen J.; Tolin, David F.; Crocetto, Johanna; Maltby, Nicholas; Hannan, Scott

doi:10.1007/s10862-005-0633-7

Cited by 99 publications

(105 citation statements)

References 16 publications

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“…The goal of assessment is to determine a diagnosis and acquire information to assist in developing the treatment plan (Diefenbach, Tolin, Crocetto, Maltby, & Hannan, 2005). Before treatment can be implemented it is necessary to assure that hair pulling is the behavior that the client wishes to address in counseling (Mansueto, Golomb, Thomas, & Stemberger, 1999).…”

Section: Behavioral Assessment Of Trichotillomaniamentioning

confidence: 99%

“…The MGH Hairpulling Scale (MGH-HPS) is a self-report instrument that provides information concerning the frequency, intensity, associated stress and attempts to control behaviors connected with Trichotillomania (Diefenbach et al, 2005;Twohig & Woods, 2004). The Psychiatric Institute Trichotillomania Scale (PITS) is a clinician rated assessment tool that assesses multiple features of hair pulling.…”

Section: Behavioral Assessment Of Trichotillomaniamentioning

confidence: 99%

“…The Clinical Global Impression (CGI) assesses similar features of the aforementioned scale with the added feature of assessing comorbid features. The scales vary in reliability and validity (Diefenbach et al, 2005). All of these measures can be helpful tools in the assessment of Trichotillomania.…”

Section: Behavioral Assessment Of Trichotillomaniamentioning

confidence: 99%

“…It is appropriate to request that the client monitor emotions that are experienced in relation to the behavior, as well as triggers that influence hair pulling. Clients can be encouraged to engage in response product measures; such as, saving and counting hairs that have been pulled (Deifenbach et al, 2000;Diefenbach et al, 2005). Recording the pattern of hair pulling through selfmonitoring can add insight to the treatment of hair pulling (Deifenbach, 2005).…”

Section: Behavioral Treatments and Interventionsmentioning

confidence: 99%

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Post-trauma: Is evidence-based practice a fantasy?

Dillenburger¹,

Akhonzada²,

Fargas³

2006

International Journal of Behavioral Consultation and Therapy

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Trauma, bereavement, and loss are universal human experiences. Much has been written about the process that the bereaved go through following the loss of a loved one. Recent events such as 9/11, earthquakes in Turkey, genocides in Rwanda, community conflict in Northern Ireland, and the Asian Tsunami Disaster have drawn unprecedented public attention to the subject of traumatic bereavement. Increasingly, it is recognised that while most people are able to cope with loss generally by eventually restructuring their lives, those bereaved in traumatic circumstance often find it extremely difficult. As a consequence, a plethora of interventions have emerged, however, to-date, little is know about their actual effectiveness in helping the bereaved. With the emphasis of health and welfare professions on evidence-based practice (EBP) greater than ever and a raising awareness of accountability as key element of ethical practice, the call for EBP in traumatic bereavement is compelling. Using examples from work carried out in Northern Ireland, we look at the backdrop of the issues involved, describe some of the most commonly used therapeutic interventions, and explore the possibility of evidence-based practice.

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Section: Behavioral Assessment Of Trichotillomaniamentioning

confidence: 99%

Section: Behavioral Assessment Of Trichotillomaniamentioning

confidence: 99%

Section: Behavioral Assessment Of Trichotillomaniamentioning

confidence: 99%

Section: Behavioral Treatments and Interventionsmentioning

confidence: 99%

See 2 more Smart Citations

Post-trauma: Is evidence-based practice a fantasy?

Dillenburger¹,

Akhonzada²,

Fargas³

2006

International Journal of Behavioral Consultation and Therapy

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“…A self-report measure, the Massachusetts General Hospital Hairpulling Scale (MGH-HPS) [14] has demonstrated good psychometric properties in adult samples [14,15], although correlations with global clinician ratings are low [16]. Furthermore, the language in the MGH-HPS might not be appropriate for younger children, TTM severity is represented by a single score rather than by specific factors, and there is no means of assessing parents' perceptions of TTM severity.…”

mentioning

confidence: 99%

The Trichotillomania Scale for Children: Development and Validation

Tolin

Diefenbach

Flessner

et al. 2008

Child Psychiatry Hum Dev

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Trichotillomania (TTM) is a chronic impulse control disorder characterized by repetitive hair-pulling resulting in alopecia. Although this condition is frequently observed in children and adolescents, research on pediatric TTM has been hampered by the absence of validated measures. The aim of the present study was to develop and test a new self-report measure of pediatric TTM, the Trichotillomania Scale for Children (TSC), a measure that can be completed by children and/or their parents. One hundred thirteen children meeting self-report criteria for TTM, and 132 parents, provided data over the internet. An additional 41 child-parent dyads from an outpatient clinic also provided data. Replicated principal components analysis, with elimination of poorly-loading items, yielded two components, which we labeled Severity (five items) and Distress/Impairment (seven items). The TSC total score and subscales showed adequate internal consistency and test-retest reliability. Parent-child agreement was good in the internet sample, but more modest in the clinic sample. Children's TSC scores correlated significantly with other measures of TTM severity, although some exceptions were noted. Parents' TSC scores correlated significantly with other measures of parent-rated TTM severity in the internet sample, but showed more attenuated relationships with child- and interviewer-rated TTM severity in the clinic sample. The present results suggest that the TSC may be a useful measure of TTM for child and adolescent samples, although additional clarification of convergent validity is needed.

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