Cognitive-Behavior Therapy for Self-Injurious Skin Picking: A Case Series

Deckersbach, T.; Wilhelm, S.; Keuthen, N.J.; Baer, L.; Jenike, M.A.

doi:10.1177/01445502026003004

Cited by 14 publications

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“…Nenhum artigo nacional foi selecionado na busca bibliográfica. (Capriotti, Ely, Snorrason, & Woods, 2015;Deckersbach, Wilhelm, Keuthen, Baer, & Jenike, 2002;Flessner, Busch, Heidman, & Woods, 2008;Flessner, Moutoun-Odum, Stocker, & Keuthen, 2007;Grillo, Long, & D. Long, 2007;Ibiloglu et al, 2016;Jagger & Sterner 2016;Long, R. Long, Grillo, & Marshman, 2006;Martinson, Nangle, Boulard, & Sigmon, 2011;Schuck, Keijsers, & Rinck, 2011;Moritz, Fricke, Treszl, & Wittekind, 2012;O´Connor, Lavoie, Desaulniers, & Audet, 2018;Teng, Woods, & Twohig, 2006;Twohig, Hayes, & Masuda, 2006;Twohig & Woods, 2001). Um artigo foi publicado no início da década de 90 (Fruensgaard, 1991a) e outro no início da década de 80 (Rosenbaum e Ayllon, 1981).…”

Section: Resultsunclassified

“…Três estudos avaliaram a efetividade da TRH (Rosenbaum & Ayllon, 1981;Teng et al, 2006;Twohig & Woods, 2001), três objetivaram descrever procedimentos baseados na terapia de aceitação e compromisso (ACT; Capriotti et al, 2015;Flessner et al, 2008;Twohig et al, 2006) e dois estudos realizaram procedimentos de terapia cognitivo-comportamental para pacientes com escoriação (Deckersbach et al, 2002;Schuck, Keijers, & Rinck, 2011). Além disso, uma publicação avaliou a eficácia de um tratamento combinado -cognitivo e psicofisiológico (CoPs) na redução dos sintomas de comportamentos repetitivos (O'Connor et al, 2018) e outra descreveu uma proposta de intervenção em plataforma online como estratégia de tratamento do transtorno de escoriação (Flessner et al, 2007).…”

Section: Análise Qualitativa Do Métodounclassified

“…Nos dez estudos em que foram realizadas análises individuais, o número de participantes variou entre um e seis (Capriotti et. al, 2015;Deckersbach et al, 2002;Flessner et al, 2008;Ibiloglu et al, 2016;Jagger & Sterner, 2016;Martinson et al, 2011;Pearlstein & Orentrich, 1968;Rosenbaum & Ayllon, 1981;Twohig & Woods, 2001;Twohig et al, 2006). Quatro utilizaram delineamento de grupo, sendo um com 19 participantes (Teng et al, 2006), um com 34 participantes (17 no grupo experimental e 17 no grupo controle; Schuck et al, 2011), um com 70 participantes (35 em cada grupo: (Moritz et.al, 2012) e outro com 47 (O´Conner et al, 2011).…”

Section: Perfil E Quantidade Dos Participantesunclassified

“…Em relação ao método, seis estudos utilizaram delineamento de sujeito único (Capriotti et al, 2015;Deckersbach et al, 2002;Rosenbaum e Ayllon, 1981;Twohig et al, 2001Twohig et al, , 2006Martinson et al, 2011), seis de grupo (Flessner et al, 2007;Grillo et al;O'Connor et al, 2018;Shuck et al, 2011;Teng et al, 2006;Moritz et. al., 2012) e um de linha de base múltipla e linha de base com reversão (Flessnner et al, 2008).…”

Section: Delineamento De Pesquisa Adotado E Indicadores Analisadosunclassified

“…Além de ser considerado um problema dermatológico, por afetar diretamente a pele e seus anexos, o transtorno de escoriação também apresenta características de transtornos psiquiátricos, recebendo atenção de diversos pesquisadores (e.g., Deckerbach, Wilhelm, Keuthen, Baer, & Jenike, 2002). O Manual Diagnóstico e Estatístico de Transtornos Mentais, até a quarta versão revisada (DSM IV-TR; APA, 2000) não apresentava uma classificação específica para essa condição, a qual compartilhava características com o transtorno de controle de impulso (Harth et al, 2010) e, em alguns casos, era comparado à tricotilomania (Flessner et al, 2008).…”

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Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Richartz¹,

Gon²,

Zazula³

2018

REBAC

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RESUMOO transtorno de escoriação é definido por um excesso de comportamentos de arranhar, ferir ou esfolar a pele. Os comportamentos não estão relacionados a problemas no neurodesenvolvimento e provocam sofrimento emocional e prejuízos na vida social de quem os apresenta. Além de ser considerado um problema dermatológico, por afetar diretamente a pele e seus anexos, esse transtorno também apresenta características psiquiátricas, recebendo atenção de pesquisadores da área. Conduziu-se uma revisão bibliográfica em periódicos da saúde com os objetivos de identificar pesquisas aplicadas ou relatos de casos realizados com indivíduos com desenvolvimento típico que apresentassem escoriação, descrever as intervenções comportamentais empregadas e relatar os métodos e os resultados dos procedimentos. Uma pesquisa eletrônica foi realizada nas bases de dados PsycINFO, Web of Science, PubMed/MEDLINE e BVS com os seguintes descritores: 'escoriação', 'neurotic excoriation' ou psychogenic excoriation'. Esses foram combinados com 'behavioral treatment'. Dezoito artigos foram recuperados, catalogados e analisados qualitativamente a partir dos objetivos, métodos empregados e resultados das intervenções. Constatou-se que a maioria das pesquisas foi conduzida com adultos e adotaram-se estratégias e métodos da terapia de reversão de hábito e da terapia de aceitação e compromisso. Observou-se que essas intervenções foram efetivas para garantir redução da frequência da escoriação, porém com dificuldade na manutenção dos resultados na avaliação de seguimento. Sugerem-se futuras pesquisas com maior diversidade de variáveis e de participantes, bem como a avaliação funcional do comportamento de escoriação.Palavras-chave: transtorno de escoriação, escoriação psicogênica, skin picking, terapia de reversão de hábito, intervenção comportamental ABSTRACT Excoriation disorder is defined by excessive and recurrent behavior of scratching or injuring the skin. It is not related to neurodevelopment problems, it causes emotional suffering and it negatively affects the social life of those who present the condition. Besides being considered a dermatological problem, as it directly involves the skin and its attachments, the disorder is also a psychiatric condition that has been receiving attention from mental health researchers. A bibliographic review was conducted in health journals in order to identify applied studies and case reports with typically developing individuals that excoriate the skin, to present behavioral interventions employed as treatment, and to report the method and results of the adopted procedures. It was carried out an electronic search at PsycINFO, Web of Science, PubMed / MEDLINE and BVS databases using 'excoriation', 'neurotic excoriation' or 'psychogenic excoriation', combined with 'behavioral treatment', as descriptors. Eighteen articles were retrieved, cataloged and qualitatively analyzed based on their objectives, methods and results. It was found that most of the studies involved adults and used habit reversal therapy and ...

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Section: Resultsunclassified

Section: Análise Qualitativa Do Métodounclassified

Section: Perfil E Quantidade Dos Participantesunclassified

Section: Delineamento De Pesquisa Adotado E Indicadores Analisadosunclassified

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Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Richartz¹,

Gon²,

Zazula³

2018

REBAC

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Treating Trichotillomania

Franklin

Tolin

2007

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except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.Printed on acid-free paper. 9 8 7 6 5 4 3 2 1 springer.com v PREFACE The first and perhaps most important step in writing a treatment manual for use in clinical practice is to clearly explicate the logic of how the treatment, and hence the book, should be organized. Accordingly, our goal in this section is to lay out the structure of cognitive-behavioral therapy (CBT) for trichotillomania (TTM) and other body-focused impulse control disorders, clearly explaining critical decisions such as the chosen sequence of techniques or whether a given technique is considered a core component or a module to be used in some but not all cases. The structure of this particular book is influenced by the work of experts who have gone before us in pioneering CBT for TTM, and is also informed by over a decade of our own clinical work and research on TTM across the developmental spectrum. We are indebted to those who developed this approach to treatment and also to those who built the extant literature on the psychopathology of TTM and related disorders. These clinicians and researchers did so in order to help alleviate the suffering of those afflicted with these conditions, and we endeavor to follow in their footsteps in continuing this important work.One of the first decisions we needed to make about the book's emphasis was whether to create a treatment guide that focused primarily on the treatment of adult TTM with a separate chapter on developmental adjustments needed to conduct CBT with children and adolescents. We chose not to do this for several reasons: 1) much of our work with TTM in the last decade has been with youth, and we felt that our experiences with this population warranted more discussion than was feasible in a single chapter; 2) although there is a clear need to adapt treatment to the developmental level of the patient, the underlying core principles cut across the developmental spectrum and hence were more efficiently considered together; and 3) TTM is typically a pediatric onset disorder, and thus its treatment should be given equal weight compared to the treatment of adults. We encourage therapists with an interest in CBT for TTM but have worked primarily with adults to consider seeking additional training, supervision, and clinical experience in treating youth: there is a serious problem with treatment access for TTM in general, but this problem is particularly pronounced for families seeking help for their children.The book is organized into four subsections: 1) Overview and Assessment; 2) Treatment: Core...

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The Other Itch That Rashes: a Clinical and Therapeutic Approach to Pruritus and Skin Picking Disorders

Craig-Muller

Reichenberg

2015

Curr Allergy Asthma Rep

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Patients with skin picking disorders (SPDs) have historically been an under recognized and under treated group. Originally classified an impulse control disorder, skin picking disorder is now considered under the obsessive-compulsive disorder (OCD) and obsessive-compulsive-related disorder (OCRD) spectrum. Workup of SPD concentrates on differentiating this condition from primary skin disorders, systemic conditions associated with pruritus, and psychocutaneous syndromes. It is important to first address any underlying pruritic disorders (if present) that may be a trigger to pick the skin. First-line treatment for SPD is cognitive behavioral therapy. When necessary, pharmacologic therapy can be helpful as well.

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Cognitive-Behavior Therapy for Self-Injurious Skin Picking: A Case Series

Cited by 14 publications

References 0 publications

Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Intervenções Comportamentais Para O Transtorno De Escoriação: Revisão De Artigos Publicados Em Periódicos De Saúde

Treating Trichotillomania

The Other Itch That Rashes: a Clinical and Therapeutic Approach to Pruritus and Skin Picking Disorders

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