Facilitated attentional disengagement from hair-related cues among individuals diagnosed with trichotillomania: An investigation based on the exogenous cueing paradigm

Lee, Han-Joo; Franklin, Shana A.; Turkel, Jennifer E.; Goetz, Amy R.; Woods, Douglas W.

doi:10.1016/j.jocrd.2011.11.005

Cited by 14 publications

(25 citation statements)

References 44 publications

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“…In line with this, patient studies in several disorders that are characterized by a difficulty resisting temptations, found results that might be explained by the activation of implicit self-control dispositions. For example, Lee et al (2011) looked at attentional biases in hair pulling disorder and found enhanced attentional disengagement from hair cues at later stages (but not at earlier stages) of attentional processing. In a related disorder, namely skin picking disorder, Schuck et al (2010) found an implicit avoidance action tendency towards skin picking-related stimuli.…”

Section: Introductionmentioning

confidence: 99%

Does a Dieting Goal Affect Automatic Cognitive Processes and Their Trainability?

et al. 2014

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This study investigated implicit self-control dispositions-implicit approach tendencies towards lowcaloric food rather than towards high-caloric food-in dieters. Action tendencies were assessed and trained using the Approach-Avoidance Task (AAT). Additionally, positive/negative affective associations [Brief Implicit Association Test (BIAT)], approach/avoidance associations (BIAT), and attentional biases [Dot Probe Task (DPT)] were assessed before and after training. Before training, dieters showed a more negative affective association with high-caloric food than non-dieters (positive/negative BIAT), consistent with the presence of self-control dispositions. On the AAT, all participants, not just dieters, showed more approach of low-caloric food than of highcaloric food. Results of neither the approach/avoidance BIAT nor the DPT showed any indication of implicit selfcontrol dispositions. This study also investigated whether implicit self-control dispositions interfered with AAT training effects. This did not seem to be the case, as action tendencies could be strengthened even further. Moreover, training effects generalized to the DPT.

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Section: Introductionmentioning

confidence: 99%

Does a Dieting Goal Affect Automatic Cognitive Processes and Their Trainability?

et al. 2014

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“…Fifth, it is also possible that TTM symptom reductions have been promoted by other unassessed but TTM-relevant cognitive functions such as attention (e.g., Lee et al, 2012) improved by RIT. Overall, reduction in commissions errors on both the SST and go/no-go tasks were moderate-to largely correlated with reductions in hair pulling on the TSC scales, especially reductions in pulling-related impairment at follow-up, although the association was not pronounced with TTM severity.…”

Section: Discussionmentioning

confidence: 99%

Computerized response inhibition training for children with trichotillomania

Lee

Espil

Bauer

et al. 2018

Psychiatry Research

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Evidence suggests that trichotillomania is characterized by impairment in response inhibition, which is the ability to suppress pre-potent/dominant but inappropriate responses. This study sought to test the feasibility of computerized response inhibition training for children with trichotillomania. Twenty-two children were randomized to the 8-session response inhibition training (RIT; n = 12) or a waitlisted control (WLT; n = 10). Primary outcomes were assessed by an independent evaluator, using the Clinical Global Impression-Improvement (CGI-I), and the NIMH Trichotillomania Severity (NIMH-TSS) and Impairment scales (NIMH-TIS) at pre, post-training/waiting, and 1-month follow-up. Relative to the WLT group, the RIT group showed a higher response rate (55% vs. 11%) on the CGI-I and a lower level of impairment on the NIMH-TIS, at post-training. Overall symptom reductions rates on the NIMH-TSS were 34% (RIT) vs. 21% (WLT) at post-training. The RIT's therapeutic gains were maintained at 1-month follow-up, as indicated by the CGI-I responder status (= 66%), and a continuing reduction in symptom on the NIMH-TSS. This pattern of findings was also replicated by the 6 waitlisted children who received the same RIT intervention after post-waiting assessment. Results suggest that computerized RIT may be a potentially useful intervention for trichotillomania.

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“…These findings suggest that the same automatic proccesses are present in patients with HPD and that these patients also have a tendency to approach, automatically attend to and positively evaluate hairrelated stimuli. However, the only study investigating automatic processes in HPD by Lee, Franklin, Turkel, Goetz, and Woods (2012) showed an attentional disengagement rather than attentional engagement from hair cues at later (but not earlier) stages of attention. This bias was positively associated with HPD symptom severity.…”

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confidence: 91%

“…We expanded the studies by Lee et al (2012) and Schuck et al (2012) in three ways. First, the present study systematically investigated three possibly relevant biases at once: approach-avoidance biases, attentional biases, and evaluation biases.…”

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confidence: 99%

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Approach-avoidance, attentional and evaluation biases in hair pulling disorder and their relationship with symptom severity

Maas

Keijsers

Rinck

et al. 2018

Journal of Cognitive Psychology

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The present study examined approach-avoidance, attentional and evaluation biases in Hair Pulling Disorder (HPD). Although none of the tasks showed indications of biased action tendencies in response to hair pulling-related pictures, or biased attention for hair pulling-related words, we found that patients were slower to react to hair pullingrelated stimuli than to neutral stimuli. This slowing down may indicate that patients are ambivalent towards hair pulling. This "ambivalence" positively correlated with HPD symptom severity, but only on one of the three severity measures we assessed. Concerning action tendencies towards hair pulling-related words, patients were, however, faster to react to hair pulling-related words when compared to words related to resisting hair pulling. Future research is needed to disentangle this ambivalent response pattern in HPD.

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Facilitated attentional disengagement from hair-related cues among individuals diagnosed with trichotillomania: An investigation based on the exogenous cueing paradigm

Cited by 14 publications

References 44 publications

Does a Dieting Goal Affect Automatic Cognitive Processes and Their Trainability?

Does a Dieting Goal Affect Automatic Cognitive Processes and Their Trainability?

Computerized response inhibition training for children with trichotillomania

Approach-avoidance, attentional and evaluation biases in hair pulling disorder and their relationship with symptom severity

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