2020
DOI: 10.1590/1516-4446-2019-0636
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Skin picking treatment with the Rothbaum cognitive behavioral therapy protocol: a randomized clinical trial

Abstract: Introduction: Although behavioral therapies can effectively treat skin picking disorder (SPD), there is no standardized treatment for improving SPD and its comorbidities and there is no group intervention option. This trial aimed to adapt the Rothbaum trichotillomania protocol to SPD (Study 1) and test its efficacy for treating SPD and comorbidities in individual and group formats (Study 2). Methods: The adapted protocol was applied to 16 SPD patients, who were allocated to group or individual treatment (Study… Show more

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Cited by 9 publications
(7 citation statements)
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“…It is likely that comorbidities are both a cause and consequence of higher SPD severity, and treating both leads to better outcomes. 22 , 26 , 27 Although up to 70% of patients with SPD experience significant impairment in their quality of life, this problem is often underestimated, with up to 85% of patients seeking cosmetic interventions first and less than 20% seeking professional help, probably because both providers and patients are unaware of the treatment options available for SPD. 1 , 28 …”
Section: Discussionmentioning
confidence: 99%
“…It is likely that comorbidities are both a cause and consequence of higher SPD severity, and treating both leads to better outcomes. 22 , 26 , 27 Although up to 70% of patients with SPD experience significant impairment in their quality of life, this problem is often underestimated, with up to 85% of patients seeking cosmetic interventions first and less than 20% seeking professional help, probably because both providers and patients are unaware of the treatment options available for SPD. 1 , 28 …”
Section: Discussionmentioning
confidence: 99%
“…Since CBT has been used successfully to treat BFRBs, it may also be helpful for onychotillomania treatment. For example, in a clinical trial ( n = 16) using a CBT protocol originally designed for trichotillomania to treat skin picking disorder, 63% and 52% patients improved with individual and group CBT treatment, respectively [ 71 ]. Another behavioral therapy used to treat onychotillomania is HRT.…”
Section: Onychophagia and Onychotillomaniamentioning
confidence: 99%
“…Two small RCTs evaluated other modalities such as response inhibition training [55] and ACT [56] without any HRT component and found them to be beneficial but they did not employ an active control treatment. In SPD, individual and group CBT [57]; and internet-based self-help CBT (SaveMySkin) [58] have been reported to be efficacious.…”
Section: Obsessive–compulsive Disordermentioning
confidence: 99%