The behavioral treatment of neurodermatitis through habit-reversal

Rosenbaum, Michael; Ayllon, Teodoro

doi:10.1016/0005-7967(81)90052-8

Cited by 97 publications

(57 citation statements)

References 10 publications

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“…Habit-reversal training has demonstrated effectiveness in the treatment of pathological skin picking (Arnold et al, 2001;Kent & Drummond, 1989;Rosenbaum & Ayllon, 1981;Teng, Woods, & Twohig, 2006;Twohig & Woods, 2001) and is the treatment of choice in trichotillomania (Bloch et al, 2007). Unfortunately, dissemination of this intervention remains limited, although new developments in online treatment options are promising (Flessner, Mouton-Odum, Stocker, & Keuthen, 2007).…”

Section: Discussionmentioning

confidence: 99%

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Hayes

Storch

Berlanga

2009

Journal of Anxiety Disorders

197

129

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Body-focused repetitive behaviors (BFRBs) have recently gained attention in the psychiatric literature given their prevalence, considerable associated impairment (Bohne, Wilhelm, Keuthen, Baer, & Jenike, 2002;Teng, Woods, Twohig, & Marcks, 2002), and possible link to other obsessive-compulsive spectrum disorders (Bienvenu et al., 2000;Hollander, 1993;Hollander & Wong, 1995;Jaisoorya, Reddy, & Srinath, 2003). ''Nervous habits'' such as nailbiting, hair pulling, and skin picking are often seen by healthcare practitioners as common and benign, but awareness of the impairment linked to these behaviors is limited (Arnold, Auchenbach, & McElroy, 2001;Bohne, Keuthen, & Wilhelm, 2005). Due to the variance in criteria defining the BFRBs and under-reporting of symptoms, prevalence rates have been difficult to determine. At least one BFRB was reported by 13.7% of 105 college students, nailbiting being the most common (Teng et al., 2002). While suspected to regulate negative affective states (Christenson, Ristvedt, & Mackenzie, 1993;Diefenbach, Mouton-Odum, & Stanley, 2002;Keuthen et al., 2000), BFRBs often directly result in significant distress and impaired social or occupational functioning as a result of their wounds or attempts to conceal them (Christenson, Mackenzie, & Mitchell, 1991;Flessner & Woods, 2006;O'Sullivan et al., 1997;Wilhelm et al., 1999). Further, many people report that their BFRB causes such shame and embarrassment that they withdraw from social activities (Keuthen et al., 2000;Stemberger, Thomas, Mansueto, & Carter, 2000;Wilhelm et al., 1999;Woods, Fuqua, & Outman, 1999). Together, BFRBs have been unofficially grouped under the obsessive-compulsive spectrum (Arnold et al., 1998;Hollander, 1993;Hollander & Wong, 1995;Stein et al., 1995), which includes conditions associated with OCD on one anchor point to behaviors characteristic of impulse-control disorders (ICDs), such as pathological gambling.Of the BFRBs discussed, trichotillomania is the only condition given distinct classification in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-R; American Psychiatric Association, 2000). Trichotillomania, affecting an estimated 1-3% of the general population, is listed as an ICD and characterized by repetitive hair pulling which results in noticeable hair loss most commonly from the scalp, eyebrows, and eyelashes (Christenson et al., 1991). The behavior can result in serious physical consequences. For example, irreversible damage to hair roots due to repetitive pulling can cause permanent baldness, and the chewing and eating of pulled hair can lead to dental complications and gastrointestinal blockage (O'Sullivan et al., 1997). Like other disorders marked by impulsivity, individuals with trichotillomania typically experience an increase in Body-focused repetitive behaviors such as skin picking have gained recent attention in the psychiatric literature. Prevalence of skin picking has not been well researched and is difficult to estimate; however, consequences of such behaviors can include seve...

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Section: Discussionmentioning

confidence: 99%

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Hayes

Storch

Berlanga

2009

Journal of Anxiety Disorders

197

129

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“…behavioural therapy, have to be initiated in time to break the vicious circle of itching and scratching 51 . Especially patients with prurigo nodularis show an unconscious automatic scratching behaviour.…”

Section: Psychosomatic Therapymentioning

confidence: 99%

Chronic Pruritus: Clinics and Treatment

Grundmann

Ständer

2011

Ann Dermatol

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Chronic pruritus, one of the main symptoms in dermatology, is often intractable and has a high impact on patient's quality of life. Beyond dermatologic disorders, chronic pruritus is associated with systemic, neurologic as well as psychologic diseases. The pathogenesis of acute and chronic (＞6 weeks duration) pruritus is complex and involves in the skin a network of resident (e.g., sensory neurons) and transient inflammatory cells (e.g., lymphocytes). In the skin, several classes of histamine-sensitive or histamine-insensitve C-fibers are involved in itch transmission. Specific receptors have been discovered on cutaneous and spinal neurons to be exclusively involved in the processing of pruritic signals.Chronic pruritus is notoriously difficult to treat. Newer insights into the underlying pathogenesis of pruritus have enabled novel treatment approaches that target the pruritusspecific pathophysiological mechanism. For example, neurokinin-1 antagonists have been found to relieve chronic pruritus. (Ann Dermatol 23(1) 1∼11, 2011)

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“…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

“…Dentre esses estudos, dez realizaram treino de resposta concorrente (Capriotti et al, 2015;Deckersbach et al, 2002;Flessner et al, 2007Flessner et al, , 2008Grillo et al, 2007;Long et al,2006;Martinson et al, 2011;Rosenbaum & Ayllon, 1981;Teng et al, 2007;Twohig & Woods, 2001). Em nove estudos foi realizado o treino de conscientização (Deckersbach et al, 2002;Flessner et al, 2007Flessner et al, , 2008Grillo et al, 2007;Long et al,2006;Martinson et al, 2011;Rosenbaum & Ayllon, 1981;Teng et al, 2007;Twohig & Woods, 2001).…”

Section: Procedimentos Adotados Nas Intervençõesunclassified

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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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The behavioral treatment of neurodermatitis through habit-reversal

Cited by 97 publications

References 10 publications

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Skin picking behaviors: An examination of the prevalence and severity in a community sample

Chronic Pruritus: Clinics and Treatment

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

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