Treatment of Trichotillomania With Behavioral Therapy or Fluoxetine

Minnen, Agnes van; Hoogduin, Kees; Keijsers, G.P.J.; Hellenbrand, Inge; Hendriks, Gert-Jan

doi:10.1001/archpsyc.60.5.517

Cited by 196 publications

(146 citation statements)

References 26 publications

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“…Van Minnen et al 135 conduziram um estudo randomizado comparando TC e fluoxetina com lista de espera. Completaram as 12 semanas propostas com 40 pacientes; destes, 14 fizeram TC, 11 receberam fluoxetina (60 mg/d) e 15 eram de lista de espera (grupo controle).…”

Section: Tratamento Farmacológicounclassified

“…Completaram as 12 semanas propostas com 40 pacientes; destes, 14 fizeram TC, 11 receberam fluoxetina (60 mg/d) e 15 eram de lista de espera (grupo controle). Os resultados sugerem que a TC foi superior à fluoxetina e ao grupo controle 135 .…”

Section: Tratamento Farmacológicounclassified

“…Os elementos principais eram controle de estímulo (organizando o ambiente), intervenções de estímulo-resposta (interrompendo a cadeia de resposta por meio de outra atividade incompatível) e consequências de resposta (autorrecompensa). O papel do terapeuta era o de analisar o comportamento, paralelamente dando conselho técnico e motivando o paciente 135 .…”

Section: Tratamento Farmacológicounclassified

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Tricotilomania

Toledo¹,

Taragano²,

Córdas³

2010

Rev. psiquiatr. clín.

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ResumoContexto: Relatada desde a Antiguidade, a tricotilomania (TTM) somente na última década despertou maior interesse clínico, sendo incluída no DSM-IV-TR (The Diagnostic and Statistical Manual of Mental Disorders 4 th Text Revision) como um transtorno do controle dos impulsos não especificado. Dados recentes estimam uma prevalência em torno de 3%, indicando uma incidência mais comum do que se imaginava. Aspectos clínicos e terapêuticos ainda não estão totalmente definidos. Objetivo: Revisão sistemática da literatura de vários aspectos da tricotilomania pertinentes à teoria clínica e prática. Método: Os termos "trichotillomania", "epidemiology", "clinical characteristics", "etiology", "comorbidity" e "treatment" foram consultados nas bases de dados Medline/PubMed, Lilacs, PsycINFO e Cochrane Library. Resultados: Pesquisas com populações não clínicas sugerem que a TTM é mais comum do que se acreditava. Aspectos fenomenológicos, taxonômicos, comorbidades e possibilidades terapêuticas são discutidos. Conclusão: Apesar de um crescente número de estudos recentes, questões clínicas e terapêuticas permanecem em aberto. Com base nesta revisão da literatura, sugerem-se direções para diagnóstico, tratamento e futuras pesquisas.Toledo EL, et al. / Rev Psiq Clín. 2010;37(6):251-9 Palavras-chave: Tricotilomania, etiologia, epidemiologia, diagnóstico, tratamento. AbstractBackground: Recognized since antiquity, only within the last decade has the subject of trichotillomania provoked any larger clinical interest since it has been included in the DSM-IV-TR (The Diagnostic and Statistical Manual of Mental Disorders 4 th Text Revision) as a disturbance of the impulse-control disorders not elsewhere classified. Recent data estimates its prevalence at around 3%. Although more common than it was imagined before, clinical and therapeutic aspects are still not well defined. Objective: Systematic revision in the literature of several aspects of trichotillomania and its clinical and practical theory. Method: The term "trichotillomania", "its epidemiology", "clinical characteristics", "etiology", "comorbidity" and "treatment" were searched in the data bases of Medline/ PubMed, Lilacs, PsycINFO and Cochrane Library. Results: Research with no clinical populations suggests that TTM is more common than it was previously suspected. Phenomenological and taxonomical aspects, comorbidity as well as therapeutic possibilities are discussed. Conclusion: Despite a growing number of recent studies, clinical and therapeutic aspects remain undefined. Based on this literature's review, directions are suggested concerning diagnosis, treatment and future research.

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Section: Tratamento Farmacológicounclassified

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Tricotilomania

Toledo¹,

Taragano²,

Córdas³

2010

Rev. psiquiatr. clín.

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“…Both are characterized by difficulties suppressing inappropriate repetitive behaviors, suggesting underlying dysregulation in inhibitory control processes [9]. Case series, double blind studies demonstrated the effectiveness of the SSRI treatment in TTM [10][11][12][13]. Short-term treatment with SSRI's was effective in most cases, however in the long term follow up three major problems occurred [1].…”

Section: Introductionmentioning

confidence: 99%

Sustain Released Bupropion in the Treatment of Tricotillomania: Outpatient Follow Up Survey

Dannon¹,

Shoenfeld²,

Rosenberg³

et al. 2010

SRX Pharmacology

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Objectives. Tricotillomania (TTM) is more common than expected. SSRI's are the treatment of choice in TTM. However, response rates are lower with SSRI's. The aim of our study is to explore other pharmacological interventions. Materials and Methods. Nine female TTM patients with SSRI treatment failure were included. Sample was treated with bupropion SR up to 450 mg/day. Results. Six out of nine patients responded well to bupropion SR. Massachusetts General Hospital Hair Pulling Scale (MGH) demonstrated a significant improvement at the twelve week point (f: 32.3, power: 1, lambda: 97.1, P < .0001) and the response rates remained stable at sixteen-month follow up visit. Conclusions. Bupropion SR could be an alternative pharmacological treatment for TTM. Larger samples with double blind placebo controlled design are needed to confirm our preliminary report.

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“…The early onset form tends to remit more readily, but the late onset form, occurring after age 13, often becomes chronic. Behaviour therapy as in obsessive compulsive disorder is particularly effective [3]. Serotonergic agents such as fluoxetine can also be used in the treatment.…”

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confidence: 99%