Examining Behavior Therapy for Trichotillomania in Children and Adolescents

Learn more about:
Related Clinical Trial
Internet CBT for Trichotillomania and Skin Picking Disorder Developing Effective Response Inhibition Training for Symptom Relief in OCD and Trichotillomania Evaluation and Follow-up of Individuals With Obsessive-Compulsive Disorder and Related Conditions Outcomes of Cognitive Behavioral Therapy (CBT) Interventions Provided by Unlicensed Professionals Evaluation of a Brief Surf the Urge Intervention Feasibility Study for Treating Trichotillomania With Wearable Device and App System Cognitive Behavioral Treatment of Pediatric Trichotillomania Telepsychotherapy for the Treatment of Adolescents With Trichotillomania Stepped Care in the Treatment of Trichotillomania Response Inhibition Training for Individuals With Trichotillomania Cognitive Behavioral Therapy for Trichotillomania Examining Behavior Therapy for Trichotillomania in Children and Adolescents Comprehensive Behavioral (ComB) Model of Treatment for Trichotillomania Methylphenidate in ADHD With Trichotillomania Marinol in Trichotillomania or Obsessive Compulsive Disorder Dronabinol in Trichotillomania and Other Body Focused Repetitive Behaviors Cognitive Training in Patients With Trichotillomania (Hair-pulling Disorder) Olanzapine in the Treatment of Hair Pulling (Trichotillomania) A Study in Patients With Trichotillomania Awareness Enhancement and Monitoring Device for Treatment of Trichotillomania Inositol in Trichotillomania Trial of Aripiprazole in Trichotillomania Habit Reversal Training for Children and Adolescents With Trichotillomania Naltrexone in the Treatment of Trichotillomania N-Acetylcysteine for Pediatric Trichotillomania Online Response Inhibition Training for Trichotillomania N-Acetyl Cysteine in Trichotillomania Trichotillomania: Group Cognitive-Behavioral Therapy Efficacy of COMB (Comprehensive Behavioral) Model of Treatment of Trichotillomania Milk Thistle in Trichotillomania in Children and Adults Cognitive Behavioral Group Therapy for Trichotillomania (Hair Pulling Disorder) Testing a New Therapy for Trichotillomania Online Treatment of Trichotillomania

Brief Title

Examining Behavior Therapy for Trichotillomania in Children and Adolescents

Official Title

Behavior Therapy for Pediatric Trichotillomania

Brief Summary

      This study will evaluate a treatment for trichotillomania, or compulsive hair pulling, in
      children and adolescents.
    

Detailed Description

      Trichotillomania (TTM) is a chronic impulse control disorder that causes people to pull out
      their own hair. TTM typically develops in late childhood or early adolescence. It has been
      suggested that, like with obsessive-compulsive disorder, early identification and treatment
      of TTM might prevent the disorder and other co-occurring disorders in adults. The researchers
      in this study have developed the first treatment for TTM to target children and adolescents.
      Preliminary trials of this treatment, called behavior therapy (BT), indicate efficacy. This
      study is a larger, more rigorous examination of whether BT can successfully treat children
      and adolescents with TTM.

      Participation in this study will be divided into two phases, each lasting 8 weeks. Follow-up
      visits will occur 3 and 6 months after completing treatment. In Phase 1, participants will be
      randomly assigned to receive either BT or supportive counseling (SC) for their TTM. Both
      groups of participants will complete eight weekly study visits. Those receiving BT will be
      encouraged to identify situations in which hair pulling is likely to occur and use behavioral
      techniques to resist urges to pull their hair. BT will also involve self-monitoring and
      homework throughout the week. Those receiving SC will discuss ways to minimize interference
      of hair pulling with everyday life and receive education and emotional support from a study
      therapist-but will not be taught specific behavioral techniques. After 8 weeks, participants
      will be evaluated to determine whether treatment is helping them. If participants are
      receiving BT and showing reduction in symptoms, they will continue to Phase 2, which involves
      four maintenance sessions of BT over 8 weeks. If participants receiving BT are not responding
      to treatment, they will be given referrals to other services. Participants receiving SC will
      end their participation after 8 weeks, and those not responding to treatment will be offered
      BT.

      Study assessments will be completed at baseline, after Phase 1, after Phase 2, and at 3- and
      6-month follow-ups. These assessments will include a clinical interview, questionnaires about
      symptoms, and family assessment measures.
    


Study Type

Interventional


Primary Outcome

Clinical Global Impression Scale (CGIS)


Condition

Trichotillomania

Intervention

Behavior Therapy

Study Arms / Comparison Groups

 Behavior Therapy
Description:  Participants will receive behavior therapy during Phases 1 and 2.

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information


Recruitment Status

Behavioral

Estimated Enrollment

61

Start Date

October 2008

Completion Date

March 26, 2014

Primary Completion Date

March 26, 2014

Eligibility Criteria

        Inclusion Criteria:

          -  Diagnosis or symptoms of trichotillomania

          -  Presence of stable parent or guardian

        Exclusion Criteria:

          -  Presence of another primary or co-primary psychiatric disorder that requires
             initiation of different active current treatment

          -  Current use of psychotropic medication (participants may be able to stop taking
             medications to start with study)
      

Gender

All

Ages

10 Years - 17 Years

Accepts Healthy Volunteers

No

Contacts

Martin E. Franklin, PhD, , 

Location Countries

United States

Location Countries

United States

Administrative Informations


NCT ID

NCT00917098

Organization ID

R01MH077197

Secondary IDs

R01MH077197

Responsible Party

Sponsor

Study Sponsor

University of Pennsylvania

Collaborators

 National Institute of Mental Health (NIMH)

Study Sponsor

Martin E. Franklin, PhD, Principal Investigator, University of Pennsylvania


Verification Date

July 2017