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Race/Ethnicity and Treatment Outcome in a Randomized Controlled Trial for Trichotillomania (Hair‐Pulling Disorder)
Author(s) -
Falkenstein Martha J.,
Rogers Kate,
Malloy Elizabeth J.,
Haaga David A. F.
Publication year - 2015
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22171
Subject(s) - ethnic group , psychology , clinical psychology , randomized controlled trial , quality of life (healthcare) , race (biology) , psychotherapist , medicine , botany , sociology , anthropology , biology
Objective Treatment outcome was compared among non‐Hispanic White and racial/ethnic minority participants with trichotillomania (TTM), or hair‐pulling disorder. Method Symptom severity, quality of life, and TTM‐related disability were compared in a behavior therapy trial with a stepped care approach: web‐based self‐help and then individual behavior therapy. The sample comprised 72% ( n = 38) non‐Hispanic White participants and 28% ( n = 15) minority participants. Results The ethnic groups responded differently to treatment, with fewer minority participants showing improvement during web‐based self‐help. Response rates were equivalent between ethnic groups during the in‐person behavior therapy. These results should be interpreted with caution because of the small sample size of minorities in the study and consequent inability to analyze results for each racial/ethnic group individually. Conclusions Future studies should focus on the investigation of factors that may enable or hinder racial and ethnic minority participants to benefit from online and/or self‐help behavior therapy for TTM.