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Báo cáo y học: "Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome. | Franklin et al. Child and Adolescent Psychiatry and Mental Health 2010 4 18 http www.capmh.eom content 4 1 18 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access BehCavior therapy for pediatric trichotillomania Exploring the effects of age on treatment outcome Martin E Franklin 1 Aubrey L Edson1 and Jennifer B Freeman2 Abstract Background A randomized controlled trial examining the efficacy of behavior therapy for pediatric trichotillomania was recently completed with 24 participants ranging in age from 7 - 17. The broad age range raised a question about whether young children older children and adolescents would respond similarly to intervention. In particular it is unclear whether the younger children have the cognitive capacity to understand concepts like urges and whether they are able to introspect enough to be able to benefit from awareness training which is a key aspect of behavior therapy for trichotillomania. Methods Participants were randomly assigned to receive either behavior therapy N 12 or minimal attention control N 12 which was included to control for repeated assessments and the passage of time. Primary outcome measures were the independent evaluator-rated NIMH-Trichotillomania Severity Scale a semi-structured interview often used in trichotillomania treatment trials and a post-treatment clinical global impression improvement rating CGI-I . Results The correlation between age and change in symptom severity for all patients treated in the trial was small and not statistically significant. A 2 group behavioral therapy minimal attention control X 2 time week 0 8 X 2 children 9 yrs. children 10 ANOVA with independent evaluator-rated symptom severity scores as the continuous dependent variable also detected no main effects for age or for any interactions involving age. In light of the small sample size the mean symptom severity scores at weeks 0 and 8 for younger and older patients randomized to behavioral therapy were also plotted. Visual .