Table 1.
Study | Active Tx |
Control Condition |
N | Mean Age |
Youth or Adult Sample |
Comorbid Anxiety Disorders |
Comorbid Depressive Disorders |
Outcome Measure | Self v. Clinician Report |
Approx Contact Hours |
Study Quality |
Effect Size |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Behavior Therapy | ||||||||||||
Azrin et al., 1980 a | BT | MNP | 32 | 27 | Mixed | NR | NR | number of daily hair pulling episodes | Self-report | 2 | 23 | 0.66 |
Ninan et al., 2000 b | BT | WL | 10 | 33 | Adult | NR | NR | NIMH-TSS | Clinician-report | 9 | 19 | 1.94 |
Van Minnen et al., 2003 b | BT | PLBO | 29 | 31 | Mixed | 3% | 17% | MGH-HPS | Self-report | 6 | 36 | 1.28 |
Diefenbach et al., 2006 | BT | SP | 24 | 40 | Adult | 25% | 21% | MGH-HPS | Self-report | 8 | 30 | 0.56 |
Woods et al., 2006 | BT | WL | 25 | 35 | Adult | 4% | 32% | MGH-HPS | Self-report | 10 | 28 | 2.14 |
Franklin et al., 2011 | BT | MAC | 24 | 13 | Youth | 33% | 13% | NIMH-TSS | Clinician-report | 8 | 35 | 1.38 |
Keuthen et al., 2012 | BT | MAC | 38 | 31 | Adult | 11% | 0% | NIMH-TSS | Clinician-report | 11 | 29 | 2.35 |
Serotonin Reuptake Inhibitors | ||||||||||||
Swedo et al., 1989 | CMI | DES | 13 | 32 | Mixed | 8% | 0% | NIMH-TSS | Clinician-report | N/A | 28 | 0.75 |
Christenson et al., 1991 | FLUX | PLBO | 16 | 32 | Adult | 13% | 19% | weekly rating of hair pulling severity | Self-report | N/A | 25 | 0.14 |
Streichenwien & Thronby, 1995 | FLUX | PLBO | 16 | 39 | Adult | 31% | 6% | weekly severity of hair pulling episodes | Self-report | N/A | 23 | 0.35 |
Ninan et al., 2000 b | CMI | PLBO | 11 | 33 | Adult | NR | NR | NIMH-TSS | Clinician-report | N/A | 20 | 0.61 |
Van Minnen et al., 2003 b | FLUX | PLBO | 26 | 32 | Mixed | 0% | 19% | MGH-HPS | Self-report | N/A | 38 | 0.54 |
Dougherty et al., 2006 | SERT | PLBO | 36 | 29 | Adult | 30% | 16% | PITS | Clinician-report | N/A | 27 | 0.17 |
Note: CMI = clomipramine, DES = desipramine, FLUX = fluoxetine, SERT = sertraline, PLBO = placebo, BT = behavior therapy, MNP = Mass Negative Practice, WL = waitlist, SP = Supportive psychotherapy, MAC = Minimal Attention Control, NAC = n-acetylcesteine, NR = not reported, NIMH-TSS = National Institute of Mental Health Trichotillomania Severity Scale, MGH-HPS = Massachusetts General Hospital Hair pulling Scale, PITS = Psychiatric Institute Trichotillomania Scale, N/A = not applicable.
used LOCF for participants without post-treatment assessment. Excluded two participants who did not use the same outcome metric.
PLBO group double counted for Van Minnen et al., 2003 and Ninan et al., 2000 due to small sample size of PLBO group