Self-Help to Reduce Body-Focused Repetitive Behaviors via Video or Website? A Randomized Controlled Trial

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Cognitive Therapy and Research Pub Date : 2024-01-11 DOI:10.1007/s10608-023-10456-8
{"title":"Self-Help to Reduce Body-Focused Repetitive Behaviors via Video or Website? A Randomized Controlled Trial","authors":"","doi":"10.1007/s10608-023-10456-8","DOIUrl":null,"url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background</h3> <p>Body-focused repetitive behaviors (BFRBs) are common but under-recognized mental disorders. The present study aimed to examine the efficacy of a video presentation of self-help techniques for BFRBs compared to a web-based intervention containing psychoeducation and comprehensive self-help treatment information on BFRBs to reduce symptomatology as well as the same videos as in the first condition.</p> </span> <span> <h3>Methods</h3> <p>A total of 217 participants with BFRBs were randomly assigned to (1) a video condition conveying the established self-help techniques habit reversal training (HRT), decoupling (DC), and decoupling in sensu (DC-is) to reduce BFRBs, (2) a website condition that offered psychoeducational information and treatment material, including the videos from the first treatment condition, or (3) a waitlist control (WLC) condition. A six-week post assessment was conducted. The Generic Body-Focused Repetitive Behavior Scale 45 (GBS-45) served as the primary outcome.</p> </span> <span> <h3>Results</h3> <p>The self-help video condition showed greater improvement in GBS-45 subscales for nail biting in comparison to the self-help website and WLC conditions. For other BFRBs (e.g., joint cracking, trichophagia), the impairment subscale showed significant results in post hoc analyses in favor of the two treatment conditions. Subjective ratings of the techniques were satisfactory and comparable across treatment groups, with slightly higher ratings in favor of the video condition.</p> </span> <span> <h3>Conclusions</h3> <p>The video condition showed better improvement than the control condition on nail biting and other BFRBs. Superior results in the self-help website condition compared to the WLC were shown only for the group of “other” BFRBs (i.e., not trichotillomania, nail biting, dermatillomania, lip/cheek biting). We speculate this might be because users were overwhelmed by the many different approaches described without clear guidelines for how to implement them in daily life. In light of a prior study, we assume that a manualized version of the self-help techniques is superior to the video delivery and recommend that the self-help videos should be used as a complement to a manualized version. Future research should address long-term effects of self-help interventions for BFRBs.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cognitive Therapy and Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10608-023-10456-8","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Body-focused repetitive behaviors (BFRBs) are common but under-recognized mental disorders. The present study aimed to examine the efficacy of a video presentation of self-help techniques for BFRBs compared to a web-based intervention containing psychoeducation and comprehensive self-help treatment information on BFRBs to reduce symptomatology as well as the same videos as in the first condition.

Methods

A total of 217 participants with BFRBs were randomly assigned to (1) a video condition conveying the established self-help techniques habit reversal training (HRT), decoupling (DC), and decoupling in sensu (DC-is) to reduce BFRBs, (2) a website condition that offered psychoeducational information and treatment material, including the videos from the first treatment condition, or (3) a waitlist control (WLC) condition. A six-week post assessment was conducted. The Generic Body-Focused Repetitive Behavior Scale 45 (GBS-45) served as the primary outcome.

Results

The self-help video condition showed greater improvement in GBS-45 subscales for nail biting in comparison to the self-help website and WLC conditions. For other BFRBs (e.g., joint cracking, trichophagia), the impairment subscale showed significant results in post hoc analyses in favor of the two treatment conditions. Subjective ratings of the techniques were satisfactory and comparable across treatment groups, with slightly higher ratings in favor of the video condition.

Conclusions

The video condition showed better improvement than the control condition on nail biting and other BFRBs. Superior results in the self-help website condition compared to the WLC were shown only for the group of “other” BFRBs (i.e., not trichotillomania, nail biting, dermatillomania, lip/cheek biting). We speculate this might be because users were overwhelmed by the many different approaches described without clear guidelines for how to implement them in daily life. In light of a prior study, we assume that a manualized version of the self-help techniques is superior to the video delivery and recommend that the self-help videos should be used as a complement to a manualized version. Future research should address long-term effects of self-help interventions for BFRBs.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
通过视频或网站自助减少肢体重复行为?随机对照试验
摘要 背景 身体重复行为(BFRBs)是一种常见的精神障碍,但未得到充分认识。本研究旨在考察针对肢体重复行为的自助技术视频演示与包含心理教育和全面的肢体重复行为自助治疗信息的网络干预的疗效,前者可减轻症状,后者与第一种情况下的视频相同。 方法 共有 217 名患有 BFRBs 的参与者被随机分配到(1)视频条件,该条件传达了已确立的自助技术习惯逆转训练 (HRT)、解耦 (DC) 和感性解耦 (DC-is),以减少 BFRBs;(2)网站条件,该条件提供了心理教育信息和治疗材料,包括第一种治疗条件中的视频;或(3)候补对照 (WLC) 条件。进行为期六周的后期评估。主要结果是通用肢体重复行为量表 45(GBS-45)。 结果 与自助网站和 WLC 条件相比,自助视频条件在咬指甲的 GBS-45 分量表中显示出更大的改善。对于其他 BFRBs(如关节皲裂、嗜毛症),损伤分量表在事后分析中显示两种治疗条件均有显著改善。各治疗组对技术的主观评价令人满意,且不相上下,视频治疗组的主观评价略高。 结论 在咬指甲和其他 BFRBs 方面,视频条件比对照条件有更好的改善。只有在 "其他 "BFRBs(即非毛发躁狂症、咬指甲、皮肤躁狂症、咬唇/颊)组中,自助网站条件下的结果优于 WLC。我们推测,这可能是因为用户对所描述的多种不同方法感到不知所措,而在日常生活中如何实施这些方法却没有明确的指导。根据之前的一项研究,我们认为自助技术的手册版本要优于视频版本,并建议将自助视频作为手册版本的补充。未来的研究应探讨自助干预对鼻咽癌患者的长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
期刊最新文献
Examining Relationships between Psychological Flexibility and Comorbidity of Depression and Anxiety: A Network Analysis in a Non-Clinical Community Sample Lay Theories for Social Anxiety: Examining the Impact of Viewing Social Anxiety as Malleable Due to Personal Effort versus Fixed in Nature in a Non-clinical Sample Training to Increase Processing of Positive Content Paradoxically Decreases Positive Memory Bias in High Levels of Depression Associations Between Self-Criticism, Basic Psychological Needs Frustration, and Self-Damaging Behaviors: An Application of Self-Determination Theory Relapse prevention following guided self-help for common health problems: A Scoping Review
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1