Habit Reversal Therapy by Dermatologists to Treat Body-Focused Repetitive Behaviors: Review and Case Reports

Dermatological Reviews Pub Date : 2024-06-27 DOI:10.1002/der2.240

Clara Michelle Tan Hwei Sian, Lai Cher Yenn, Janet Pei Ling Dua

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Abstract

Background

Body-focused repetitive behaviors (BFRBs) are recurrent, habitual behaviors, such as skin picking, hair pulling, and other compulsions, that can result in distressing cutaneous manifestations of varying severity. Many patients with BFRBs present primarily to dermatologists and a significant proportion subsequently resist engaging with psychological or psychiatric healthcare professionals. Habit reversal therapy (HRT) is one of the most effective evidence-based management strategies for BFRBs and it can be facilitated by a range of healthcare professionals including general practitioners, dermatologists, and nurses, as well as psychologists. Few dermatologists are comfortable offering HRT, making it a severely underutilized technique in the management of various skin conditions associated with BFRBs.

Objectives

This article aims to highlight strategies that dermatologists can learn to offer to positively influence the patient experience. A practical approach to implementing simplified HRT for patients with BFRBs will be demonstrated through two case studies.

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皮肤科医生采用习惯逆转疗法治疗以身体为重点的重复行为：回顾与病例报告

背景以身体为中心的重复行为（BFRBs）是一种反复出现的习惯性行为，如抠皮肤、拔头发和其他强迫行为，可导致严重程度不同的令人痛苦的皮肤表现。许多习惯性搔痒症患者主要向皮肤科医生求诊，其中相当一部分患者随后会拒绝与心理或精神科医护人员接触。习惯逆转疗法（HRT）是治疗 BFRBs 最有效的循证管理策略之一，可由包括全科医生、皮肤科医生、护士以及心理学家在内的一系列专业医护人员协助实施。很少有皮肤科医生愿意提供 HRT，因此在治疗与 BFRBs 相关的各种皮肤病时，这种技术的利用率严重不足。本文旨在强调皮肤科医生可以学习提供的策略，以积极影响患者的体验。本文将通过两个案例研究，展示为 BFRBs 患者实施简化 HRT 的实用方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Dermatological Reviews

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