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Clarifying the Relationship between Trichotillomania and Anxiety.

Publication ,  Journal Article
Alexander, JR; Houghton, DC; Twohig, MP; Franklin, ME; Saunders, SM; Neal-Barnett, AM; Compton, SN; Woods, DW
Published in: J Obsessive Compuls Relat Disord
April 2017

Although research has consistently linked unidimensional anxiety with Trichotillomania (TTM) severity, the relationships between TTM severity and anxiety dimensions (i.e., cognitive and somatic anxiety) are unknown. This knowledge gap limits current TTM conceptualization and treatment. The current study examined these relationships with data collected from ninety-one adults who participated in a randomized clinical trial for TTM treatment. To examine whether the Beck Anxiety Inventory (BAI; Beck, Epstein, Brown, & Steer, 1988) could be used to measure multidimensional anxiety in TTM samples, we conducted a factor analysis. Results showed four emergent factors, including a cognitive factor and three somatic factors (neurophysiological, autonomic, and panic). Based on prior research, it was hypothesized that TTM severity would be related to the cognitive anxiety dimension and that psychological inflexibility would mediate the association. Hypotheses were not made regarding the relationship between TTM severity and somatic anxiety. Regression analyses indicated that only cognitive dimensions of anxiety predicted TTM severity and that psychological inflexibility mediated this relationship. Implications for the conceptualization and treatment of TTM are discussed.

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Published In

J Obsessive Compuls Relat Disord

DOI

ISSN

2211-3649

Publication Date

April 2017

Volume

13

Start / End Page

30 / 34

Location

England

Related Subject Headings

  • 5203 Clinical and health psychology
  • 5202 Biological psychology
  • 5201 Applied and developmental psychology
  • 1701 Psychology
  • 1103 Clinical Sciences
 

Citation

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MLA
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Alexander, J. R., Houghton, D. C., Twohig, M. P., Franklin, M. E., Saunders, S. M., Neal-Barnett, A. M., … Woods, D. W. (2017). Clarifying the Relationship between Trichotillomania and Anxiety. J Obsessive Compuls Relat Disord, 13, 30–34. https://doi.org/10.1016/j.jocrd.2017.02.004
Alexander, Jennifer R., David C. Houghton, Michael P. Twohig, Martin E. Franklin, Stephen M. Saunders, Angela M. Neal-Barnett, Scott N. Compton, and Douglas W. Woods. “Clarifying the Relationship between Trichotillomania and Anxiety.J Obsessive Compuls Relat Disord 13 (April 2017): 30–34. https://doi.org/10.1016/j.jocrd.2017.02.004.
Alexander JR, Houghton DC, Twohig MP, Franklin ME, Saunders SM, Neal-Barnett AM, et al. Clarifying the Relationship between Trichotillomania and Anxiety. J Obsessive Compuls Relat Disord. 2017 Apr;13:30–4.
Alexander, Jennifer R., et al. “Clarifying the Relationship between Trichotillomania and Anxiety.J Obsessive Compuls Relat Disord, vol. 13, Apr. 2017, pp. 30–34. Pubmed, doi:10.1016/j.jocrd.2017.02.004.
Alexander JR, Houghton DC, Twohig MP, Franklin ME, Saunders SM, Neal-Barnett AM, Compton SN, Woods DW. Clarifying the Relationship between Trichotillomania and Anxiety. J Obsessive Compuls Relat Disord. 2017 Apr;13:30–34.
Journal cover image

Published In

J Obsessive Compuls Relat Disord

DOI

ISSN

2211-3649

Publication Date

April 2017

Volume

13

Start / End Page

30 / 34

Location

England

Related Subject Headings

  • 5203 Clinical and health psychology
  • 5202 Biological psychology
  • 5201 Applied and developmental psychology
  • 1701 Psychology
  • 1103 Clinical Sciences