{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T04:23:58Z","timestamp":1792211038265,"version":"4.4.0"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T00:00:00Z","timestamp":1427846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R15MH086852-01A1"],"award-info":[{"award-number":["R15MH086852-01A1"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Treatment outcome was compared among non\u2010Hispanic White and racial\/ethnic minority participants with trichotillomania (TTM), or hair\u2010pulling disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Symptom severity, quality of life, and TTM\u2010related disability were compared in a behavior therapy trial with a stepped care approach: web\u2010based self\u2010help and then individual behavior therapy. The sample comprised 72% (<jats:italic>n<\/jats:italic> = 38) non\u2010Hispanic White participants and 28% (<jats:italic>n<\/jats:italic> = 15) minority participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ethnic groups responded differently to treatment, with fewer minority participants showing improvement during web\u2010based self\u2010help. Response rates were equivalent between ethnic groups during the in\u2010person behavior therapy. These results should be interpreted with caution because of the small sample size of minorities in the study and consequent inability to analyze results for each racial\/ethnic group individually.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Future studies should focus on the investigation of factors that may enable or hinder racial and ethnic minority participants to benefit from online and\/or self\u2010help behavior therapy for TTM.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22171","type":"journal-article","created":{"date-parts":[[2015,4,2]],"date-time":"2015-04-02T21:37:25Z","timestamp":1428010645000},"page":"641-652","source":"Crossref","is-referenced-by-count":10,"title":["Race\/Ethnicity and Treatment Outcome in a Randomized Controlled Trial for Trichotillomania (Hair\u2010Pulling Disorder)"],"prefix":"10.1002","volume":"71","author":[{"given":"Martha J.","family":"Falkenstein","sequence":"first","affiliation":[{"name":"American University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Rogers","sequence":"additional","affiliation":[{"name":"American University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth J.","family":"Malloy","sequence":"additional","affiliation":[{"name":"American University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A. 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