{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:37:52Z","timestamp":1787236672740,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Many individuals with trichotillomania find themselves unable to access effective treatment and are forced to manage symptoms independently. Support groups play an important role in symptom management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>\n                      This qualitative study aimed to explore experiences with online support groups among hair\u2010pulling individuals (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200920; 10 women, 7 men, 3 non\u2010binary).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected online via semi\u2010structured interviews. Reflexive thematic analysis yielded four themes: (1) group usage, (2) detrimental group effects, (3) group benefits, and (4) attitudes towards groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A major advantage of online groups over in\u2010person support was the ability for participants to join from home. Participants could join without having to share their appearances, bypassing much of the stigma associated with traditional treatment options. Few participants reported worsening symptoms after joining support groups which they attributed to re\u2010exposure to pulling triggers, but most had positive views of their groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Support groups may play a beneficial role in the management of distress in chronic hair\u2010pullers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70214","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:01:21Z","timestamp":1787234481000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Role of Online Support Groups in the Management of Trichotillomania Symptoms"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4083-2579","authenticated-orcid":false,"given":"Dan","family":"Jenkins","sequence":"first","affiliation":[{"name":"Department of Psychology Stellenbosch University Stellenbosch Western Cape South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-4992","authenticated-orcid":false,"given":"Rizwana","family":"Roomaney","sequence":"additional","affiliation":[{"name":"Department of Psychology Stellenbosch University Stellenbosch Western Cape South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM\u20105\u2010TRTM","author":"APA","year":"2022"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/mental.4418"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796015001092"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.15570\/actaapa.2019.7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23147"},{"key":"e_1_2_8_7_1","volume-title":"[Windows]","author":"ATLAS.ti (Version 23)","year":"2023"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1609\/icwsm.v17i1.22122"},{"key":"e_1_2_8_9_1","first-page":"72","volume-title":"Advances in Psychology, Mental Health, and Behavioral Studies","author":"Bento M. 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