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Psychother."],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Not all patients suffering from trichotillomania (TTM) recover completely using CBT and of those that do, only a few maintain their recovery over time. <jats:bold>Aims:<\/jats:bold> The purpose of the present study was to investigate the effectiveness of metacognitive methods combined with habit reversal (MCT\/HRT) in trichotillomania with a relatively long-term follow-up. <jats:bold>Method:<\/jats:bold> A case series (<jats:italic>n<\/jats:italic> = 8) and a randomized wait-list controlled trial (<jats:italic>n<\/jats:italic> = 34) design were conducted in this study. In the case series, three of the eight patients dropped out of the study. Therefore, TTM-related symptoms were evaluated in five patients suffering from TTM before and after brief metacognitive plus habit reversal therapy during 1-month, 6-month, and 12-month follow-ups. The treatment consisted of detached mindfulness (DM) techniques, ritual postponement and habit reversal training (HRT) in eight sessions. <jats:bold>Results:<\/jats:bold> All patients were responders at post-treatment in case series. After the 12-month follow-up, the results were associated with higher pre-treatment levels of self-esteem and global functioning and lower pre-treatment levels of depression and anxiety with nearly complete abstinence from hair pulling immediately after treatment. A randomized wait-list controlled trial with experimental (<jats:italic>n<\/jats:italic> = 17) and waiting list group (<jats:italic>n<\/jats:italic> = 17) was then conducted to confirm the case series results. There were significant differences between the two groups regarding changes in MGH-HPS, Y-BOCS-TM, RSES, GAF, BDI, BAI and self-monitoring. Therefore, the MCT\/HRT treatment was found to be more effective than the waiting list group. <jats:bold>Conclusions:<\/jats:bold> A combined treatment including metacognitive and habit reversal techniques is remarkably effective in patients with TTM.<\/jats:p>","DOI":"10.1017\/s1352465817000546","type":"journal-article","created":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T07:20:40Z","timestamp":1505373640000},"page":"1-20","source":"Crossref","is-referenced-by-count":20,"title":["A Preliminary Investigation of Metacognitive Therapy and Habit Reversal as a Treatment for Trichotillomania"],"prefix":"10.1017","volume":"46","author":[{"given":"Hossein","family":"Shareh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,9,14]]},"reference":[{"key":"S1352465817000546_ref075","first-page":"1877","article-title":"The Trichotillomania Impact Project (TIP): exploring phenomenology, functional 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