{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T01:05:44Z","timestamp":1783559144761,"version":"3.55.0"},"reference-count":72,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T00:00:00Z","timestamp":1554854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Government Research Training Program Scholarship"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      The role of cognitions and beliefs in trichotillomania (\n                      <jats:styled-content style=\"fixed-case\">TTM<\/jats:styled-content>\n                      ; hair pulling disorder) has been the subject of only limited investigation. This study aimed to develop and validate the Beliefs in\n                      <jats:styled-content style=\"fixed-case\">TTM<\/jats:styled-content>\n                      Scale (Bi\n                      <jats:styled-content style=\"fixed-case\">TS<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pool of 50 items based upon themes identified in previous research was administered online to 841 participants with and without self\u2010reported problematic, non\u2010cosmetic hair pulling behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Exploratory and confirmatory factor analyses conducted in randomly split\u2010halves of the sample supported retention of 14 items comprising three factors: negative self\u2010beliefs, low coping efficacy, and perfectionism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The Bi\n                      <jats:styled-content style=\"fixed-case\">TS<\/jats:styled-content>\n                      demonstrated satisfactory psychometric properties and all three subscales significantly correlated with greater hair pulling severity. Negative self\u2010beliefs predicted hair pulling severity over and above mood symptoms, suggesting the importance of addressing self\u2010construals in psychological treatments for\n                      <jats:styled-content style=\"fixed-case\">TTM<\/jats:styled-content>\n                      . Validation in a clinician diagnosed sample is required.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Research supports cognitive therapies for treating trichotillomania (hair pulling disorder), although studies investigating the nature and role of cognitions and beliefs in this disorder have been lacking.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>This study developed and validated a self\u2010report measure of three styles of beliefs most relevant to trichotillomania: negative self\u2010beliefs, low coping efficacy, and perfectionism.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Negative self\u2010beliefs predicted the severity of trichotillomania symptoms over and above depression and anxiety, suggesting such cognitions may not necessarily be due to comorbidities.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Future research should validate the new measure in a clinician diagnosed sample, and therapies for trichotillomania may be enhanced by targeting shame specifically.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12219","type":"journal-article","created":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T06:52:20Z","timestamp":1554879140000},"page":"384-405","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The Beliefs in Trichotillomania Scale (Bi\n                    <scp>TS<\/scp>\n                    ): Factor analyses and preliminary validation"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0053-2272","authenticated-orcid":false,"given":"Imogen C.","family":"Rehm","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences Swinburne University of Technology Melbourne Victoria Australia"},{"name":"School of Health and Biomedical Sciences RMIT University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maja","family":"Nedeljkovic","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Swinburne University of Technology Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Moulding","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Swinburne University of Technology Melbourne Victoria Australia"},{"name":"Research and Innovation Portfolio RMIT University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2016.08.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.2.176"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocrd.2017.01.003"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(73)90119-8"},{"key":"e_1_2_8_7_1","volume-title":"Cognitive therapy and the emotional disorders","author":"Beck A. 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