人们对使用可穿戴技术治疗以身体为中心的重复行为(BFRB)越来越感兴趣,如Trichotillomania。然而,根据我们的知识,很少有研究讨论可穿戴技术在更自然的情况下作为治疗元素的适用性和使用。在这里,我们想在单案例实验设计中介绍其潜在用途与习惯逆转训练相结合。在实践中,患有BFRB的个体经常表现出复杂的精神疾病。因此,这里介绍的参与者被诊断出患有毛滴虫病以及患有ADHD和检查恐惧症。参与者被要求佩戴不显眼且用户友好的振动设备,当她的关键拉发行为发生时发出警报。补充习惯逆转训练包括由可穿戴设备的振动警报支持的意识训练。它还包括通过学习可以代替理发行为的良性行为来进行竞争反应训练。使用每日自我报告并通过使用可穿戴设备的监测功能来评估理发发作的频率。干预程序被实施到参与者的日常生活中,并在214天的过程中进行评估。结果表明,每天的拉发次数显着减少。我们的初步发现表明,此处应用的干预措施有可能在心理治疗门诊护理中有效治疗合并症患者的毛滴虫病。当然,小组研究将需要进一步验证该方法的有效性。
There is a growing interest in using wearable technology for the treatment of body-focused repetitive behaviors (BFRBs), such as
Trichotillomania. Yet, to our knowledge, few studies address the applicability and use of wearable technology as a therapeutic element in more naturalistic situations. Here we would like to introduce its potential use combined with a Habit-Reversal Training in a single-
case experimental design. In practice, individuals with BFRBs frequently show complex constellations of psychiatric disorders. Accordingly, the here presented participant was diagnosed with
Trichotillomania as well as comorbid ADHD and examination phobia. The participant was offered to wear an unobtrusive and user-friendly vibration device that sent an alarm when her critical hairpulling behaviors occurred. The complementing Habit-Reversal Training included an Awareness Training supported by the vibration alarm of the wearable device. It further included a Competing Response Training by learning benign behaviors that could replace the hairpulling behavior. The frequency of hairpulling episodes was assessed using daily self-
reports and by using the monitoring function of the wearable device. The intervention procedure was implemented into the participant\'s everyday life and evaluated over the course of 214 days. The results indicated a significant reduction in the daily episodes of hair pulling. Our preliminary findings suggest that the here applied intervention has the potential to effectively treat
Trichotillomania in individuals with comorbid disorders in psychotherapeutic outpatient care. Certainly, group-studies will need to further validate the approach\'s effectiveness.