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Cognitive Therapy and Research

Gepubliceerd in:

07-10-2023 | Original Article

Defining Compulsive Skin Picking Subgroups Based on Emotional Response Patterns and Data-Driven Methodology

Auteur: Alessandro De Nadai

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2024

Abstract

Background

While behavioral treatment for compulsive skin picking (CSP) is frequently effective, treatment response is often incomplete. This may be due in part to heterogeneity in symptom presentations, where certain patient subgroups may not have symptoms that conform to models of CSP that are used to design interventions. To investigate the problem, we used data-driven approaches to parse apart heterogeneity and identify specific subgroups of individuals who experience CSP. These subgroups were defined based on emotions experienced before and after picking episodes.

Methods

We applied latent class analysis to a large sample of participants who enrolled in an online treatment program for CSP (N = 1,636). During treatment, participants recorded their emotions before and after picking episodes, as well as a number of cognitive, behavioral, clinical, and situational variables associated with picking episodes.

Results

We identified five subgroups of individuals based on their emotional response patterns. Several subgroups followed traditional conceptualizations of CSP, including patterns that were consistent with CSP as a reinforcing emotion regulation strategy. An additional unexpected subgroup showed very strong emotional activation before and after picking episodes, where individuals may have experienced strong emotions before picking episodes that were not modified by picking behavior.

Conclusions

Using advanced data collection and analytic procedures, we identified emotional response patterns associated with specific subgroups of individuals who experience CSP. This information can be used to improve future intervention design and personalize treatment to specific presentations of CSP.

vorige artikel Clinical Characteristics, Sleep, and Temperament in Infants and Young Children with Problematic Hair Pulling and Skin Picking

volgende artikel Self-Report Measures of Sensory Phenomena in Body-Focused Repetitive Behaviors: A Comparison to Healthy Controls

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Titel: Defining Compulsive Skin Picking Subgroups Based on Emotional Response Patterns and Data-Driven Methodology
Auteur: Alessandro De Nadai
Publicatiedatum: 07-10-2023
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2024
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-023-10431-3

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Abstract

Background

Methods

Results

Conclusions

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