The purpose of this study was to explore the effectiveness of self-monitoring and a multicomponent behavioral intervention on the treatment of Trichotillomania (TTM). The subject in this study was a 12-year-old African American female who has demonstrated hair-pulling behavior for several years. The interventions that were implemented were journaling and Habit Reversal Training (HRT). The types of measurements that were used were direct observation, daily logs, and standardized questionnaires. The standardized assessments were the Multidimensional Anxiety Scale for Children (MASC, March, 1998) and the Trichotillomania Severity and Impairment Scales (Swedo et al., 1989). In the study, the introduction of journaling decreased the targeted behavior by 5.79% and HRT decreased the targeted behavior by 34.84%. The standardized assessments showed very little change or worsening of symptoms. Overall, results of this study were consistent with research on habit reversal training which suggests that this technique is successful in decreasing or eliminating hair pulling (Azrin & Nunn, 1973; Rosenbaum & Ayllon, 1981).
","abstract_html":"<p>The purpose of this study was to explore the effectiveness of self-monitoring and a multicomponent behavioral intervention on the treatment of Trichotillomania (TTM). The subject in this study was a 12-year-old African American female who has demonstrated hair-pulling behavior for several years. The interventions that were implemented were journaling and Habit Reversal Training (HRT). The types of measurements that were used were direct observation, daily logs, and standardized questionnaires. The standardized assessments were the Multidimensional Anxiety Scale for Children (MASC, March, 1998) and the Trichotillomania Severity and Impairment Scales (Swedo et al., 1989). In the study, the introduction of journaling decreased the targeted behavior by 5.79% and HRT decreased the targeted behavior by 34.84%. The standardized assessments showed very little change or worsening of symptoms. Overall, results of this study were consistent with research on habit reversal training which suggests that this technique is successful in decreasing or eliminating hair pulling (Azrin & Nunn, 1973; Rosenbaum & Ayllon, 1981).</p>","abstract_has_math":false,"creators":["Jones, Courtney M."],"institution":null,"degree_name":"M.A. in Mental Health Counseling","degree_level":"Thesis","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":["Kerwin, MaryLouise"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2004,"date_issued":"2004-04-30T07:00:00Z","date_published":"2004-04-30T07:00:00Z","updated_at":"2026-07-24T04:14:04Z","subjects":["Compulsive hair pulling--Case studies.","Psychology"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://rdw.rowan.edu/etd/1170","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Kerwin, MaryLouise"]},{"key":"dc:creator","label":"Author","values":["Jones, Courtney M."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2016-04-25T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Psychology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M.A. in Mental Health Counseling"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Compulsive hair pulling--Case studies.","Psychology"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://rdw.rowan.edu/etd/1170"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The purpose of this study was to explore the effectiveness of self-monitoring and a multicomponent behavioral intervention on the treatment of Trichotillomania (TTM). The subject in this study was a 12-year-old African American female who has demonstrated hair-pulling behavior for several years. The interventions that were implemented were journaling and Habit Reversal Training (HRT). The types of measurements that were used were direct observation, daily logs, and standardized questionnaires. The standardized assessments were the Multidimensional Anxiety Scale for Children (MASC, March, 1998) and the Trichotillomania Severity and Impairment Scales (Swedo et al., 1989). In the study, the introduction of journaling decreased the targeted behavior by 5.79% and HRT decreased the targeted behavior by 34.84%. The standardized assessments showed very little change or worsening of symptoms. Overall, results of this study were consistent with research on habit reversal training which suggests that this technique is successful in decreasing or eliminating hair pulling (Azrin & Nunn, 1973; Rosenbaum & Ayllon, 1981).
"]},{"key":"dc:title","label":"Title","values":["The use of habit reversal training in the treatment of trichotillomania: a single subject design"]}]}],"canonical_facts":{"dc:contributor":["Kerwin, MaryLouise"],"dc:creator":["Jones, Courtney M."],"dc:date.available":["2016-04-25T07:00:00Z"],"dc:description.abstract":["The purpose of this study was to explore the effectiveness of self-monitoring and a multicomponent behavioral intervention on the treatment of Trichotillomania (TTM). The subject in this study was a 12-year-old African American female who has demonstrated hair-pulling behavior for several years. The interventions that were implemented were journaling and Habit Reversal Training (HRT). The types of measurements that were used were direct observation, daily logs, and standardized questionnaires. The standardized assessments were the Multidimensional Anxiety Scale for Children (MASC, March, 1998) and the Trichotillomania Severity and Impairment Scales (Swedo et al., 1989). In the study, the introduction of journaling decreased the targeted behavior by 5.79% and HRT decreased the targeted behavior by 34.84%. The standardized assessments showed very little change or worsening of symptoms. Overall, results of this study were consistent with research on habit reversal training which suggests that this technique is successful in decreasing or eliminating hair pulling (Azrin & Nunn, 1973; Rosenbaum & Ayllon, 1981).
"],"dc:identifier":["https://rdw.rowan.edu/etd/1170"],"dc:subject":["Compulsive hair pulling--Case studies.","Psychology"],"dc:title":["The use of habit reversal training in the treatment of trichotillomania: a single subject design"],"thesis:degree_discipline":["Psychology"],"thesis:degree_level":["Thesis"],"thesis:degree_name":["M.A. in Mental Health Counseling"]},"updated_at":"2026-07-24T04:14:04Z"}