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Psychother Psychosom Med Psychol 2024; 74(12): 519-532
DOI: 10.1055/a-2231-7847
CME-Fortbildung

Körperbezogene repetitive Verhaltensstörungen

Klassifikation, Diagnostik und TherapieBody-Focused Repetitive Behavior Disorders: Classification, Diagnosis and Treatment
Steffen Moritz
,
Lena Jelinek
,
Stella Schmotz
,
Luca Hoyer
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Körperbezogene repetitive Verhaltensstörungen wie Trichotillomanie und Skin Picking sind Störungsbilder an der Schnittstelle von Psychiatrie/Psychologie und psychosomatischer Medizin zu Dermatologie und Zahnheilkunde. Kognitiv-verhaltenstherapeutische Maßnahmen stellen aktuell die Therapiemethode der Wahl dar. Idealerweise adressiert die Behandlung auch auslösende Faktoren wie mangelnde Stress- und Emotionsregulation sowie sensorische Trigger.

Abstract

Body-focused repetitive behaviors (BFRBs) such as trichotillomania and skin picking are disorders at the interface of psychiatry/psychology, dermatology and dentistry. The disorders can be both either a consequence or a cause of severe somatic disorders. If BFRBs remain undetected and untreated, they tend to become chronic with at times serious somatic complications. There is currently no approved medication for BFRBs. Cognitive-behavioral therapy, especially habit reversal training, is the method of choice. The self-help technique decoupling is also effective for a subgroup of patients. In addition to behavioral change, therapy should also address precipitating factors such as poor stress and emotion regulation strategies and sensory triggers.

Schlüsselwörter

BFRB - negative Verstärkung - Habit-Reversal-Training - Entkopplung - Behandlungslücke

Keywords

BFRB - negative reinforcement - habit reversal training - decoupling - treatment gap


Publikationsverlauf

Artikel online veröffentlicht:
07. Dezember 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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