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The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on anxiety sensitivity and alexithymia in women with skin picking and hair pulling disorders in Tehran. This quasi-experimental study employed a pretest-posttest control group design. A total of 30 female students from the Islamic Azad University, Tehran Medical Sciences Branch, who met the research criteria for skin picking and hair pulling disorders, were selected using purposive sampling and randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received eight sessions of ACT, while the control group received no intervention. Data were collected using demographic information, the Anxiety Sensitivity Index, and the Toronto Alexithymia Scale at baseline, post-intervention, and a three-month follow-up. The results indicated no significant difference between the two groups in the pretest stage, confirming group homogeneity. However, posttest and follow-up results showed significant reductions in anxiety sensitivity and alexithymia scores in the experimental group compared to the control group (p < 0.05). These findings suggest that ACT is effective in reducing emotional and cognitive symptoms associated with skin picking and hair pulling disorders and may be considered a beneficial therapeutic approach for women affected by these conditions.

 

The present study aimed to investigate the effectiveness of self-focused compassion therapy on distress tolerance and alexithymia in women with skin picking and hair picking disorder in Tehran. This study was a quasi-experimental study with a pre-test-post-test design with a control group. The research population included female students of Islamic Azad University, Tehran Medical Sciences Branch, who were selected based on the inclusion criteria and purposive sampling method. A total of 45 eligible subjects were identified and after random assignment using a random number table, 30 subjects were replaced in two experimental (15 subjects) and control (15 subjects) groups. The experimental group received self-focused compassion therapy intervention, and the control group did not receive any intervention. Data collection tools included a demographic information questionnaire, a distress tolerance questionnaire, and an alexithymia questionnaire. Data were collected and analyzed in three stages: pre-test, post-test, and three-month follow-up. The results showed that there was no significant difference between the two groups in terms of distress tolerance and alexithymia at the pre-test stage, which indicated the initial homogeneity of the groups, but at the post-test and follow-up stage, a significant difference was observed between the two groups, indicating the effectiveness of self-focused compassion therapy in improving distress tolerance and reducing alexithymia in women with hair-picking disorder. Accordingly, it can be concluded that this therapeutic approach can be effective in reducing the severity of symptoms and improving the emotional indicators of these individuals.