Combined habit reversal training and exposure response prevention in a group setting compared to individual training: a randomized controlled clinical trial

Nissen, Judith Becker; Kærgaard, Martin; Laursen, L L; Parner, Erik Thorlund; Thomsen, Per Hove

doi:10.1007/s00787-018-1187-z

Cited by 48 publications

(61 citation statements)

References 40 publications

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“…In the individual therapy, the parents participated in the last 15 min of each session, whereas in the group setting the parents participated at the end of the second, fourth, eighth and ninth session. 14 The therapy was conducted by a trained and supervised psychologist, a child and adolescent psychiatrist, and a teacher.…”

Section: Methodsmentioning

confidence: 99%

“…25 The parents completed SCARED, the MFQ, Child Behaviour Checklist (CBCL), 26 and the Sensory Profile, 27 where the parents were asked about their child's sensitivity during childhood and adolescence. 14 …”

Section: Methodsmentioning

confidence: 99%

“…The analysis revealed that the intraclass correlation coefficient was 0.88 (95% CI 0.72–0.95) for TTS (motor and vocal tics) and 0.89 (95% CI 0.74–0.95) for functional impairment. 14 …”

Section: Methodsmentioning

confidence: 99%

“…In an open randomised controlled clinical trial, Nissen et al 14 examined the effectiveness of a treatment manual combining HRT and ERP delivered in an individual and a group setting. The study showed a significant reduction in total tic severity (TTS) score with an effect size of 1.26 and in functional impairment score (as measured by the YGTSS) with an effect size of 1.41.…”

Section: Habit Reversal Training and Exposure Response Prevention Inmentioning

confidence: 99%

“…Apart from the functional impairment score, there was no difference between the individual setting and group therapy. 14 …”

Section: Habit Reversal Training and Exposure Response Prevention Inmentioning

confidence: 99%

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Predictors of therapeutic treatment outcome in adolescent chronic tic disorders

2019

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Background Chronic tic disorders may have a major impact on a child's function. A significant effect has been shown for combined habit reversal training (HRT) and exposure response prevention (ERP) treatment delivered in an individual and group setting. Aims The present study examines predictors and moderators of treatment outcome after an acute therapeutic intervention. Method Fifty-nine children and adolescents were randomised to manualised treatment combining HRT and ERP as individual or group training. Age, gender, baseline tic severity, Premonitory Urge for Tics Scale (PUTS) scores, Beliefs about Tic Scale (BATS) scores, hypersensitivity and comorbid psychiatric symptoms were analysed as predictors of outcome. The same characteristics were examined as moderators for individual versus group treatment. Outcome measures included the change in total tic severity (TTS) score and functional impairment score (as measured by the Yale Global Tic Severity Scale (YGTSS)). Results Internalising symptoms predicted a lesser decrease in functional impairment. The occurrence of obsessive–compulsive symptoms predicted a larger decrease in TTS. Baseline hypersensitivity and high scores on depressive symptoms favoured individual treatment. High baseline PUTS scores favoured group therapy. Conclusions This is the first study examining factors predicting and moderating perceived functional impairment following a therapeutic intervention. The study adds to the knowledge on predictors and moderators of TTS. Furthermore, this is the first study examining the effect of the BATS score. The study points towards factors that may influence treatment outcome and that require consideration when choosing supplemental treatment. This applies to comorbid anxiety and depressive symptoms, and to the child's belief about their tics and premonitory urge. Declaration of interest None.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…The analysis revealed that the intraclass correlation coefficient was 0.88 (95% CI 0.72–0.95) for TTS (motor and vocal tics) and 0.89 (95% CI 0.74–0.95) for functional impairment. 14 …”

Section: Methodsmentioning

confidence: 99%

Section: Habit Reversal Training and Exposure Response Prevention Inmentioning

confidence: 99%

“…Apart from the functional impairment score, there was no difference between the individual setting and group therapy. 14 …”

Section: Habit Reversal Training and Exposure Response Prevention Inmentioning

confidence: 99%

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Predictors of therapeutic treatment outcome in adolescent chronic tic disorders

2019

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Using brief habit reversal and an interdependent group contingency to reducepublic‐speakingspeech disfluencies

Perrin

Hensel

Lynch

et al. 2021

J of App Behav Analysis

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This study replicated and extended previous research on the effectiveness of brief habit reversal, consisting of awareness training and competing response training (silent pause) in reducing the rate of speech disfluencies during public speaking. Nine university students, divided into 3 groups, delivered short speeches on a novel topic. Brief habit reversal combined with an interdependent group contingency resulted in a meaningful reduction in speech disfluencies with only 1 group requiring booster sessions. Relative to baseline, competing responses increased for all participants but only remained high for 1 participant following training. Reductions in speech disfluencies maintained during follow-up when participants presented in front of a small audience.

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Review of habit reversal training for tic disorders

Liu¹,

Cui

2020

Pediatric Investigation

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Tic disorders (TD) is a neurodevelopmental disorder that is often first recognized in children and adolescents and is characterized mainly by motor and phonic tics. Drug treatment of TD has been criticized because of serious side effects, and TD treatment emphasizes behavioral psychotherapy. This study reviewed the most common behavioral psychotherapy for TD: habit reversal training (HRT). We examined the contents, variation, curative effects, and premonitory urge control of HRT and other behavioral psychotherapies. The findings suggest that current understanding of HRT is insufficient and further studies are needed. First, studies of online guidance training are needed to implement technology that can help more patients. Second, the future integration of HRT and other technologies is important. Third, imaging techniques could be used to further explore the brain mechanisms underlying HRT. Research on HRT for TD in China is insufficient. We call on more Chinese researchers to study, investigate, and develop technology to promote the development of behavioral psychotherapy for TD in China.

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Combined habit reversal training and exposure response prevention in a group setting compared to individual training: a randomized controlled clinical trial

Cited by 48 publications

References 40 publications

Predictors of therapeutic treatment outcome in adolescent chronic tic disorders

Predictors of therapeutic treatment outcome in adolescent chronic tic disorders

Using brief habit reversal and an interdependent group contingency to reducepublic‐speakingspeech disfluencies

Review of habit reversal training for tic disorders

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