Habit reversal vs. Negative practice treatment of nervous tics

Azrin, Nathan H.; Nunn, R.G.; Frantz, S.E.

doi:10.1016/s0005-7894(80)80017-7

Cited by 104 publications

(49 citation statements)

References 31 publications

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“…l CBIT compared with SP (one child 156 and one adult study 166 ) l HRT compared with SP (two adult studies 167,168 ) l HRT compared with waiting list control (one child study 169 ) l HRT compared with negative practice (one mixed study 170 ) l HRT compared with ERP (one child study 171 ) l Videoconference CBIT compared with face-to-face CBIT (one child study 172 ) l Relaxation training compared with minimal therapy (one child study 173 ) l AC training compared with TAU (one child study 174 ) l Parent training compared with TAU (one child study 164 ).…”

Section: Included Studiesmentioning

confidence: 99%

“…170 In this study, HRT was delivered in one or two sessions of around 2.5 hours. The primary HRT component was considered to be competing response training, but the treatment also included a review of inconveniences caused by tics, identification of people or situations associated with tics, awareness training and relaxation training.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One study in 22 adults and children of negative practice compared with HRT 170 provided very low-quality evidence (see Appendix 4, Table 49) that HRT was more effective than negative practice in treating tic disorders.…”

Section: Interventions For Tics In Children and Adolescentsmentioning

confidence: 99%

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Clinical effectiveness and patient perspectives of different treatment strategies for tics in children and adolescents with Tourette syndrome: a systematic review and qualitative analysis

Hollis

Pennant

Cuenca

et al. 2016

Health Technol Assess

127

109

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BackgroundTourette syndrome (TS) is a neurodevelopmental condition characterised by chronic motor and vocal tics affecting up to 1% of school-age children and young people and is associated with significant distress and psychosocial impairment.ObjectiveTo conduct a systematic review of the benefits and risks of pharmacological, behavioural and physical interventions for tics in children and young people with TS (part 1) and to explore the experience of treatment and services from the perspective of young people with TS and their parents (part 2).Data SourcesFor the systematic reviews (parts 1 and 2), mainstream bibliographic databases, The Cochrane Library, education, social care and grey literature databases were searched using subject headings and text words for tic* and Tourette* from database inception to January 2013.Review/research methodsFor part 1, randomised controlled trials and controlled before-and-after studies of pharmacological, behavioural or physical interventions in children or young people (aged < 18 years) with TS or chronic tic disorder were included. Mixed studies and studies in adults were considered as supporting evidence. Risk of bias associated with each study was evaluated using the Cochrane tool. When there was sufficient data, random-effects meta-analysis was used to synthesize the evidence and the quality of evidence for each outcome was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. For part 2, qualitative studies and survey literature conducted in populations of children/young people with TS or their carers or in health professionals with experience of treating TS were included in the qualitative review. Results were synthesized narratively. In addition, a national parent/carer survey was conducted via the Tourettes Action website. Participants included parents of children and young people with TS aged under 18 years. Participants (young people with TS aged 10–17 years) for the in-depth interviews were recruited via a national survey and specialist Tourettes clinics in the UK.ResultsFor part 1, 70 studies were included in the quantitative systematic review. The evidence suggested that for treating tics in children and young people with TS, antipsychotic drugs [standardised mean difference (SMD) –0.74, 95% confidence interval (CI) –1.08 to –0.41;n = 75] and noradrenergic agents [clonidine (Dixarit®, Boehringer Ingelheim) and guanfacine: SMD –0.72, 95% CI –1.03 to –0.40;n = 164] are effective in the short term. There was little difference among antipsychotics in terms of benefits, but adverse effect profiles do differ. Habit reversal training (HRT)/comprehensive behavioural intervention for tics (CBIT) was also shown to be effective (SMD –0.64, 95% CI –0.99 to –0.29;n = 133). For part 2, 295 parents/carers of children and young people with TS contributed useable survey data. Forty young people with TS participated in in-depth interviews. Four studies were in the qualitative review. Key themes were difficulties in accessing specialist care and behavioural interventions, delay in diagnosis, importance of anxiety and emotional symptoms, lack of provision of information to schools and inadequate information regarding medication and adverse effects.LimitationsThe number and quality of clinical trials is low and this downgrades the strength of the evidence and conclusions.ConclusionsAntipsychotics, noradrenergic agents and HRT/CBIT are effective in reducing tics in children and young people with TS. The balance of benefits and harms favours the most commonly used medications: risperidone (Risperdal®, Janssen), clonidine and aripiprazole (Abilify®, Otsuka). Larger and better-conducted trials addressing important clinical uncertainties are required. Further research is needed into widening access to behavioural interventions through use of technology including mobile applications (‘apps’) and video consultation.Study registrationThis study is registered as PROSPERO CRD42012002059.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Included Studiesmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Clinical effectiveness and patient perspectives of different treatment strategies for tics in children and adolescents with Tourette syndrome: a systematic review and qualitative analysis

Hollis

Pennant

Cuenca

et al. 2016

Health Technol Assess

127

109

View full text Add to dashboard Cite

show abstract

“…Uit vergelijkend onderzoek blijkt dat de 'habit reversal'-techniek effectiever is dan de 'negative practice' (Azrin, Nunn & Frantz, 1980 ;Azrin, Nunn & Frantz, 1982). Hoogduin, Verdellen en Cath (1997) beschrijven een behandeling van tics die gebaseerd is op exposure en responspreventie.…”

Section: Inleidingunclassified

Het probleem van de klakkende tong; over de behandeling van een Gilles de la Tourette-patiënt

Evers¹,

Wetering²

1998

DITH

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“…Gedragstherapie bij GTS heeft een andere vorm dan bij OCD (Hoogduin & Van Duivenvoorde, 1988;Azrin et al, 1980 ;Evers & Van de Wetering, 1990) . Verder reageren de dwangverschijnselen bij OCD vaak gunstig op een behandeling met bepaalde antidepressiva (serotonine-heropnameremmers) (Yaryura-Tobias , 1977 ;Asberg et al, 1982;Zohar et al, 1987 ;Van Balkom et al, 1990) .…”

Section: Patie¨ntunclassified

Het syndroom van Gilles de la Tourette en obsessief–compulsieve stoornissen: drang en dwang vergeleken

Cath¹,

Wetering²,

Hoogduin³

et al. 1992

DITH

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Habit reversal vs. Negative practice treatment of nervous tics

Cited by 104 publications

References 31 publications

Clinical effectiveness and patient perspectives of different treatment strategies for tics in children and adolescents with Tourette syndrome: a systematic review and qualitative analysis

Clinical effectiveness and patient perspectives of different treatment strategies for tics in children and adolescents with Tourette syndrome: a systematic review and qualitative analysis

Het probleem van de klakkende tong; over de behandeling van een Gilles de la Tourette-patiënt

Het syndroom van Gilles de la Tourette en obsessief–compulsieve stoornissen: drang en dwang vergeleken

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