Combined habit reversal training and exposure response prevention in a group setting compared to individual training: a randomized controlled clinical trial
- Resource Type
- Authors
- Martin Kærgaard; Erik T. Parner; Lisbeth Laursen; Per Hove Thomsen; Judith Becker Nissen
- Source
- European Child & Adolescent Psychiatry
Nissen, J B, Kaergaard, M, Laursen, L, Parner, E & Thomsen, P H 2019, ' Combined habit reversal training and exposure response prevention in a group setting compared to individual training : a randomized controlled clinical trial ', European Child & Adolescent Psychiatry, vol. 28, no. 1, pp. 57-68 . https://doi.org/10.1007/s00787-018-1187-z
- Subject
- Male
medicine.medical_specialty
Quality of Life/psychology
Exposure response prevention
Adolescent
Tic Disorders/therapy
medicine.medical_treatment
Group setting
Habit reversal training
Tourette syndrome
Group psychotherapy
03 medical and health sciences
0302 clinical medicine
Tourette Syndrome/therapy
Quality of life
Behavior Therapy
Developmental and Educational Psychology
Child and adolescent psychiatry
medicine
Humans
0501 psychology and cognitive sciences
Child
Pediatric
business.industry
05 social sciences
Manual
General Medicine
Original Contribution
medicine.disease
030227 psychiatry
Clinical trial
Psychiatry and Mental health
Behavior Therapy/methods
Treatment Outcome
Tic Disorders
Pediatrics, Perinatology and Child Health
Physical therapy
Quality of Life
Chronic Tic Disorder
Female
Group
business
human activities
050104 developmental & child psychology
- Language
- ISSN
- 1435-165X
Chronic tic disorders may have a huge influence on quality of life. Habit reversal training (HRT) and exposure response prevention (ERP) are effective treatments. In a blinded assessed, open trial, this study evaluates the effectiveness of a newly developed Scandinavian tic treating manual designed to treat adolescents with a chronic tic disorder, combining HRT and ERP. The study compared the efficacy of treatment based on the same manual delivered either individually or in groups. The study was an open randomized controlled clinical trial in which adolescents were randomized to either individual or group therapy. Both therapies included nine sessions. The parents were offered group-based psycho-education. The exclusion criteria were chosen to design a study that would be close to clinical practice. This is the first Scandinavian study that examines the effectiveness of a treatment manual combining HRT and ERP delivered in an individual and group setting. The study showed a significant reduction of the Total Tic score on the Yale Global Tic Severity Scale both in the individual (effect size 1.21) and group setting (effect size 1.38). A total of 66.7% of participants were considered responders. There was no statistical significant difference between the individual and group setting apart from the functional impairment score. The reductions were comparable with those shown in other studies. The participants applied both HRT and ERP, and the majority (36/59) reported an increased post-treatment experience of control. The newly designed Scandinavian manual was equally effective in the individual and group setting with effect sizes comparable with those shown in other studies.