Efficacy of Habit Reversal Training in Children With Chronic Tic Disorders: A Within-Subject Analysis

被引：9

作者：

Viefhaus, Paula ^{[1
]}

Feldhausen, Marion ^{[1
]}

Goertz-Dorten, Anja ^{[2
,4
]}

Volk, Helene ^{[1
]}

Doepfner, Manfred ^{[1
,4
]}

Woitecki, Katrin ^{[3
]}

机构：

[1] Univ Hosp, Sch Child & Adolescent Cognit Behav Therapy AKiP, Pohligstr 9, D-50969 Cologne, Germany

[2] Univ Hosp, Sch Child & Adolescent Cognit Behav Therapy AKiP, Evaluat Sect, Cologne, Germany

[3] Univ Hosp, Sch Child & Adolescent Cognit Behav Therapy AKiP, Outpatient Unit Tic Disorders, Cologne, Germany

[4] Univ Cologne, Dept Child & Adolescent Psychiat Psychosomat & Ps, Cologne, Germany

来源：

BEHAVIOR MODIFICATION | 2020年 / 44卷 / 01期

关键词：

habit reversal training; tic disorder; Tourette's disorder; treatment evaluation; children and adolescents; EUROPEAN CLINICAL GUIDELINES; PLACEBO-CONTROLLED TRIAL; TOURETTE SYNDROME; BEHAVIOR-THERAPY; DOUBLE-BLIND; SEVERITY; ADOLESCENTS; VALIDITY; ARIPIPRAZOLE; RELIABILITY;

D O I：

10.1177/0145445518796203

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The aim of this study is to evaluate a cognitive-behavioral treatment for children and adolescents with tic disorder including habit reversal training (HRT) in a sample of children and adolescents (n = 27). Multiple outcome measures were used to assess the effects of the treatment on tic symptoms. In addition, impairment/subjective burden ratings and the self-efficacy to control tics were assessed. A within-subject design with two phases (8 weeks diagnostic; 16 sessions treatment) was analyzed using multilevel modeling (MLM). During the treatment phase, significant improvements in tic symptoms, impairment, and self-efficacy to control tics were found on most outcome measures. Treatment effects were found on the clinical rating of tic symptoms (Yale Global Tic Severity Scale [YGTSS]), the self-efficacy to control tics, and the video-observed motor tic frequency by comparing the improvements during treatment with the course of the outcome measures during the preceding diagnostic phase.

引用

页码：114 / 136

页数：23

共 53 条

[1] [Anonymous], 1998, FRAGEBOGEN BEURTEILU
[2] [Anonymous], 2015, THERAPIEPROGRAMM KIN
[3] [Anonymous], 1970, CGI: Clinical Global Impressions
[4] Association A.P, 2013, Diagnostic and statistical manual of mental disorders, DOI DOI 10.1176/APPI.BOOKS.9780890425596
[5] HABIT-REVERSAL - METHOD OF ELIMINATING NERVOUS HABITS AND TICS
AZRIN, NH
NUNN, RG
[J]. BEHAVIOUR RESEARCH AND THERAPY, 1973, 11 (04) : 619 - 628
[6] Subjective versus objective measures of tic severity in Tourette syndrome - The influence of environment
Barnea, Meirav
Benaroya-Milshtein, Noa
Gilboa-Sechtman, Eva
Woods, Douglas W.
Piacentini, John
Fennig, Silvana
Apter, Alan
Steinberg, Tamar
[J]. PSYCHIATRY RESEARCH, 2016, 242 : 204 - 209
[7] The validity of the CGI severity and improvement scales as measures of clinical effectiveness suitable for routine clinical use
Berk, Michael
Ng, Felicity
Dodd, Seetal
Callaly, Tom
Campbell, Shirley
Bernardo, Michelle
Trauer, Tom
[J]. JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2008, 14 (06) : 979 - 983
[8] VIDEOTAPE TIC COUNTS IN THE ASSESSMENT OF TOURETTES-SYNDROME - STABILITY, RELIABILITY, AND VALIDITY
CHAPPELL, PB
MCSWIGGANHARDIN, MT
SCAHILL, L
RUBENSTEIN, M
WALKER, DE
COHEN, DJ
LECKMAN, JF
[J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1994, 33 (03) : 386 - 393
[9] The influence of contextual factors on tic expression in Tourette's syndrome: A review
Conelea, Christine A.
Woods, Douglas W.
[J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 2008, 65 (05) : 487 - 496
[10] Evidence-based psychosocial treatments for tic disorders
Cook, Clayton R.
Blacher, Jan
[J]. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2007, 14 (03) : 252 - 267

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