Efficacy of a Habit Reversal Treatment on Tic-symptoms
- Conditions
- Tic-Disorder
- Interventions
- Behavioral: Habit Reversal Training
- Registration Number
- NCT02190383
- Lead Sponsor
- University of Cologne
- Brief Summary
The main purpose of this study is to evaluate the efficacy of a habit reversal based treatment programme in children and adolescents aged 8 to 18 years with tic disorders.
- Detailed Description
The main purpose of this study is to evaluate the efficacy of a habit reversal based treatment programme for children and adolescents with tic disorders. This habit reversal treatment programme was developed at the Department of Child and Adolescent Psychiatry and Psychotherapy at the University of Cologne and has already been evaluated in a pilot-study (Woitecki \& Döpfner, 2011, 2012).
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 50
- 8-18 years
- Diagnosis of chronic motor or vocal Tic (F95.1) or Tourette-Syndrome (F95.2)
- YGTSS total score F95.2>13, F95.1>9
- Tics are the main problems
- IQ>80
- If medication, then has been stable for at least one months in medicated patients
- No change in medication treatment is planned
- Ability to participate in weekly outpatient treatment
- Acceptance of randomization
- Diagnosis of Autism Spectrum Disorder or Psychosis
- Parallel continuous psychotherapy of tics or comorbid
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Habit Reversal Training Habit Reversal Training At first patients get informed about Tics in general. Then the individual Tics are specified and the tic-reaction is looked at further. The Tic-Symptoms are observed and the premonitory urge is specified. For all individual tics a specific reversal movement is developed. Relaxation methods are introduced.
- Primary Outcome Measures
Name Time Method Change in Symptom Checklist for Tic-Symptoms (FBB-TIC), parent rating Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24weeks (T3) The FBB-TIC is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by parents
- Secondary Outcome Measures
Name Time Method Change in Symptom Checklist for Tic-Symptoms (FBB-/SBB-TIC), Teacher-/self-rating Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24weeks (T3) The SBB-TIC is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by parents
Change in Symptom Checklist for Tic-Symptoms, clinical rating Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24 weeks (T3) The Checklist is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by clinicians
Change of comorbid OCD Symptoms (ZWIK-E), parent-rating T0, after 8 weeks (T1), 24 weeks (T3) The ZWIK assess OCD criteria.
Change of comorbid Symptoms (CBCL/TRF/YSR), parent-/teacher-/self-rating T0, after 8weeks (T1), 24weeks (T3) The CBCL, TRF and YSR assess a variation of different criteria.
Change in Tic-Symptoms (YGTSS-TIC), overall score Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24weeks (T3) The YGTSS is used to assess Tic-Symptoms in a semi structured interview with parents and patients
Change in self-esteem (Harter-Scale-SBB)(self rating) T0, after 8 weeks (T1), 24weeks (T3) The Harter-Scale is used to assess self-esteem
Change of comorbid ADHD Symptoms (FBB/SBB-ADHD), parent, teacher and self-rating T0, after 8 weeks (T1), 24weeks (T3) The Symptom Checklist for Attention Deficit/Hyperactivity Disorder (FBB-/SBB-ADHS) assess all symptom criteria according to DSM IV and ICD-10.
Change in Tic-Symptoms (observation) Between T1 and T3 up to 16 weeks, during each session/week Tic symptoms are observed through video tapes and are rated through clinicians.
Trial Locations
- Locations (1)
University Hospital of Cologne, Department of Childhood and Adolescent Psychiatry and Psychotherapy
🇩🇪Cologne, Germany