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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.
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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Habit Reversal Training | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Habit Reversal Training | Behavioral | awareness training, competing response training |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Symptom Checklist for Tic-Symptoms (FBB-TIC), parent rating | The FBB-TIC is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by parents | Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24weeks (T3) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Symptom Checklist for Tic-Symptoms (FBB-/SBB-TIC), Teacher-/self-rating | The SBB-TIC is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by parents | Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24weeks (T3) |
| Change in Symptom Checklist for Tic-Symptoms, clinical rating |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Manfred Döpfner, Prof. Dr. | Department of Childhood and Adolescent Psychiatry and Psychotherapy | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Cologne, Department of Childhood and Adolescent Psychiatry and Psychotherapy | Recruiting | Cologne | 50931 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22532110 | Background | Woitecki K, Dopfner M. [Changes in comorbid symptoms and subjective interference in a habit reversal therapy in children with chronic tic disorder - a pilot study]. Z Kinder Jugendpsychiatr Psychother. 2012 May;40(3):181-90. doi: 10.1024/1422-4917/a000168. German. | |
| 22031011 | Background | Woitecki K, Dopfner M. [Effects of habit reversal training in children with chronic tic disorder - a pilot study]. Z Kinder Jugendpsychiatr Psychother. 2011 Nov;39(6):387-97. doi: 10.1024/1422-4917/a000137. German. |
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| ID | Term |
|---|---|
| D020323 | Tics |
| D005879 | Tourette Syndrome |
| ID | Term |
|---|---|
| D020820 | Dyskinesias |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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The Checklist is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by clinicians |
| Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24 weeks (T3) |
| Change of comorbid ADHD Symptoms (FBB/SBB-ADHD), parent, teacher and self-rating | The Symptom Checklist for Attention Deficit/Hyperactivity Disorder (FBB-/SBB-ADHS) assess all symptom criteria according to DSM IV and ICD-10. | T0, after 8 weeks (T1), 24weeks (T3) |
| Change of comorbid OCD Symptoms (ZWIK-E), parent-rating | The ZWIK assess OCD criteria. | T0, after 8 weeks (T1), 24 weeks (T3) |
| Change of comorbid Symptoms (CBCL/TRF/YSR), parent-/teacher-/self-rating | The CBCL, TRF and YSR assess a variation of different criteria. | T0, after 8weeks (T1), 24weeks (T3) |
| Change in Tic-Symptoms (YGTSS-TIC), overall score | The YGTSS is used to assess Tic-Symptoms in a semi structured interview with parents and patients | Baseline (T0), after 8 weeks (T1), 16 weeks (T2) and 24weeks (T3) |
| Change in Tic-Symptoms (observation) | Tic symptoms are observed through video tapes and are rated through clinicians. | Between T1 and T3 up to 16 weeks, during each session/week |
| Change in self-esteem (Harter-Scale-SBB)(self rating) | The Harter-Scale is used to assess self-esteem | T0, after 8 weeks (T1), 24weeks (T3) |
| Background | Woitecki, K. & Döpfner, M. (2014). Therapieprogramm für Kinder und Jugendliche mit Tic-Störungen (THICS). Göttingen: Hogrefe. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D013981 | Tic Disorders |
| D009069 | Movement Disorders |
| D020271 | Heredodegenerative Disorders, Nervous System |
| D019636 | Neurodegenerative Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |