Tic-Disorder
Conditions
Keywords
Tic-Disorder, Tourette-Disorder, Habit Reversal Training
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).
Interventions
awareness training, competing response training
Sponsors
Study design
Eligibility
Inclusion criteria
* 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
Exclusion criteria
* Diagnosis of Autism Spectrum Disorder or Psychosis * Parallel continuous psychotherapy of tics or comorbid
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 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 of comorbid OCD Symptoms (ZWIK-E), parent-rating | T0, after 8 weeks (T1), 24 weeks (T3) | The ZWIK assess OCD criteria. |
| 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 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 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. |
| 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 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. |
Countries
Germany