Evidence map›Paper›PMID 29956034›Full record

Trial reportEuropean child & adolescent psychiatry2019

Combined habit reversal training and exposure response prevention in a group setting compared to individual training: a randomized controlled clinical trial.

Judith B Nissen, Martin Kaergaard, Lisbeth Laursen, Erik Parner, Per Hove Thomsen

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European child & adolescent psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04678180 (Randomized Clinical Study Evaluating the Treatment Outcome of Combined Virtual Tic Training in Children and Adolescents With a Chronic Tic Disorder), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04678180 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Randomized Clinical Study Evaluating the Treatment Outcome of Combined Virtual Tic Training in Children and Adolescents With a Chronic Tic Disorder

TypeinterventionalSponsorAarhus University HospitalRan2021 to 2025Enrolled31ConditionsChronic Tic DisorderArmsCombined HRT and ERP
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
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  6. Trial
  7. Evidence-Based Behavior Therapy for Tourette Syndrome.The Psychiatric clinics of North America · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. A Comprehensive Review of Tic Disorders in Children.Journal of clinical medicine · 2021
    Review
  20. A Review of Cognitive and Behavioral Interventions for Tic Disorder.Soa--ch'ongsonyon chongsin uihak = Journal of child & adolescent psychiatry · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Judith B NissenCenter for Child and Adolescent Psychiatry, Aarhus University Hospital Risskov, Risskov, Denmark. judiniss@rm.dk.ORCID http://orcid.org/0000-0003-4063-6866
Martin KaergaardCenter for Child and Adolescent Psychiatry, Aarhus University Hospital Risskov, Risskov, Denmark.
Lisbeth LaursenCenter for Child and Adolescent Psychiatry, Aarhus University Hospital Risskov, Risskov, Denmark.
Erik ParnerSection of Biostatistics, Department of Public Health, Aarhus University, Aarhus, Denmark.
Per Hove ThomsenCenter for Child and Adolescent Psychiatry, Aarhus University Hospital Risskov, Risskov, Denmark.
Aarhus University · DKAarhus University Hospital · DK

Funding

Lundbeckfonden R185-2014-2486
6 · The paper itself

Abstract

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.

Indexed as

AdolescentBehavior TherapyChildFemaleHumansMaleQuality of LifeTic DisordersTourette SyndromeTreatment OutcomeExposure response preventionGroupHabit reversal trainingManualPediatricTourette syndrome

Identifiers

PMID29956034
PMCPMC6349803
OpenAlexW2810821613

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.