Efficacy of Psychotherapy Treatment of Children With Tics

University of Cologne100 enrolled

Overview

The main purpose of this study is to evaluate the efficacy of a habit reversal based treatment programme compared to an alternative treatment which aims at the activation of resources 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 (THICS, Woitecki \& Döpfner, 2014) compared to an intervention aimed at the activation of resources (STARK, Perri et al., 2014) 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). The activation of resources treatment programme was also developed at this Department and is currently evaluated in different studies. Effects are expected in both interventions, but a larger effect is expected in the THICS treatment

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

100

Conditions

Tic-Disorder

Interventions

Habit Reversal TrainingBEHAVIORAL

awareness training, competing response training

Resources activationBEHAVIORAL

Eligibility

Sex: ALLMin age: 8 YearsMax age: 18 Years

Medical Language ↔ Plain English

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 * Intelligence 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 -

Locations (1)

University Hospital of Cologne, Department of Childhood and Adolescent Psychiatry and Psychotherapy

Cologne, Germany

RECRUITING

Outcomes

Primary Outcomes

Change from baseline in Symptom Checklist for Tic-Symptoms (FBB-TIC, parent rating) at week 8, 16 and 24

The FBB-TIC is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by parents

Time frame: eight weeks (T1), sixteen weeks (T2) and 24 weeks (T3)

Change in Quality of Life (Tic-HRQoL-FBB)(parent rating)

The Tic-HRQoL-FBB is used to assess impairment and quality of life through tic symptoms and other comorbid symptoms rated by parents

Time frame: eight weeks (T1) and twenty-four weeks (T3)

Secondary Outcomes

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

Time frame: eight weeks (T1), sixteen weeks (T2) and 24 weeks (T3)

Change in Symptom Checklist for Tic-Symptoms, clinical rating

The Checklist is used to assess Tic-Symptoms according to DSM-IV and ICD-10 rated by clinicians

Time frame: eight weeks (T1), sixteen 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.

Time frame: eight weeks (T1), and 24 weeks (T3)

Change of comorbid OCD Symptoms (ZWIK-E), parent-rating

The ZWIK assess OCD criteria.

Time frame: eight weeks (T1), and 24 weeks (T3)

Change of comorbid Symptoms (CBCL/TRF/YSR), parent-/teacher-/self-rating

Data from ClinicalTrials.gov

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