Habit reversal training: Difference between revisions
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HRT still faces several issues including limited data as a result of retrospective, qualitative report studies. |
HRT still faces several issues including limited data as a result of retrospective, qualitative report studies. |
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Habit Reversal Therapy, in general, has fewer side effects than pharmecotherapy, and has been proven more effective than supportive psychotherapy |
Habit Reversal Therapy, in general, has fewer side effects than pharmecotherapy, and has been proven more effective than supportive psychotherapy (Wilhelm et al, 2003) |
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==References and notes== |
==References and notes== |
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{{reflist}} |
{{reflist}} |
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[[Category:Behavior therapy]] |
[[Category:Behavior therapy]] |
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[[Category:Behavior modification]] |
[[Category:Behavior modification]] |
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Wilhelm S, Deckersbach T, Coffey BJ, Bohne A Peterson AL, Baer L: Habit reversal versus supportive psychotherapy for Tourette's disorder: A randomized controlled trial. Am J Psychiatry 160:1175-1177, 2003. |
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Revision as of 15:18, 16 October 2008
Habit reversal training (HRT) is a "multicomponent behavioral treatment package originally developed to address a wide variety of repetitive behavior disorders".[1]
Behavioral disorders treated with HRT include tics, trichotillomania, nail biting, thumb sucking, and skin picking.[2] It consists of five components:[1]
- awareness training,
- competing response training,
- contingency management,
- relaxation training, and
- generalization training.
In the case of tics, these components are intended to increase tic awareness, develop a competing response to the tic, and build treatment motivation and compliance.[1] HRT is based on the presence of a premonitory urge, or sensation occurring before a tic. HRT involves replacing a tic with a competing response, a more comfortable or acceptable movement/sound, when a patient feels a premontory urge building. Controlled trials have demonstrated that HRT is an acceptable, tolerable, effective and durable treatment for tics.[1]
HRT still faces several issues including limited data as a result of retrospective, qualitative report studies.
Habit Reversal Therapy, in general, has fewer side effects than pharmecotherapy, and has been proven more effective than supportive psychotherapy (Wilhelm et al, 2003)
References and notes
- ^ a b c d Piacentini JC, Chang SW. Behavioral treatments for tic suppression: habit reversal training. Adv Neurol. 2006;99:227–33. PMID 16536370
- ^ Azrin NH, Nunn RG. Habit-reversal: a method of eliminating nervous habits and tics. Behav Res Ther. 1973 Nov;11(4):619–28. PMID 4777653 As reported in Piacentini JC, Chang SW. Behavioral treatments for tic suppression: habit reversal training. Adv Neurol. 2006;99:227–33. PMID 16536370
Wilhelm S, Deckersbach T, Coffey BJ, Bohne A Peterson AL, Baer L: Habit reversal versus supportive psychotherapy for Tourette's disorder: A randomized controlled trial. Am J Psychiatry 160:1175-1177, 2003.