title: [Changes in comorbid symptoms and subjective interference in a habit reversal therapy in children with chronic tic disorder - a pilot study].
abstract: OBJECTIVE
  This pilot study investigates the effects of habit reversal training in a German-speaking population of children and young adults with chronic tic disorders on comorbid symptoms and subjective interference.
  
  
  METHODS
  16 children were treated using a manualized program. Comorbid-symptoms (ADHD, anxiety and OCD, depression) were assessed using parent and self-ratings. Additionally, the correlation of tic symptoms with comorbid symptoms at the beginning of the therapy was analyzed.
  
  
  RESULTS
  We obtained positive results in reducing comorbid symptoms during a primary treatment of tic symptoms. We further found a correlation of tic symptoms and comorbid symptoms especially in parent ratings.
  
  
  CONCLUSIONS
  These first findings show that a primary treatment of tics may be indicated in patients with comorbid symptoms, because a therapy of tic symptoms has also positive effects on comorbid symptoms.
authors.affiliation: Institut für Klinische Kinderpsychologie der Christoph-Dornier-Stiftung an der Universität zu Köln. katrin.woitecki@googlemail.com
authors.forename: Katrin
authors.initials: K
authors.lastname: Woitecki
authors.forename: Manfred
authors.initials: M
authors.lastname: Döpfner
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000628:therapy; D001364:Awareness; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002908:Chronic Disease; D015897:Comorbidity; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000523:psychology / Q000628:therapy; D010552:Personality Assessment; D010865:Pilot Projects; D012649:Self Concept; D020323:Tics / Q000523:psychology* / Q000628:therapy*; D005879:Tourette Syndrome / Q000523:psychology* / Q000628:therapy*