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Comparing Similar and Dissimilar Competing Responses for Tic Management
Abstract
ABSTRACT Competing‐response training is an important component of Habit‐Reversal Therapy. Competing responses are recommended to be incompatible with tics. However, research on the efficacy of non‐incompatible (“dissimilar”) competing responses is scant. We conducted two experiments with individuals with tics who had at least one established incompatible (“similar”) competing response and completed Habit‐Reversal Therapy previously. In Experiment 1, we compared similar and dissimilar competing responses in terms of tics reduction and interference with ongoing activities. In Experiment 2, we assessed the maintained effectiveness of dissimilar competing responses over multiple exposures, preference among competing response types, and the effects of similar and dissimilar competing responses on non‐targeted tics. Across both experiments, we observed similar tic reduction and disruption of ongoing activity when participants used either competing response type. Engagement was generally greater in dissimilar competing responses. We discuss potential implications for clinicians and areas of future research.
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We cannot exclude the possibility that the competing habit was not enabling the performance of a compulsion.
“Although there is evidence for similar competing responses being employed in treatment [70,71] and for a general neural domain of compulsions, whereby similar brain areas are active regardless of behavioural presentation [72], we cannot exclude the possibility that the competing habit was not enabling the performance of a compulsion.”
From Habit as a therapeutic component in psychological treatment for obsessive-compulsive disorder: A randomised controlled feasibility study. (2026) · cites this paper as [71]
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Pereira de Souza, A. M. F. L., Mpavaenda, D., Banca, P., Wellsted, D., Hopkins, J., Marzuki, A. A., Lee, M., Karafylli, E., Bardsley, O., Mazoruk, S., et al. (2026) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2026.152666 · Cited by 1
“Although there is evidence for similar competing responses being employed in treatment [70,71] and for a general neural domain of compulsions, whereby similar brain areas are active regardless of behavioural presentation [72], we cannot exclude the possibility that the competing habit was not…”
Metadata
- Authors
- Goldman, K. J., Simpson Martin, H., & DeLeon, I. G.
- Affiliations
- Kennedy Krieger Institute (US)
- UF Health Rehab‐Norman Fixel Institute for Neurological Diseases Gainesville Florida USA
- University of Florida (US)
- Corresponding author
- Goldman, Kissel J.
- Venue
- Behavioral Interventions
- Publisher
- Wiley
- Published
- 2024-12-12
- Volume
- 40
- Issue
- 1
- ISSN
- 1072-0847 (ISSN-L)
- 1099-078X
- OpenAlex
- W4405317055
- Cited by
- 1
- References
- 35
- Citations by year
- 2026: 1
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Behavioral Interventions (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Clinical Psychology › Stuttering Research and Treatment
- Keywords
- habit reversal therapy, tic reduction, maintenance of treatment effects, participant engagement
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