The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Comparing the effectiveness of similar and dissimilar competing responses in evaluating the habit reversal treatment for oral-digital habits in children
Abstract
In the present study 26 children with chronic oral-digital habits were randomly assigned to 1 of 3 conditions. Group 1 received habit reversal using a similar competing response. Group 2 received habit reversal using a dissimilar competing response, and Group 3 served as a wait-list control group. Three videotaped observations were taken at pretreatment and again at posttreatment. In addition, social acceptability data were collected on the treatment groups at posttreatment. Results showed that the similar and dissimilar groups were engaging in significantly less oral-digital behavior at posttreatment when compared to the control group. However, the two treatment groups did not differ from each other in terms of treatment gains or acceptability. These results suggest that habit reversal is an effective treatment for oral digital habits in children. In addition, it appears that the competing response does not function as a physically incompatible behavior. Implications of the findings are discussed.
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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 [70]
Citations
Cites
Single Case Experimental Designs: Strategies for Studying Behavior Change
Barlow, D. H., Nock, M. K., & Hersen, M. (1976) · Cited by 3,036
Habit-reversal: a method of eliminating nervous habits and tics
Azrin, N. H., & Nunn, R. G. (1973) · Behaviour Research and Therapy · doi:10.1016/0005-7967(73)90119-8 · Cited by 967
Development of a modified treatment evaluation inventory
Kelley, M. L., Heffer, R. W., Gresham, F. M., & Elliott, S. N. (1989) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/bf00960495 · Cited by 409
APPLYING BEHAVIOR ANALYSIS TO CLINICAL PROBLEMS: REVIEW AND ANALYSIS OF HABIT REVERSAL
Miltenberger, R. G., Fuqua, R. W., & Woods, D. W. (1998) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1998.31-447 · Cited by 168
SEQUENTIAL APPLICATION OF MAJOR HABIT‐REVERSAL COMPONENTS TO TREAT MOTOR TICS IN CHILDREN
Woods, D. W., Miltenberger, R. G., & Lumley, V. A. (1996) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1996.29-483 · Cited by 163
Habit reversal with muscle tics: Replication and component analysis
Miltenberger, R. G., Fuqua, R. W., & McKinley, T. (1985) · Behavior Therapy · doi:10.1016/s0005-7894(85)80054-x · Cited by 127
Miltenberger, R. G., & Fuqua, R. W. (1985) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(85)90063-1 · Cited by 80
Replication and social validation of habit reversal treatment for tics
Finney, J. W., Rapoff, M. A., Hall, C. L., & Christophersen, E. R. (1983) · Behavior Therapy · doi:10.1016/s0005-7894(83)80091-4 · Cited by 73
Habit reversal vs. negative practice treatment of nailbiting
Azrin, N. H., Nunn, R. G., & Frantz, S. E. (1980) · Behaviour Research and Therapy · doi:10.1016/0005-7967(80)90086-8 · Cited by 63
ANALYSIS OF A SIMPLIFIED TREATMENT FOR STUTTERING IN CHILDREN
Wagaman, J. R., Meltenberger, R. G., & Arndorfer, R. E. (1993) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1993.26-53 · Cited by 54
Woods, D. W., Fuqua, R. W., & Outman, R. C. (1999) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/a:1022839609859 · Cited by 51
Habit reversal treatment of thumbsucking
Azrin, N. H., Nunn, R. G., & Frantz-Renshaw, S. E. (1980) · Behaviour Research and Therapy · doi:10.1016/0005-7967(80)90004-2 · Cited by 50
Treating nailbiting: A comparative analysis of mild aversion and competing response therapies
Silber, K. P., & Haynes, C. E. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90091-t · Cited by 48
THE TREATMENT OF MUSCLE TICS WITH DISSIMILAR COMPETING RESPONSE PRACTICE
Sharenow, E. L., Fuqua, R. W., & Miltenberger, R. G. (1989) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1989.22-35 · Cited by 48
Influence of Thumb Sucking on Peer Social Acceptance in First-Grade Children
Friman, P. C., McPherson, K. M., Warzak, W. J., & Evans, J. (1993) · PEDIATRICS · doi:10.1542/peds.91.4.784 · Cited by 41
Habit reversal treatment: Learning an incompatible response or increasing the subject's awareness?
Ladouceur, R. (1979) · Behaviour Research and Therapy · doi:10.1016/0005-7967(79)90003-2 · Cited by 41
Christensen, A. P., & Sanders, M. R. (1987) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1987.tb00211.x · Cited by 41
Habit reversal treatment for fingernail biting
Horne, D. J. D. L., & Wilkinson, J. (1980) · Behaviour Research and Therapy · doi:10.1016/0005-7967(80)90087-x · Cited by 34
Examining the Social Effects of Habit Behaviors Exhibited by Individuals with Mental Retardation
Long, E. S., Woods, D. W., Miltenberger, R. G., Fuqua, R. W., & Boudjouk, P. J. (1999) · Journal of Developmental and Physical Disabilities · doi:10.1023/a:1021862723409 · Cited by 29
Flagged first, then by citations
Research works printed but not linked: 1
- DeFrancesco, J. J., Zahner, C. E. P., & Pawelkiewicz, W. (1989). Childhood nailbiting. Journal of Social Behavior and Personality, 4, 157–161.
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Metadata
- Authors
- Woods, D. W., Murray, L. K., Fuqua, R. W., Seif, T. A., Boyer, L. J., & Siah, A.
- Affiliations
- University of Wisconsin–Milwaukee (US)
- Western Michigan University (US)
- Corresponding author
- Woods, Douglas W.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 1999-12
- Volume
- 30
- Issue
- 4
- Pages
- 289-300
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W1964078366
- Cited by
- 61
- References
- 20
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 4 · 2012: 1
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- habit reversal, competing responses, children, treatment acceptability
- MeSH terms
- Adolescent, Behavior Therapy, Child, Child, Preschool, Cues, Female, Fingersucking, Habits, Humans, Male, Nail Biting, Reinforcement, Psychology, Treatment Outcome
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