Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial

Objective:This is a parallel, three group, randomized, controlled clinical trial, with outcomes evaluated up to three months after randomization for children and adolescents with chronic nail biting. The current study investigates the efficacy of habit reversal training (HRT) and compares its effect...

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Main Authors: Amir Bazrafshan, Ali Firoozabadi, Gholamreza Dehbozorgi, Ahmad Ghanizadeh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2013-06-01
Series:Iranian Journal of Psychiatry
Subjects:
Online Access:http://ijps.tums.ac.ir/index.php/ijps/article/view/521/377
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author Amir Bazrafshan
Ali Firoozabadi
Gholamreza Dehbozorgi
Ahmad Ghanizadeh
author_facet Amir Bazrafshan
Ali Firoozabadi
Gholamreza Dehbozorgi
Ahmad Ghanizadeh
author_sort Amir Bazrafshan
collection DOAJ
description Objective:This is a parallel, three group, randomized, controlled clinical trial, with outcomes evaluated up to three months after randomization for children and adolescents with chronic nail biting. The current study investigates the efficacy of habit reversal training (HRT) and compares its effect with object manipulation training (OMT) considering the limitations of the current literature .Method:Ninety one children and adolescents with nail biting were randomly allocated to one of the three groups. The three groups were HRT (n=30), OMT (n=30), and wait-list or control group (n=31). The mean length of nail was considered as the main outcome .Results:The mean length of the nails after one month in HRT and OMT groups increased compared to the waiting list group (P<0.001, P<0.001, respectively). In long term, both OMT and HRT increased the mean length of nails (P<0.01), but HRT was more effective than OMT (P<0.021). The parent-reported frequency of nail biting did show similar results as to the mean length of nails assessment in long term. The number of children who completely stopped nail biting in HRT and OMT groups during three months was 8 and 7, respectively. This number was zero during one month for the wait-list group .Conclusion:This trial showed that HRT is more effective than wait-list and OMT in increasing the mean length of nails of children and adolescents in long terms.
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spelling doaj.art-b3624a6d7cd24a0db0686cae38df89e62022-12-21T21:19:55ZengTehran University of Medical SciencesIranian Journal of Psychiatry1735-45872008-22152013-06-01826167Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical TrialAmir BazrafshanAli FiroozabadiGholamreza DehbozorgiAhmad GhanizadehObjective:This is a parallel, three group, randomized, controlled clinical trial, with outcomes evaluated up to three months after randomization for children and adolescents with chronic nail biting. The current study investigates the efficacy of habit reversal training (HRT) and compares its effect with object manipulation training (OMT) considering the limitations of the current literature .Method:Ninety one children and adolescents with nail biting were randomly allocated to one of the three groups. The three groups were HRT (n=30), OMT (n=30), and wait-list or control group (n=31). The mean length of nail was considered as the main outcome .Results:The mean length of the nails after one month in HRT and OMT groups increased compared to the waiting list group (P<0.001, P<0.001, respectively). In long term, both OMT and HRT increased the mean length of nails (P<0.01), but HRT was more effective than OMT (P<0.021). The parent-reported frequency of nail biting did show similar results as to the mean length of nails assessment in long term. The number of children who completely stopped nail biting in HRT and OMT groups during three months was 8 and 7, respectively. This number was zero during one month for the wait-list group .Conclusion:This trial showed that HRT is more effective than wait-list and OMT in increasing the mean length of nails of children and adolescents in long terms.http://ijps.tums.ac.ir/index.php/ijps/article/view/521/377Nail BitingBehavior Therapyobject manipulationClinical Trial
spellingShingle Amir Bazrafshan
Ali Firoozabadi
Gholamreza Dehbozorgi
Ahmad Ghanizadeh
Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial
Iranian Journal of Psychiatry
Nail Biting
Behavior Therapy
object manipulation
Clinical Trial
title Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial
title_full Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial
title_fullStr Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial
title_full_unstemmed Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial
title_short Habit Reversal Versus Object Manipulation Training for Treating Nail Biting: A Randomized Controlled Clinical Trial
title_sort habit reversal versus object manipulation training for treating nail biting a randomized controlled clinical trial
topic Nail Biting
Behavior Therapy
object manipulation
Clinical Trial
url http://ijps.tums.ac.ir/index.php/ijps/article/view/521/377
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