Initial treatment retention for habit reversal training in adults with Tourette syndrome

Felicity Pilcher, Stefano Seri, Andrea E. Cavanna*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review



Tourette syndrome (TS) is a chronic neuropsychiatric disorder characterised by multiple motor and phonic tics. Habit Reversal Training (HRT) is increasingly recognised as an effective behavioural intervention in the treatment of tics, however little is known about the characteristics of adult patients who attend HRT sessions.


In this study, the demographic and clinical characteristics of 57 adult patients with TS consecutively referred to HRT intervention were retrospectively reviewed. Correlation and regression analyses were used to examine associations between patients' characteristics and their HRT attendance.


Twelve out of 57 patients were excluded from the analysis because of inappropriate referral and/or insufficient data. One in three of the remaining patients (15/45) failed to attend HRT following referral by the treating consultant. There were no significant differences in the demographic or clinical characteristics between patients who attended HRT and patients who did not. A trend towards statistical significance (p = 0.08) was found for decreased tic severity as predictor of poor attendance.


Our findings suggest that initial treatment retention for HRT in TS can be suboptimal and reasons for poor attendance might be external to demographic or clinical factors. The statistical trend for decreased tic severity as predictor of poor attendance is of potential clinical relevance and needs replication. Further investigations on larger clinical samples will help to optimise care pathways and resource allocation strategies for patients with tics referred to behavioural interventions.

Original languageEnglish
Pages (from-to)290-295
Number of pages6
JournalJournal of Psychopathology
Issue number4
Publication statusPublished - Dec 2020

Bibliographical note

© Copyright by Pacini Editore Srl. This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for noncommercial purposes and only in the original version. For further information:


  • Behaviour
  • Habit reversal training
  • Initial treatment retention attendance
  • Tics
  • Tourette syndrome


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