https://doi.org/10.1007/s40429-024-00596-6. Direct evidence supporting Habit Reversal Therapy (HRT) as a treatment for gaming disorder is currently lacking. While HRT is an established behavioural intervention for tic disorders and other maladaptive repetitive behaviours (Bate et al., 2011; Piacentini et al., 2010), to our knowledge no controlled studies have specifically evaluated manualised HRT, either alone or in combination with cognitive behavioural therapy, for reducing compulsive gaming behaviour. However, emerging evidence suggests that interventions targeting automatic, cue-triggered behavioural processes may be relevant to the treatment of gaming disorder. For example, studies using approach bias modification training have reported reductions in gaming-related symptoms and changes in neural systems associated with executive control (Wu et al., 2022; Fu et al., 2025; Luo et al., 2026). Although approach bias modification is distinct from formal HRT and should not be considered equivalent, such findings provide indirect support for the broader principle that targeting automatic behavioural tendencies may be clinically useful in addressing compulsive facets of gaming disorder. This represents a mechanism-based consideration rather than evidence of efficacy for HRT per se. Bate, K. S., Malouff, J. M., & Thorsteinsson, E. B. (2011). The efficacy of habit reversal therapy for tics, habit disorders, and stuttering: A meta-analytic review. Clinical Psychology Review, 31(5), 865–871. https://doi.org/10.1016/j.cpr.2011.03.013. Piacentini, J., Woods, D. W., Scahill, L., et al. (2010). Behavior therapy for children with Tourette disorder: A randomized controlled trial. JAMA, 303(19), 1929–1937. https://doi.org/10.1001/jama.2010.607. Fu, J., Xu, X., Dong, Y. S., et al. (2025). Efficacy and neural mechanisms of approach bias modification training in internet gaming disorder: A randomized clinical trial. Journal of Affective Disorders, 376, 355–365. https://doi.org/10.1016/j.jad.2025.02.026. Luo, X., He, S., Fu, J., et al. (2026). Approach bias modification training reduces gaming severity and improves brain network topology in Internet gaming disorder. Addictive Behaviors, 172, 108,494. https://doi.org/10.1016/j.addbeh.2025.108494. Wu L, Xu JH, Song KR, Zhu L, et al. (2022) Emotional bias modification weakens game-related compulsivity and reshapes fronto-striatal pathways. Brain 145(12):4210 − 422. https://doi.org/10.1093/brain/awac267. The original article has been corrected.
Correction to: How to Treat Compulsive Facets of Behavioural Addictions / Fineberg, N. A.; Pellegrini, L.; Solly, J. E.; Mpavaenda, D. N.; Chamberlain, S. R.; Grant, J. E.. - In: CURRENT ADDICTION REPORTS. - ISSN 2196-2952. - 13:1(2026), pp. 37.--37.-. [10.1007/s40429-026-00744-0]
Correction to: How to Treat Compulsive Facets of Behavioural Addictions
Pellegrini, L.
;
2026-01-01
Abstract
https://doi.org/10.1007/s40429-024-00596-6. Direct evidence supporting Habit Reversal Therapy (HRT) as a treatment for gaming disorder is currently lacking. While HRT is an established behavioural intervention for tic disorders and other maladaptive repetitive behaviours (Bate et al., 2011; Piacentini et al., 2010), to our knowledge no controlled studies have specifically evaluated manualised HRT, either alone or in combination with cognitive behavioural therapy, for reducing compulsive gaming behaviour. However, emerging evidence suggests that interventions targeting automatic, cue-triggered behavioural processes may be relevant to the treatment of gaming disorder. For example, studies using approach bias modification training have reported reductions in gaming-related symptoms and changes in neural systems associated with executive control (Wu et al., 2022; Fu et al., 2025; Luo et al., 2026). Although approach bias modification is distinct from formal HRT and should not be considered equivalent, such findings provide indirect support for the broader principle that targeting automatic behavioural tendencies may be clinically useful in addressing compulsive facets of gaming disorder. This represents a mechanism-based consideration rather than evidence of efficacy for HRT per se. Bate, K. S., Malouff, J. M., & Thorsteinsson, E. B. (2011). The efficacy of habit reversal therapy for tics, habit disorders, and stuttering: A meta-analytic review. Clinical Psychology Review, 31(5), 865–871. https://doi.org/10.1016/j.cpr.2011.03.013. Piacentini, J., Woods, D. W., Scahill, L., et al. (2010). Behavior therapy for children with Tourette disorder: A randomized controlled trial. JAMA, 303(19), 1929–1937. https://doi.org/10.1001/jama.2010.607. Fu, J., Xu, X., Dong, Y. S., et al. (2025). Efficacy and neural mechanisms of approach bias modification training in internet gaming disorder: A randomized clinical trial. Journal of Affective Disorders, 376, 355–365. https://doi.org/10.1016/j.jad.2025.02.026. Luo, X., He, S., Fu, J., et al. (2026). Approach bias modification training reduces gaming severity and improves brain network topology in Internet gaming disorder. Addictive Behaviors, 172, 108,494. https://doi.org/10.1016/j.addbeh.2025.108494. Wu L, Xu JH, Song KR, Zhu L, et al. (2022) Emotional bias modification weakens game-related compulsivity and reshapes fronto-striatal pathways. Brain 145(12):4210 − 422. https://doi.org/10.1093/brain/awac267. The original article has been corrected.Pubblicazioni consigliate
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