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Adaptation of movement decoupling for compulsive joint cracking: A case report.
Steffen Moritz1, Yves Bellinghausen, Stella Schmotz1
1University Medical Center Hamburg, Department of Psychiatry and Psychotherapy, Hamburg, Germany.
Bulletin of the Menninger Clinic
|December 1, 2022
Summary
This case study shows that decoupling and fidget devices may help reduce compulsive joint cracking, a body-focused repetitive behavior (BFRB). Further research is needed to confirm these findings.
Area of Science:
- Psychiatry
- Behavioral Psychology
Background:
- Compulsive joint cracking is a body-focused repetitive behavior (BFRB) often leading to social stigma.
- No specific studies address behavioral interventions for compulsive joint cracking.
Observation:
- A case study of individual DZ with severe joint cracking (knuckles, back) is presented.
- DZ was assessed using an adapted Generic BFRB Scale (GBS).
Findings:
- DZ utilized decoupling techniques and fidget devices, mimicking the behavior discreetly.
- GBS scores decreased by nearly 50%, with DZ reporting improved self-control.
Implications:
- Decoupling and fidget devices show promise for managing compulsive joint cracking.
- Randomized controlled trials are necessary to validate these interventions for BFRBs.
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