Effectiveness of Behavior Therapy and Psychosocial Therapy for the Treatment of Tourette Syndrome and Chronic Tic Disorder

2009 ◽  
Author(s):  
Sabine Wilhelm
Keyword(s):  
Tourette Syndrome ◽  
Behavior Therapy ◽  
Tic Disorder ◽  
Psychosocial Therapy ◽  
Chronic Tic Disorder

scholarly journals Comorbid chronic tic disorder and tourette syndrome in children requiring inpatient mental health treatment

2021 ◽  
pp. 135910452110079
Author(s):  
Shaheen Zinna ◽  
Rebecca Luxton ◽  
Efstathios Papachristou ◽  
Danai Dima ◽  
Marinos Kyriakopoulos
Keyword(s):  
Mental Health ◽  
Tourette Syndrome ◽  
Mental Health Treatment ◽  
Autism Spectrum ◽  
Continuous Variables ◽  
Tic Disorder ◽  
Exact Test ◽  
Compulsive Disorder ◽  
Inpatient Mental Health ◽  
Chronic Tic Disorder

Objective: Children needing admission to an inpatient mental health unit often present with severe neuropsychiatric disorders characterised by complex psychopathology. We aimed to examine all admitted children with comorbid chronic tic disorder (CTD) and Tourette syndrome (TS) over a 10-year period and determine the clinical significance of these diagnoses. Method: A retrospective, naturalistic study was conducted, comparing children with and without CTD/TS in terms of co-morbid diagnoses, medication use, access to education, aggression contributing to the admission, duration of admission, functional outcomes and satisfaction with treatment. Data were analysed using Chi-square/Fisher’s exact test and t-test for categorical and continuous variables, respectively, and subsequently with unadjusted and adjusted linear and logistic regression analyses. Results: A relatively high proportion of children had co-morbid CTD/TS (19.7%). There was a significant association with co-morbid obsessive-compulsive disorder, intellectual disability and autism spectrum disorder but not attention deficit hyperactivity disorder. CTD/TS were associated with longer admissions even after adjustments for confounding but did not seem to be independently associated with other examined clinical characteristics. Conclusions: The prevalence of CTD/TS in children needing inpatient treatment is significant. In our sample, comorbid CTD/TS seem to represent a marker of overall symptom severity as evidenced by longer admissions.

scholarly journals The prevalence of tic disorders in children and adolescents in Brazil

2014 ◽  
Vol 72 (12) ◽  
pp. 942-948 ◽  
Author(s):  
Helvio L. Alves ◽  
Elizabeth M. A. B. Quagliato
Keyword(s):  
Special Education ◽  
Children And Adolescents ◽  
Tourette Syndrome ◽  
Special Education Students ◽  
Tic Disorders ◽  
Education Students ◽  
Tic Disorder ◽  
Item Questionnaire ◽  
Chronic Tic Disorder

Tourette syndrome (TS) and tic disorders represent events of familiar magnitude characterized by involuntary movements and/or vocalization. To determine the prevalence of TS/tic disorders we studied a sample of 762 subjects (388 M, 374 F), between 1992 and 1997, age 6 to 43 years old, taken out of a population of 10,155 subjects (4,918 M, 5,237 F; age: 3-56 years old). A structured 4-item questionnaire, direct interview (multistaged), >1 yr follow-up, were used. 9,565 subjects (4,614 M, 4,951 F) sent back the questionnaires, 3,354 of these (1,671 M, 1,683 F) with positive answers to tics. 42 subjects (31 M, 11 F, age: 7-21 years old, mean: 11 years old) met the DSM-III-R criteria. The total minimal prevalence of TS is 0.43%, with a 3:1 ratio male/female. The minimal prevalence of chronic tic disorder is 2.27%. The total minimal prevalence for tic disorders at all is 2.91%. No special education students participation.

scholarly journals Effectiveness of behaviour therapy for children and adolescents with Tourette syndrome and chronic tic disorder in a real-world setting

2020 ◽  
Author(s):  
Per Andrén ◽  
Vera Wachtmeister ◽  
Julia Franzé ◽  
Caroline Speiner ◽  
Lorena Fernández de la Cruz ◽  
...  
Keyword(s):  
Young People ◽  
Tourette Syndrome ◽  
Real World ◽  
Post Treatment ◽  
Reversal Training ◽  
Behaviour Therapy ◽  
Tic Disorder ◽  
Chronic Tic Disorder ◽  
Habit Reversal Training ◽  
Tic Severity

Background: Treatment guidelines recommend behaviour therapy (BT) as the first-line intervention for patients with Tourette syndrome (TS) and chronic tic disorder (CTD). The efficacy of BT has been documented in randomised controlled trials (RCTs), but it is unclear to what extent these results are generalisable to real-world clinical settings, and whether the therapeutic gains are maintained long-term.Methods: In this naturalistic study, 74 young people with TS/CTD (aged 6 to 17) received BT (including psychoeducation, exposure with response prevention, habit reversal training or a combination of these treatments) at a specialist clinic in Stockholm, Sweden. Data were routinely collected at baseline, post-treatment, and at 3-, 6-, and 12-month follow-ups. Measures included the clinician-rated Yale Global Tic Severity Scale (YGTSS) and the Clinical Global Impression – Improvement scale (CGI-I), amongst others.Results: Tic severity and tic-related impairment (as measured by the YGTSS) improved significantly after treatment, with large within-group effect sizes (d=1.03 for the YGTSS Total Tic Severity Score, and d=1.37 for the YGTSS Impairment Score). At post-treatment, 57% of the participants were classified as treatment responders according to the CGI-I. Both tic severity and tic-related impairment continued to improve further through the follow-up, with 75% of the participants being rated as responders 12 months after the end of treatment. Significant improvements were also observed across a range of secondary measures.Conclusions: BT is an effective and durable treatment for young people with TS/CTD in a real-world clinical setting, with effects comparable to those reported in RCTs.

scholarly journals Serious Transport Accidents in Tourette Syndrome or Chronic Tic Disorder

2020 ◽  
Author(s):  
David Mataix‐Cols ◽  
Gustaf Brander ◽  
Zheng Chang ◽  
Henrik Larsson ◽  
Brian M. D'Onofrio ◽  
...  
Keyword(s):  
Tourette Syndrome ◽  
Tic Disorder ◽  
Chronic Tic Disorder ◽  
Transport Accidents

scholarly journals Evaluation of a cognitive psychophysiological model for management of tic disorders: an open trial

2016 ◽  
Vol 209 (1) ◽  
pp. 76-83 ◽  
Author(s):  
Kieron O'Connor ◽  
Marc Lavoie ◽  
Pierre Blanchet ◽  
Marie-Ève St-Pierre-Delorme
Keyword(s):  
Tourette Syndrome ◽  
Self Esteem ◽  
Current Treatment ◽  
Open Trial ◽  
Tic Disorders ◽  
Tic Disorder ◽  
Chronic Tic Disorder ◽  
Tic Severity ◽  
Sensorimotor Processes

BackgroundTic disorders, in particular chronic tic disorder and Tourette syndrome, affect about 1% of the population. The current treatment of choice is pharmacological or behavioural, addressing tics or the premonitory urges preceding tic onset.AimsThe current study reports an open trial evaluating the effectiveness of a cognitive psychophysiological treatment addressing Tourette-specific sensorimotor activation processes rather than the tic.MethodForty-nine people with Tourette syndrome and 36 people with chronic tics completed 10 weeks of individual cognitive psychophysiological therapy. Outcome measures included two tic severity scales and psychosocial measures.ResultsPost-treatment both groups had significantly improved on the tic scales with strong effect sizes across tic locations and complex and simple tics, maintained at 6-month follow-up with further change in perfectionism and self-esteem.ConclusionsThe cognitive psychophysiological approach targeting underlying sensorimotor processes rather than tics in Tourette's and chronic tic disorder reduced symptoms with a large effect size.

scholarly journals Short-term Sulpiride Treatment of Children and Adolescents With Tourette Syndrome or Chronic Tic Disorder

2009 ◽  
Vol 108 (10) ◽  
pp. 788-793 ◽  
Author(s):  
Che-Sheng Ho ◽  
Hui-Ju Chen ◽  
Nan-Chang Chiu ◽  
Ein-Yiao Shen ◽  
Hung-Chi Lue
Keyword(s):  
Children And Adolescents ◽  
Tourette Syndrome ◽  
Short Term ◽  
Tic Disorder ◽  
Chronic Tic Disorder

Rage attacks in Tourette Syndrome and Chronic Tic Disorder: a systematic review

2020 ◽  
Vol 119 ◽  
pp. 21-36 ◽  
Author(s):  
Giulia Conte ◽  
Francesca Valente ◽  
Francesca Fioriello ◽  
Francesco Cardona
Keyword(s):  
Systematic Review ◽  
Tourette Syndrome ◽  
Tic Disorder ◽  
Chronic Tic Disorder
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