Current controversies on the role of behavior therapy in Tourette syndrome.
Lawrence Scahill,Douglas W. Woods,Michael B. Himle,Alan L. Peterson,Sabine Wilhelm,John Piacentini,Kevin St. P. McNaught,John T. Walkup,Jonathan W. Mink +8 more
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Comprehensive behavioral intervention for tics (CBIT) is a safe and effective treatment for managing the tics of Tourette syndrome and can be considered a first‐line treatment for persons with tic disorders.Abstract:
Comprehensive behavioral intervention for tics (CBIT) is a safe and effective treatment for managing the tics of Tourette syndrome (TS). In contrast to most current medications used for the treatment of tics, the efficacy of CBIT has been demonstrated in 2 relatively large, multisite trials. It also shows durability of benefit over time. Similar to psychopharmacological intervention, skilled practitioners are required to implement the intervention. Despite concerns about the effort required to participate in CBIT, patients with TS and parents of children with TS appear willing to meet the requirements of the CBIT program. Efforts are under way to increase the number of trained CBIT providers in the United States. Based on available evidence, recent published guidelines suggest that CBIT can be considered a first-line treatment for persons with tic disorders. © 2013 Movement Disorder Society.read more
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Gilles de la Tourette syndrome
Mary M. Robertson,Valsamma Eapen,Valsamma Eapen,Harvey S. Singer,Davide Martino,Jeremiah M. Scharf,Jeremiah M. Scharf,Peristera Paschou,Peristera Paschou,Veit Roessner,Douglas W. Woods,Marwan Hariz,Marwan Hariz,Carol A. Mathews,Rudi Črnčec,Rudi Črnčec,James F. Leckman +16 more
TL;DR: Gilles de la Tourette syndrome (GTS) is a childhood-onset neurodevelopmental disorder characterized by several motor and phonic tics as discussed by the authors, which usually develops before 10 years of age, exhibit a waxing and waning course and typically improve with increasing age.
Journal Article
Gilles de la Tourette syndrome.
Mary M. Robertson,Stern Js +1 more
TL;DR: Future research that integrates clinical and neurobiological data, including neuroimaging and genetics, is expected to reveal the pathogenesis of GTS at the neural circuit level, which may lead to targeted interventions.
Journal ArticleDOI
Tics and Tourette Syndrome
Christos Ganos,Davide Martino +1 more
TL;DR: Gilles de la Tourette syndrome is a common neuropsychiatric disorder spectrum with tics as the defining feature as mentioned in this paper, however, the spectrum of associated comorbidities often complicate clinical presentation.
Journal ArticleDOI
Advances in management of movement disorders in children
TL;DR: It is vital to transfer the expanding knowledge of the movement disorders into the development of novel symptomatic or disease-modifying treatments, and to assess these therapeutic strategies in appropriately designed and well done trials.
Journal ArticleDOI
Perceptions of treatment for tics among young people with Tourette syndrome and their parents: a mixed methods study
José Cuenca,Cris Glazebrook,Tim Kendall,Tammy Hedderly,Isobel Heyman,Georgina M. Jackson,Tara Murphy,Hugh Rickards,Mary M. Robertson,Jeremy S Stern,Penny Trayner,Chris Hollis +11 more
TL;DR: A need for more training in the identification and management of TS and wider availability of behavioural treatments is suggested and the effectiveness of Aripiprazole used in combination with psycho-educational interventions to reduce anxiety and promote a sense of control is explored.
References
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The Yale Global Tic Severity Scale: Initial Testing of a Clinician-Rated Scale of Tic Severity
James F. Leckman,Mark A. Riddle,Maureen T. Hardin,Sharon I. Ort,Karen L. Swartz,John Stevenson,Donald J. Cohen +6 more
TL;DR: Data from 105 subjects support the construct, convergent, and discriminant validity of the instrument, and indicate that the YGTSS is a promising instrument for the assessment of tic severity in children, adolescents and adults.
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Habit-reversal: a method of eliminating nervous habits and tics.
Nathan H. Azrin,R.G. Nunn +1 more
TL;DR: The client practiced movements which were the reverse of the nervous habit, he learned to be aware of each instance of the habit and to differentiate it from its usual response chain and he was given social approval for his efforts to inhibit the habit.
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Behavior Therapy for Children With Tourette Disorder: A Randomized Controlled Trial
John Piacentini,Douglas W. Woods,Lawrence Scahill,Sabine Wilhelm,Alan L. Peterson,Susanna Chang,Golda S. Ginsburg,Thilo Deckersbach,James Dziura,Sue Levi-Pearl,John T. Walkup,John T. Walkup +11 more
TL;DR: A comprehensive behavioral intervention, compared with supportive therapy and education, resulted in greater improvement in symptom severity among children with Tourette and chronic tic disorder.
Journal ArticleDOI
Cortical and basal ganglia contributions to habit learning and automaticity
TL;DR: Evidence supports the view that subcortical structures, such as the striatum, make significant contributions to initial learning and indicates that automatic behaviors are striatum- and dopamine-independent, and might be mediated entirely within cortex.
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Adulthood outcome of tic and obsessive-compulsive symptom severity in children with Tourette syndrome.
Michael H. Bloch,Bradley S. Peterson,Lawrence Scahill,Jessica Otka,Lily Katsovich,Heping Zhang,James F. Leckman +6 more
TL;DR: Obsessive-compulsive disorder symptoms in children with TS became more severe at a later age and were more likely to persist than tic symptoms.