Current controversies on the role of behavior therapy in Tourette syndrome

被引：49

作者：

Scahill, Lawrence ^{[1
]}

Woods, Douglas W. ^{[2
]}

Himle, Michael B. ^{[3
]}

Peterson, Alan L. ^{[4
]}

Wilhelm, Sabine ^{[5
]}

Piacentini, John C. ^{[6
]}

McNaught, Kevin ^{[7
]}

Walkup, John T. ^{[8
]}

Mink, Jonathan W. ^{[9
]}

机构：

[1] Emory Univ, Sch Med, Marcus Ctr, Atlanta, GA 30329 USA

[2] Univ Wisconsin Milwaukee, Milwauke, WI USA

[3] Univ Utah, Salt Lake City, UT USA

[4] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA

[5] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Boston, MA USA

[6] Univ Calif Los Angeles, Los Angeles, CA USA

[7] Tourette Syndrome Assoc, Bayside, NY USA

[8] Weill Cornell Med Coll, New York, NY USA

[9] Univ Rochester, Sch Med, Rochester, NY USA

来源：

MOVEMENT DISORDERS | 2013年 / 28卷 / 09期

关键词：

Tourette syndrome; tics; habit reversal therapy; evidence-based treatment; PLACEBO-CONTROLLED TRIAL; DOUBLE-BLIND; HABIT-REVERSAL; DISORDER; CHILDREN; TICS; GUIDELINES; EFFICACY; BRAIN;

D O I：

10.1002/mds.25488

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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. (c) 2013 Movement Disorder Society

引用

页码：1179 / 1183

页数：5

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