European clinical guidelines for Tourette syndrome and other tic disorders: summary statement

被引:48
作者
Mueller-Vahl, Kirsten R. [1 ]
Szejko, Natalia [2 ,3 ,4 ]
Verdellen, Cara [5 ,11 ]
Roessner, Veit [6 ]
Hoekstra, Pieter J. [7 ]
Hartmann, Andreas [8 ]
Cath, Danielle C. [9 ,10 ]
机构
[1] Hannover Med Sch, Clin Psychiat Social Psychiat & Psychotherapy, Carl Neuberg Str 1, D-30625 Hannover, Germany
[2] Med Univ Warsaw, Dept Neurol, Warsaw, Poland
[3] Med Univ Warsaw, Dept Bioeth, Warsaw, Poland
[4] Yale Univ, Yale Sch Med, Dept Neurol, New Haven, CT USA
[5] Parnassia Grp, PsyQ Nijmegen, Nijmegen, Netherlands
[6] Tech Univ Dresden, Dept Child & Adolescent Psychiat, Dresden, Germany
[7] Univ Groningen, Univ Med Ctr Groningen, Dept Child & Adolescent Psychiat, Groningen, Netherlands
[8] Hop La Pitie Salpetriere, Dept Neurol, Paris, France
[9] GGZ Drenthe Mental Hlth Inst, Dept Specialist Trainings, Assen, Netherlands
[10] Univ Groningen, Univ Med Ctr Groningen, Dept Psychiat, Groningen, Netherlands
[11] TicXperts, Heteren, Netherlands
关键词
Tourette syndrome; Tics; Comorbidities; Guidelines; Treatment; Classification; DEEP BRAIN-STIMULATION; DOUBLE-BLIND; ARIPIPRAZOLE; EFFICACY; CHILDREN; PEOPLE; SAFETY;
D O I
10.1007/s00787-021-01832-4
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
In 2011 a working group of the European Society for the Study of Tourette syndrome (ESSTS) developed the first European Guidelines for Tourette syndrome (TS) published in the ECAP journal. After a decade ESSTS now presents updated guidelines, divided into four sections: Part I: assessment, Part II: psychological interventions, Part III: pharmacological treatment and Part IV: deep brain stimulation (DBS). In this paper, we summarise new developments described in the guidelines with respect to assessment and treatment of tics. Further, summary findings from a recent survey conducted amongst TS experts on these same topics are presented, as well as the first European patient representative statement on research. Finally, an updated decision tree is introduced providing a practical algorithm for the treatment of patients with TS. Interestingly, in the last decade there has been a significant shift in assessment and treatment of tics, with more emphasis on non-pharmacological treatments.
引用
收藏
页码:377 / 382
页数:6
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