Your browser doesn't support javascript.
loading
Long-term Outcomes of Behavior Therapy for Youth With Tourette Disorder.
Espil, Flint M; Woods, Douglas W; Specht, Matthew W; Bennett, Shannon M; Walkup, John T; Ricketts, Emily J; McGuire, Joseph F; Stiede, Jordan T; Schild, Jennifer S; Chang, Susanna W; Peterson, Alan L; Scahill, Lawrence; Wilhelm, Sabine; Piacentini, John C.
Afiliación
  • Espil FM; Stanford University School of Medicine, California.
  • Woods DW; Marquette University, Milwaukee, Wisconsin. Electronic address: douglas.woods@marquette.edu.
  • Specht MW; Weill Cornell Medicine, New York.
  • Bennett SM; Weill Cornell Medicine, New York.
  • Walkup JT; Northwestern University Feinberg School of Medicine, Chicago, Illinois.
  • Ricketts EJ; UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California.
  • McGuire JF; Johns Hopkins University School of Medicine, Baltimore, Maryland.
  • Stiede JT; Marquette University, Milwaukee, Wisconsin.
  • Schild JS; Suffolk University, Boston, Massachusetts.
  • Chang SW; UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California.
  • Peterson AL; University of Texas Health Sciences Center at San Antonio, Texas.
  • Scahill L; Emory University, Atlanta, Georgia.
  • Wilhelm S; Massachusetts General Hospital and Harvard School of Medicine, Boston, Massachusetts.
  • Piacentini JC; UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California.
J Am Acad Child Adolesc Psychiatry ; 61(6): 764-771, 2022 06.
Article en En | MEDLINE | ID: mdl-34508805
OBJECTIVE: To determine the long-term durability of behavior therapy for tics among youth with Tourette disorder and persistent (chronic) motor or vocal tic disorders. METHOD: Of the 126 youth who participated in a randomized controlled trial of behavior therapy 11 years prior, 80 were recruited for this longitudinal follow-up. Consenting participants were interviewed in person or remotely (Web-based video) by trained evaluators to determine the course of tics, current tic severity, and tic-related impairment. Recruitment and data collection occurred between 2014 and 2019, with an average follow-up duration of 11.2 years. RESULTS: Treatment responders to both conditions in the original trial achieved partial, but not full, tic remission. Tic severity also decreased significantly across the sample, with 40% reporting partial remission. Behavior therapy responders (n = 21) in the original trial were more likely (67%) to achieve remission at follow-up (Total Tic Score = 12.52, SD = 10.75) compared to psychoeducation/supportive therapy responders (n = 6, 0%) at follow-up (Total Tic Score = 20.67, SD = 6.92) on the Yale Global Tic Severity Scale. Tic-related impairment decreased across the sample, with no significant differences between treatment groups or responders. CONCLUSION: Despite limitations of unmeasured variables and veracity of self-report at follow-up, this study supports guidelines recommending behavior therapy as the first-line intervention for tics. Further investigation of behavior therapy as an early preventive intervention also merits attention.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Tic / Síndrome de Tourette / Tics Tipo de estudio: Clinical_trials / Guideline / Qualitative_research Límite: Adolescent / Humans Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Tic / Síndrome de Tourette / Tics Tipo de estudio: Clinical_trials / Guideline / Qualitative_research Límite: Adolescent / Humans Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Asunto de la revista: PEDIATRIA / PSIQUIATRIA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos