Habit Reversal Training and Acceptance and Commitment Therapy for Tourette Syndrome: A Pilot Project

Franklin, Martin E.; Best, Stephanie; Wilson, Michelle A.; Loew, Benjamin; Compton, Scott N.

doi:10.1007/s10882-010-9221-1

Cited by 49 publications

(21 citation statements)

References 18 publications

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“…First, the addition of adjunctive therapeutic components to existing evidence-based behavioral interventions may prove beneficial. Franklin and colleagues (2011) [75] found that adding acceptance and commitment therapy (ACT) to evidence-based behavior therapy yielded additional benefit relative to evidence-based behavior therapy alone in a small pilot study of youth with PTD [75]. Second, the augmentation of behavioral interventions with pharmacotherapy may result in enhanced therapeutic outcomes.…”

Section: Challenges Confronting Behavior Therapy For Ticsmentioning

confidence: 99%

Behavior Therapy for Tic Disorders: an Evidenced-Based Review and New Directions for Treatment Research

McGuire

Ricketts

Piacentini

et al. 2015

Curr Dev Disord Rep

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Behavior therapy is an evidenced-based intervention with moderate-to-large treatment effects in reducing tic symptom severity among individuals with Persistent Tic Disorders (PTDs) and Tourette’s Disorder (TD). This review describes the behavioral treatment model for tics, delineates components of evidence-based behavior therapy for tics, and reviews the empirical support among randomized controlled trials for individuals with PTDs or TD. Additionally, this review discusses several challenges confronting the behavioral management of tics, highlights emerging solutions for these challenges, and outlines new directions for treatment research.

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Section: Challenges Confronting Behavior Therapy For Ticsmentioning

confidence: 99%

Behavior Therapy for Tic Disorders: an Evidenced-Based Review and New Directions for Treatment Research

McGuire

Ricketts

Piacentini

et al. 2015

Curr Dev Disord Rep

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“…To give a sense of the breadth and range of additional applications, studies have been published evaluating MBIs for epilepsy [180–183], psoriasis [184], multiple sclerosis [185, 186], tinnitus (a constant ringing in the ears) [187, 188], King-Kopetzky syndrome (characterized by difficulty hearing speech in the presence of background noise) [189], menopause-related hot flashes [190, 191], prader-willi syndrome (characterized by over-eating and delay in the satiety response) [192], hepatitis C, [193], asthma [194], Parkinson's disease [195], Tourette's syndrome [196], chronic fatigue [197], urinary incontinence [198], failed back surgery syndrome [199], aneurismal subarachnoid hemorrhages [200], memory loss [201, 202], chronic obstructive lung disease [203], vestibular dysfunction [204], sexual dysfunction [205], migraines [206], as well as for groups of mixed medical patients [207–211]. …”

Section: Clinical Populationsmentioning

confidence: 99%

Mindfulness-Based Interventions for Physical Conditions: A Narrative Review Evaluating Levels of Evidence

2012

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Research on mindfulness-based interventions (MBIs) for treating symptoms of a wide range of medical conditions has proliferated in recent decades. Mindfulness is the cultivation of nonjudgmental awareness in the present moment. It is both a practice and a way of being in the world. Mindfulness is purposefully cultivated in a range of structured interventions, the most popular of which is mindfulness-based stress reduction (MBSR), followed by mindfulness-based cognitive therapy (MBCT). This paper begins with a discussion of the phenomenological experience of coping with a chronic and potentially life-threatening illness, followed by a theoretical discussion of the application of mindfulness in these situations. The literature evaluating MBIs within medical conditions is then comprehensively reviewed, applying a levels of evidence rating framework within each major condition. The bulk of the research looked at diagnoses of cancer, pain conditions (chronic pain, low back pain, fibromyalgia, and rheumatoid arthritis), cardiovascular disease, diabetes, human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), and irritable bowel syndrome. Most outcomes assessed are psychological in nature and show substantial benefit, although some physical and disease-related parameters have also been evaluated. The field would benefit from more adequately powered randomized controlled trials utilizing active comparison groups and assessing the moderating role of patient characteristics and program “dose” in determining outcomes.

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“…Both studies showed that treatment with HRT/CBIT significantly reduced the tic intensity as a total score with effect sizes of 0.68 [14] and 0.57 [15], and as separate scores for motor and vocal symptoms, as well as impairment [14] [effect sizes of 0.49 for motor tics, 0.50 for vocal tics, and 0.57 for impairment]. A combination of HRT with mindfulness or cognitive strategies did not show additional benefit [16, 17]. Recent systematic reviews have confirmed that HRT/CBIT are effective treatments in children and adolescents with TS (SMD − 0.64, 95% CI − 0.99 to − 0.29; n = 133 [9, 10]).…”

Section: Introductionmentioning

confidence: 99%

Combined habit reversal training and exposure response prevention in a group setting compared to individual training: a randomized controlled clinical trial

Nissen

Kærgaard

Laursen

et al. 2018

Eur Child Adolesc Psychiatry

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Chronic tic disorders may have a huge influence on quality of life. Habit reversal training (HRT) and exposure response prevention (ERP) are effective treatments. In a blinded assessed, open trial, this study evaluates the effectiveness of a newly developed Scandinavian tic treating manual designed to treat adolescents with a chronic tic disorder, combining HRT and ERP. The study compared the efficacy of treatment based on the same manual delivered either individually or in groups. The study was an open randomized controlled clinical trial in which adolescents were randomized to either individual or group therapy. Both therapies included nine sessions. The parents were offered group-based psycho-education. The exclusion criteria were chosen to design a study that would be close to clinical practice. This is the first Scandinavian study that examines the effectiveness of a treatment manual combining HRT and ERP delivered in an individual and group setting. The study showed a significant reduction of the Total Tic score on the Yale Global Tic Severity Scale both in the individual (effect size 1.21) and group setting (effect size 1.38). A total of 66.7% of participants were considered responders. There was no statistical significant difference between the individual and group setting apart from the functional impairment score. The reductions were comparable with those shown in other studies. The participants applied both HRT and ERP, and the majority (36/59) reported an increased post-treatment experience of control. The newly designed Scandinavian manual was equally effective in the individual and group setting with effect sizes comparable with those shown in other studies.

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Habit Reversal Training and Acceptance and Commitment Therapy for Tourette Syndrome: A Pilot Project

Cited by 49 publications

References 18 publications

Behavior Therapy for Tic Disorders: an Evidenced-Based Review and New Directions for Treatment Research

Behavior Therapy for Tic Disorders: an Evidenced-Based Review and New Directions for Treatment Research

Mindfulness-Based Interventions for Physical Conditions: A Narrative Review Evaluating Levels of Evidence

Combined habit reversal training and exposure response prevention in a group setting compared to individual training: a randomized controlled clinical trial

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