Modified Comprehensive Behavioral Intervention for Tics: Treating Children With Tic Disorders, Co-Occurring ADHD, and Psychosocial Impairment

Greenberg, Erica; Albright, Caroline; Hall, Maggie; Hoeppner, Susanne S.; Miller, Sarah; Farley, Alyssa; Silverman, Michelle; Braddick, Valerie; Sprich, Susan E.; Wilhelm, Sabine

doi:10.1016/j.beth.2022.07.007

Cited by 7 publications

(6 citation statements)

References 41 publications

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“…Lastly, the temporal stability of the scores across the 6-month follow-up indicates that the effects persist after the completion of therapy, aligning with what was found for a three-month follow-up [41]. The results regarding the impact of pre-treatment tic scores on post-treatment tic scores and the effect of post-treatment on 6-month follow-up tic scores imply a relationship between the symptom evolution at different time points across participants.…”

Section: Discussionsupporting

confidence: 75%

“…CBT appears equally effective in individuals with comorbid ADHD symptoms, which matches the findings of Greenberg et al with an adolescent population [41]. The latter study proposed a modified therapy based on the original CBIT protocol proposed by Piacentini et al [29] and an adapted CBT for ADHD in adolescents proposed by Sprich et al [63].…”

Section: Discussionsupporting

confidence: 70%

“…The results indicate that CBT was more effective than other interventions in reducing the severity of motor tics, but no significant difference was found in vocal tics. A study by Greenberg et al [41], comparing the effectiveness of a new adaptation of CBIT to traditional CBIT in children and adolescents, indicated that the severity of tics, tic-related impairment, and ADHD symptoms decreased for both therapy groups. Three months later, the improvement remained stable across the first posttreatment and evaluation assessments.…”

Section: Cognitive and Behavioural Therapies For Gilles De La Tourett...mentioning

confidence: 99%

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Impacts of ADHD Symptomatology on the Response to Cognitive-Behavioural Therapy with Gilles de la Tourette Syndrome Patients

Mazur-Lainé,

Soubata,

Leclerc

et al. 2024

JCM

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(1) Background: Gilles de la Tourette Syndrome (TS) is a neurodevelopmental disorder characterized by motor and vocal tics. Attention deficit and hyperactivity disorder (ADHD) is a common comorbidity of TS that adds further impairment. Cognitive-behavioural therapy (CBT) has shown efficacy in treating tics, yet its effectiveness in individuals with TS and comorbid ADHD remains unclear. Also, it is suggested that ADHD characteristics like executive dysfunction and inattention could hinder the response to CBT. This study aims to compare the response to CBT for tics and its maintenance six months post-therapy among TS individuals with and without ADHD symptoms. (2) Methods: In this study, 55 TS participants who completed 14-week CBT for tics were split into high (TS+) or low (TS−) ADHD symptomatology groups. Outcomes were evaluated using the Yale Global Tic Severity Scale (YGTSS) regarding global tic severity and motor and vocal tic frequency post-CBT and at a 6-month follow-up. (3) Results: No significant group difference was found regarding improvements post-CBT (n = 55), nor the maintenance six months later (n = 45). (4) Conclusions: ADHD symptoms may not hinder the response to CBT or its maintenance, suggesting that TS individuals with ADHD symptoms may not require specialized CBT interventions.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 70%

Section: Cognitive and Behavioural Therapies For Gilles De La Tourett...mentioning

confidence: 99%

See 1 more Smart Citation

Impacts of ADHD Symptomatology on the Response to Cognitive-Behavioural Therapy with Gilles de la Tourette Syndrome Patients

Mazur-Lainé,

Soubata,

Leclerc

et al. 2024

JCM

View full text Add to dashboard Cite

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Section: Resultsmentioning

confidence: 99%

“…A few studies on face-to-face CBIT were also published in 2022. In a US study, Greenberg and colleagues evaluated a modified CBIT intervention, which also included the treatment of comorbid ADHD and psychosocial impairment from both TS/CTD and ADHD (Greenberg et al 2023). Seventeen young participants with both TS/CTD and ADHD were randomized to modified CBIT (n = 9) or a traditional CBIT comparator (n = 8).…”

Section: Treatmentmentioning

confidence: 99%