Treatment of Tourette Syndrome With Attention Training Technique—A Case Series

Schaich, Anja; Brandt, Valerie; Senft, Andrea; Schiemenz, Christian; Klein, Jan Philipp; Faßbinder, Eva; Münchau, Alexander; Alvarez‐Fischer, Daniel

doi:10.3389/fpsyt.2020.519931

Cited by 10 publications

(10 citation statements)

References 25 publications

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“… 52 . In children and adolescents without urges or only weak urge-tic associations, alternative strategies, e.g., attention training techniques, might be more appropriate 53 . Investigations of urge-tic relations may thus become useful for personalized treatment approached in this common neuropsychiatric disorder.…”

Section: Discussionmentioning

confidence: 99%

Urge-tic associations in children and adolescents with Tourette syndrome

Langelage

Verrel

Friedrich

et al. 2022

Sci Rep

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Premonitory urges preceding tics are a cardinal feature of Gilles de la Tourette syndrome (GTS), a developmental disorder usually starting during middle childhood. However, the temporal relation between urges and tics has only been investigated in adults. In 25 children and adolescents with GTS (8–18 years), we assess urge-tic associations, including inter-individual differences, correlation to clinical measures, and in comparison to a previously reported sample of adult GTS patients. Group-level analyses confirmed positive associations between urges and tics. However, at the individual level, less than half of participants showed positive associations, a similar proportion did not, and in two participants, the association was reversed. Tic expression and subjective urge levels correlated with corresponding clinical scores and participants with more severe tics during the urge monitor exhibited stronger urge-tic associations. Associations between reported urge levels and instantaneous tic intensity tended to be less pronounced in children and adolescents than in adult GTS patients. The observed heterogeneity of urge-tic associations cast doubt on the notion that tics are directly caused by urges. More severe tics may facilitate anticipation of tics and thereby lead to more pronounced urge-tic associations, consistent with a hypothesis of urges as a byproduct of tics.

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Section: Discussionmentioning

confidence: 99%

Urge-tic associations in children and adolescents with Tourette syndrome

Langelage

Verrel

Friedrich

et al. 2022

Sci Rep

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“…A very small (n = 3) case series described an interesting new BT technique based on attention training to suppress tics: to be followed ( Schaich et al . 2020 ).…”

Section: Resultsmentioning

confidence: 99%

Tourette syndrome research highlights from 2020

et al. 2022

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“…In 2020, the Agency of Surplus produced an international documentary film (“TICS”), a road movie, where three patients with TS first visited the Salpêtrière Hospital in Paris, where Tourette syndrome was first described and which is still a major center for Tourette research worldwide, then traveled to the Universities of Cologne, Hannover, and Lübeck (Germany) and ultimately to Lapland, where the reception of tics in a different social context was explored. The documentary also provides information on behavioral treatment in TS including new approaches, for instance, attention training techniques ( 53 ).…”

Section: Network In the Field Of Tourette Syndromementioning

confidence: 99%

Networks in the Field of Tourette Syndrome

Kleimaker

Behm

et al. 2021

Front. Neurol.

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Gilles de la Tourette syndrome (TS) is a neuropsychiatric neurodevelopmental disorder with the cardinal clinical features of motor and phonic tics. Clinical phenomenology can be complex since, besides tics, there are other features including premonitory urges preceding tics, pali-, echo-, and coprophenomena, hypersensitivity to external stimuli, and symptom dependency on stress, attention, and other less well-defined factors. Also, the rate of comorbidities, particularly attention deficit hyperactivity disorder and obsessive-compulsive disorder, is high. Mirroring the complexities of the clinical course and phenomenology, pathophysiological findings are very diverse, and etiology is disputed. It has become clear, though, that abnormalities in the basal ganglia and their connections with cortical areas are key for the understanding of the pathophysiology and as regards etiology, genetic factors are crucial. Against this background, both adequate clinical management of TS and TS-related research require multidisciplinary preferably international cooperation in larger groups or networks to address the multiple facets of this disorder and yield valid and useful data. In particular, large numbers of patients are needed for brain imaging and genetic studies. To meet these requirements, a number of networks and groups in the field of TS have developed over the years creating an efficient, lively, and supportive international research community. In this review, we will provide an overview of these groups and networks.

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Treatment of Tourette Syndrome With Attention Training Technique—A Case Series

Cited by 10 publications

References 25 publications

Urge-tic associations in children and adolescents with Tourette syndrome

Urge-tic associations in children and adolescents with Tourette syndrome

Tourette syndrome research highlights from 2020

Networks in the Field of Tourette Syndrome

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