Cognitive control processes in behavior therapy for youth with Tourette’s disorder

2021 ◽  
Author(s):  
Joseph F. McGuire ◽  
Alexandra Sturm ◽  
Emily J. Ricketts ◽  
Gabrielle E. Montalbano ◽  
Susanna Chang ◽  
...  
Keyword(s):  
Cognitive Control ◽  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder ◽  
Control Processes

scholarly journals Effect of behavior therapy for Tourette's disorder on psychiatric symptoms and functioning in adults

2019 ◽  
Vol 50 (12) ◽  
pp. 2046-2056 ◽  
Author(s):  
Joseph F. McGuire ◽  
Emily J. Ricketts ◽  
Lawrence Scahill ◽  
Sabine Wilhelm ◽  
Douglas W. Woods ◽  
...  
Keyword(s):  
Behavior Therapy ◽  
Functional Outcomes ◽  
Psychiatric Symptoms ◽  
Supportive Therapy ◽  
Repeated Measure ◽  
Tourette’S Disorder ◽  
Tourette's Disorder ◽  
Chronic Tic Disorder ◽  
Tic Severity

AbstractBackgroundAlthough behavior therapy reduces tic severity, it is unknown whether it improves co-occurring psychiatric symptoms and functional outcomes for adults with Tourette's disorder (TD). This information is essential for effective treatment planning. This study examined the effects of behavior therapy on psychiatric symptoms and functional outcomes in older adolescents and adults with TD.MethodA total of 122 individuals with TD or a chronic tic disorder participated in a clinical trial comparing behavior therapy to psychoeducation and supportive therapy. At baseline, posttreatment, and follow-up visits, participants completed assessments of tic severity, co-occurring symptoms (inattention, impulsiveness, hyperactivity, anger, anxiety, depression, obsessions, and compulsions), and psychosocial functioning. We compared changes in tic severity, psychiatric symptoms, and functional outcomes using repeated measure and one-way analysis of variance.ResultsAt posttreatment, participants receiving behavior therapy reported greater reductions in obsessions compared to participants in supportive therapy ($\eta _p^2 $ = 0.04, p = 0.04). Across treatments, a positive treatment response on the Clinical Global Impression of Improvement scale was associated with a reduced disruption in family life ($\eta _p^2 $ = 0.05, p = 0.02) and improved functioning in a parental role ($\eta _p^2 $ = 0.37, p = 0.02). Participants who responded positively to eight sessions of behavior therapy had an improvement in tic severity ($\eta _p^2 $ = 0.75, p < 0.001), inattention ($\eta _p^2 $ = 0.48, p < 0.02), and functioning ($\eta _p^2 $ = 0.39–0.42, p < 0.03–0.04) at the 6-month follow-up.ConclusionBehavior therapy has a therapeutic benefit for co-occurring obsessive symptoms in the short-term, and reduces tic severity and disability in adults with TD over time. Additional treatments may be necessary to address co-occurring symptoms and improve functional outcomes.

Manualized and Modular Behavior Therapy for a Child With Tourette’s Disorder, Inattention, and Disruptive Behavior

2016 ◽  
Vol 16 (2) ◽  
pp. 149-165 ◽  
Author(s):  
Flint M. Espil ◽  
T. David Elkin ◽  
John Young
Keyword(s):  
Disruptive Behavior ◽  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder

scholarly journals Optimizing behavior therapy for youth with Tourette’s disorder

2020 ◽  
Vol 45 (12) ◽  
pp. 2114-2119
Author(s):  
Joseph F. McGuire ◽  
Nathaniel Ginder ◽  
Kesley Ramsey ◽  
Joey Ka-Yee Essoe ◽  
Emily J. Ricketts ◽  
...  
Keyword(s):  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder

Integrated Behavior Therapy in the Treatment of Complicated Tourette’s Disorder and Its Comorbidities

2010 ◽  
Vol 9 (2) ◽  
pp. 154-163 ◽  
Author(s):  
W. Jeff Bryson ◽  
Christopher L. Edwards ◽  
David B. Sommer ◽  
Burton L. Scott
Keyword(s):  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder

scholarly journals An Empirical Examination of Symptom Substitution Associated With Behavior Therapy for Tourette's Disorder

2016 ◽  
Vol 47 (1) ◽  
pp. 29-41 ◽  
Author(s):  
Alan L. Peterson ◽  
Joseph F. McGuire ◽  
Sabine Wilhelm ◽  
John Piacentini ◽  
Douglas W. Woods ◽  
...  
Keyword(s):  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Empirical Examination ◽  
Tourette's Disorder

Integrated Behavior Therapy in the Treatment of Complicated Tourette’s Disorder and Its Comorbidities

2010 ◽  
Vol 9 (3) ◽  
pp. 181-190 ◽  
Author(s):  
W. Jeff Bryson ◽  
Christopher L. Edwards ◽  
David B. Sommer ◽  
Burton L. Scott
Keyword(s):  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder

Managing Tics and Tourette’s Disorder Using Behavior Therapy

2018 ◽  
Vol 57 (10) ◽  
pp. S335-S336
Author(s):  
Joseph McGuire ◽  
John Piacentini ◽  
Joseph McGuire
Keyword(s):  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder

Homework adherence predicts therapeutic improvement from behavior therapy in Tourette's disorder

2021 ◽  
Vol 140 ◽  
pp. 103844 ◽  
Author(s):  
Joey K.-Y. Essoe ◽  
Emily J. Ricketts ◽  
Kesley A. Ramsey ◽  
John Piacentini ◽  
Douglas W. Woods ◽  
...  
Keyword(s):  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder ◽  
Homework Adherence

Mechanisms Underlying Behavior Therapy for Tourette’s Disorder

2021 ◽  
Author(s):  
Joey Ka-Yee Essoe ◽  
Kesley A. Ramsey ◽  
Harvey S. Singer ◽  
Marco Grados ◽  
Joseph F. McGuire
Keyword(s):  
Behavior Therapy ◽  
Tourette’S Disorder ◽  
Tourette's Disorder

scholarly journals Behavior Therapy for the Treatment of Tourette’s Disorder in India: A Patient Series from an Indian General Hospital Psychiatric Unit

2020 ◽  
pp. 025371762092793
Author(s):  
Natarajan Varadharajan ◽  
Subho Chakrabarti ◽  
Swapnajeet Sahoo ◽  
Srinivas Balachander
Keyword(s):  
General Hospital ◽  
Behavior Therapy ◽  
Behavioral Interventions ◽  
Poor Response ◽  
Tourette’S Disorder ◽  
Psychiatric Unit ◽  
Subjective Distress ◽  
Tourette's Disorder ◽  
Behavioral Treatments ◽  
Patient Series

Reports on behavioral interventions for the treatment of Tourette’s disorder (TD) from India are limited. This patient series describes the usefulness and feasibility of conducting behavioral interventions for patients with TD from an Indian general hospital psychiatric unit. Behavioral treatments in these seven consecutively treated adult/adolescent patients with TD included all components of habit reversal treatment, comprehensive behavioral intervention for tics, and exposure with response prevention in some patients. Patients were predominantly male, with adolescent-onset severe TD, typical features and psychiatric comorbidities, and poor response to multiple medications prior to the institution of behavior therapy. In addition to long delays in diagnosis, none of the patients or their caregivers had been informed by the doctors they had consulted earlier about TD or the need for behavioral treatments before attending our center. Institution of behavioral treatments along with medications led to a 75% reduction in the severity of tics and reduction in comorbid symptoms. Patients and caregivers also reported similar rates of improvement as well as reductions in subjective distress and caregiver burden. Five patients have been followed up for seven months to seven years; apart from one patient, all others have had only minor exacerbations of tics during this period. This limited experience suggests that behavior therapies for TD can be successfully implemented in low-resource, non-specialized Indian settings. They are effective, and gains from such treatment are usually enduring.

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