Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review
Tourette syndrome (TS) is a disorder characterised by multiple motor and vocal tics and is frequently associated with behavioural problems. Tics are known to be affected by internal factors such as inner tension and external factors such as the surrounding environment. A number of behavioural treatm...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Behavioural Neurology |
| Online Access: | http://dx.doi.org/10.3233/BEN-120309 |
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| _version_ | 1849403580349415424 |
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| author | Madeleine Frank Andrea Eugenio Cavanna |
| author_facet | Madeleine Frank Andrea Eugenio Cavanna |
| author_sort | Madeleine Frank |
| collection | DOAJ |
| description | Tourette syndrome (TS) is a disorder characterised by multiple motor and vocal tics and is frequently associated with behavioural problems. Tics are known to be affected by internal factors such as inner tension and external factors such as the surrounding environment. A number of behavioural treatments have been suggested to treat the symptoms of TS, in addition to pharmacotherapy and surgery for the most severe cases. This review compiled all the studies investigating behavioural therapies for TS, briefly describing each technique and assessing the evidence in order to determine which of these appear to be effective. Different behavioural therapies that were used included habit reversal training (HRT), massed negative practice, supportive psychotherapy, exposure with response prevention, self-monitoring, cognitive-behavioural therapy, relaxation therapy, assertiveness training, contingency management, a tension-reduction technique and biofeedback training. Overall, HRT is the best-studied and most widely-used technique and there is sufficient experimental evidence to suggest that it is an effective treatment. Most of the other treatments, however, require further investigation to evaluate their efficacy. Specifically, evidence suggests that exposure with response prevention and self-monitoring are effective, and more research is needed to determine the therapeutic value of the other treatments. As most of the studies investigating behavioural treatments for TS are small-sample or single-case studies, larger randomised controlled trials are advocated. |
| format | Article |
| id | doaj-art-8e5c5f84e7c541448fd5fac63df534ba |
| institution | Kabale University |
| issn | 0953-4180 1875-8584 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Behavioural Neurology |
| spelling | doaj-art-8e5c5f84e7c541448fd5fac63df534ba2025-08-20T03:37:15ZengWileyBehavioural Neurology0953-41801875-85842013-01-0127110511710.3233/BEN-120309Behavioural Treatments for Tourette Syndrome: An Evidence-Based ReviewMadeleine Frank0Andrea Eugenio Cavanna1The Michael Trimble Neuropsychiatry Research Group, Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UKThe Michael Trimble Neuropsychiatry Research Group, Department of Neuropsychiatry, University of Birmingham and BSMHFT, Birmingham, UKTourette syndrome (TS) is a disorder characterised by multiple motor and vocal tics and is frequently associated with behavioural problems. Tics are known to be affected by internal factors such as inner tension and external factors such as the surrounding environment. A number of behavioural treatments have been suggested to treat the symptoms of TS, in addition to pharmacotherapy and surgery for the most severe cases. This review compiled all the studies investigating behavioural therapies for TS, briefly describing each technique and assessing the evidence in order to determine which of these appear to be effective. Different behavioural therapies that were used included habit reversal training (HRT), massed negative practice, supportive psychotherapy, exposure with response prevention, self-monitoring, cognitive-behavioural therapy, relaxation therapy, assertiveness training, contingency management, a tension-reduction technique and biofeedback training. Overall, HRT is the best-studied and most widely-used technique and there is sufficient experimental evidence to suggest that it is an effective treatment. Most of the other treatments, however, require further investigation to evaluate their efficacy. Specifically, evidence suggests that exposure with response prevention and self-monitoring are effective, and more research is needed to determine the therapeutic value of the other treatments. As most of the studies investigating behavioural treatments for TS are small-sample or single-case studies, larger randomised controlled trials are advocated.http://dx.doi.org/10.3233/BEN-120309 |
| spellingShingle | Madeleine Frank Andrea Eugenio Cavanna Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review Behavioural Neurology |
| title | Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review |
| title_full | Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review |
| title_fullStr | Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review |
| title_full_unstemmed | Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review |
| title_short | Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review |
| title_sort | behavioural treatments for tourette syndrome an evidence based review |
| url | http://dx.doi.org/10.3233/BEN-120309 |
| work_keys_str_mv | AT madeleinefrank behaviouraltreatmentsfortourettesyndromeanevidencebasedreview AT andreaeugeniocavanna behaviouraltreatmentsfortourettesyndromeanevidencebasedreview |