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抽动的行为治疗:习惯逆转和暴露反应预防。

Behavioural treatment of tics: habit reversal and exposure with response prevention.

机构信息

HSK Group BV, Hambakenwetering 5b, 5233 DD 's-Hertogenbosch, The Netherlands.

出版信息

Neurosci Biobehav Rev. 2013 Jul;37(6):1172-7. doi: 10.1016/j.neubiorev.2012.10.007. Epub 2012 Oct 23.

DOI:10.1016/j.neubiorev.2012.10.007
PMID:23089154
Abstract

Behaviour therapy has been shown to be an effective strategy in treating tics; both habit reversal (HR) and exposure and response prevention (ER) are recommended as first-line interventions. This review provides an overview of the history, theoretical concepts and evidence at present for HR and ER. In addition, treatment manuals for HR and ER are described. Despite the evidence and availability of treatment manuals, many patients do not receive a first-line psychological intervention for tics. Barriers to the acceptance and dissemination of behaviour therapy are discussed as are ways to overcome these barriers, such as the use of E-health and E-learning.

摘要

行为疗法已被证明是治疗抽动症的有效策略;习惯逆转(HR)和暴露与反应预防(ER)均被推荐为一线干预措施。本综述概述了 HR 和 ER 的历史、理论概念和现有证据。此外,还描述了 HR 和 ER 的治疗手册。尽管有证据和治疗手册可用,但许多抽动症患者并未接受一线心理干预。讨论了行为疗法的接受和传播障碍,以及克服这些障碍的方法,例如使用电子健康和电子学习。

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