McGuire Joseph F, Ricketts Emily J, Piacentini John, Murphy Tanya K, Storch Eric A, Lewin Adam B
Semel Institute of Neuroscience and Human Behavior, University of California Los Angeles.
Department of Pediatrics, University of South Florida ; Departments of Psychiatry and Behavioral Neurosciences, University of South Florida ; All Children's Hospital, Johns Hopkins Medicine, St. Petersburg, FL.
Curr Dev Disord Rep. 2015 Dec;2(4):309-317. doi: 10.1007/s40474-015-0063-5. Epub 2015 Sep 14.
Behavior therapy is an evidenced-based intervention with moderate-to-large treatment effects in reducing tic symptom severity among individuals with Persistent Tic Disorders (PTDs) and Tourette's Disorder (TD). This review describes the behavioral treatment model for tics, delineates components of evidence-based behavior therapy for tics, and reviews the empirical support among randomized controlled trials for individuals with PTDs or TD. Additionally, this review discusses several challenges confronting the behavioral management of tics, highlights emerging solutions for these challenges, and outlines new directions for treatment research.
行为疗法是一种基于证据的干预措施,对于降低持续性抽动障碍(PTD)和抽动秽语综合征(TD)患者的抽动症状严重程度具有中度到较大的治疗效果。本综述描述了抽动的行为治疗模型,阐述了基于证据的抽动行为疗法的组成部分,并回顾了针对PTD或TD患者的随机对照试验中的实证支持。此外,本综述讨论了抽动行为管理面临的几个挑战,强调了针对这些挑战的新出现的解决方案,并概述了治疗研究的新方向。