Liu Shijie, Li Ying, Cui Yonghua
Xibeiwang Community Health Center in Haidian Beijing China.
Department of Psychiatry Beijing Children's Hospital Capital Medical University National Center for Children's Health Beijing China.
Pediatr Investig. 2020 Jun 24;4(2):127-132. doi: 10.1002/ped4.12190. eCollection 2020 Jun.
Tic disorders (TD) is a neurodevelopmental disorder that is often first recognized in children and adolescents and is characterized mainly by motor and phonic tics. Drug treatment of TD has been criticized because of serious side effects, and TD treatment emphasizes behavioral psychotherapy. This study reviewed the most common behavioral psychotherapy for TD: habit reversal training (HRT). We examined the contents, variation, curative effects, and premonitory urge control of HRT and other behavioral psychotherapies. The findings suggest that current understanding of HRT is insufficient and further studies are needed. First, studies of online guidance training are needed to implement technology that can help more patients. Second, the future integration of HRT and other technologies is important. Third, imaging techniques could be used to further explore the brain mechanisms underlying HRT. Research on HRT for TD in China is insufficient. We call on more Chinese researchers to study, investigate, and develop technology to promote the development of behavioral psychotherapy for TD in China.
抽动障碍（TD）是一种神经发育障碍，通常在儿童和青少年中首次被识别，主要特征为运动性和发声性抽动。由于严重的副作用，TD的药物治疗受到批评，TD治疗强调行为心理治疗。本研究回顾了TD最常见的行为心理治疗方法：习惯逆转训练（HRT）。我们研究了HRT以及其他行为心理治疗的内容、变体、疗效和先兆冲动控制。研究结果表明，目前对HRT的理解不足，需要进一步研究。首先，需要开展在线指导训练研究，以应用能够帮助更多患者的技术。其次，HRT与其他技术的未来整合很重要。第三，成像技术可用于进一步探索HRT背后的脑机制。中国对TD的HRT研究不足。我们呼吁更多中国研究人员进行研究、调查并开发技术，以促进中国TD行为心理治疗的发展。
