Kim Kyoung Min, Bae Eunju, Lee Jiryun, Park Tae-Won, Lim Myung Ho
Department of Psychiatry, College of Medicine, Dankook University, Cheonan, Korea.
Department of Psychiatry, Dankook University Hospital, Cheonan, Korea.
Soa Chongsonyon Chongsin Uihak. 2021 Apr 1;32(2):51-62. doi: 10.5765/jkacap.200042.
Tic disorder is a neurodevelopmental disorder characterized by multiple involuntary movements of muscles or vocalization. Although tic symptoms subside as the patient ages, some patients suffer from significant functional impairments related to severe tic symptoms. This manuscript aimed to review the latest scientific evidences for the effect of cognitive-behavioral interventions on tic disorder.
The relevant studies were identified by searching medical research databases. We focused our search on studies published between 2000 and 2020 in order to reflect the latest scientific evidence. A total of 821 articles were identified in the initial database search and 27 articles were finally included for the review after the exclusion of duplicated and irrelevant articles.
Behavioral therapies including habit reversal training, Comprehensive Behavioral Intervention for Tics, and exposure and response prevention were the most widely studied interventions for tic disorder and are recommended as first-line treatments for tic disorders with high confidence. Cognitive psychophysiologic approaches were also reported to be effective.
Further studies are needed to support the future treatment of tics with low-cost and more widely available treatments, in order to ensure better treatment outcomes.
抽动障碍是一种神经发育障碍，其特征为肌肉的多种不自主运动或发声。尽管抽动症状会随着患者年龄增长而减轻，但一些患者会因严重的抽动症状而出现显著的功能障碍。本手稿旨在综述认知行为干预对抽动障碍影响的最新科学证据。
通过检索医学研究数据库来确定相关研究。为了反映最新的科学证据，我们将检索重点放在2000年至2020年发表的研究上。在初始数据库检索中总共识别出821篇文章，在排除重复和不相关文章后，最终纳入27篇文章进行综述。
行为疗法包括习惯逆转训练、抽动综合行为干预以及暴露与反应阻止，是针对抽动障碍研究最广泛的干预措施，并且被高度推荐为抽动障碍的一线治疗方法。认知心理生理学方法也被报道有效。
需要进一步研究以支持未来采用低成本且更易获得的治疗方法来治疗抽动症，以确保更好的治疗效果。
