Department of Psychology, Marquette University, Milwaukee, Wisconsin, USA; email:
Department of Psychology, University of Utah, Salt Lake City, Utah, USA.
Annu Rev Clin Psychol. 2023 May 9;19:233-260. doi: 10.1146/annurev-clinpsy-080921-074307.
Over the past decade, behavioral interventions have become increasingly recognized and recommended as effective first-line therapies for treating individuals with tic disorders. In this article, we describe a basic theoretical and conceptual framework through which the reader can understand the application of these interventions for treating tics. The three primary behavioral interventions for tics with the strongest empirical support (habit reversal, Comprehensive Behavioral Intervention for Tics, and exposure and response prevention) are described. Research on the efficacy and effectiveness of these treatments is summarized along with a discussion of the research evaluating the delivery of these treatments in different formats and modalities. The article closes with a review of the possible mechanisms of change underlying behavioral interventions for tics and areas for future research.
在过去的十年中，行为干预已逐渐被公认为治疗抽动障碍患者的有效一线疗法。在本文中，我们描述了一个基本的理论和概念框架，读者可以通过这个框架来理解这些干预措施在治疗抽动方面的应用。本文描述了三种主要的具有最强实证支持的抽动行为干预措施（习惯逆转、全面行为干预治疗抽动障碍和暴露与反应预防）。总结了这些治疗方法的疗效和有效性研究，并讨论了评估以不同形式和模式提供这些治疗方法的研究。文章最后回顾了行为干预治疗抽动的潜在作用机制和未来研究的方向。
