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抽动秽语综合征行为干预的整合:现状与展望。

Integrating behavioral interventions for Tourette's syndrome: Current status and prospective.

作者信息

Chen Xiao-Man, Zhang Shuo, Xu Michael

机构信息

Department of Neurology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

Department of Clinical Medicine, International Education School, Shenyang 110004, Liaoning Province, China.

出版信息

World J Psychiatry. 2025 Mar 19;15(3):99045. doi: 10.5498/wjp.v15.i3.99045.

DOI:10.5498/wjp.v15.i3.99045
PMID:40109998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11886317/
Abstract

In the evolving landscape of Tourette's syndrome (TS) treatment, behavioral therapies have emerged as essential to address the comorbid psychological issues, as well as motor and vocal tics. This editorial comments on the study by Wang , which showed that cognitive-behavioral therapy (CBT) combined with habit reversal training significantly improved anxiety and tic severity in children with TS. We highlight the current status and future perspectives of behavioral interventions such as CBT, and comprehensive behavioral intervention for tics, demonstrating their efficacy in alleviating TS symptoms and improving patients' quality of life. Recognizing the multifaceted nature of TS, our discussion integrates empirical evidence from various studies to provide a comprehensive perspective on the role of behavioral therapy in the management of this complex condition. This editorial concludes by emphasizing the need for innovative strategies that may address the limitations of existing treatments and advocates a multidisciplinary approach that combines behavioral, pharmacological, and neurobiological interventions to improve outcomes for patients with TS.

摘要

在抽动秽语综合征(TS)治疗不断演变的格局中,行为疗法已成为解决共病心理问题以及运动和发声抽动的关键。这篇社论对Wang的研究进行了评论,该研究表明认知行为疗法(CBT)与习惯逆转训练相结合可显著改善TS患儿的焦虑和抽动严重程度。我们强调了CBT等行为干预措施的现状和未来前景,以及抽动的综合行为干预,证明了它们在减轻TS症状和提高患者生活质量方面的功效。认识到TS的多面性,我们的讨论整合了来自各种研究的实证证据,以全面阐述行为疗法在管理这种复杂病症中的作用。这篇社论最后强调了需要创新策略来解决现有治疗方法的局限性,并倡导一种将行为、药物和神经生物学干预相结合的多学科方法,以改善TS患者的治疗效果。

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本文引用的文献

1
Tics and Tourette syndrome: Digital therapies could reduce severity of symptoms, says NICE.抽动症与妥瑞氏症:英国国家卫生与临床优化研究所称数字疗法可减轻症状严重程度
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Efficacy of cognitive-behavioral therapy combined with habit reversal training on anxiety disorders in children with Tourette's syndrome.认知行为疗法联合习惯逆转训练对抽动秽语综合征患儿焦虑障碍的疗效
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Therapist-Supported Internet-Delivered Exposure and Response Prevention for Children and Adolescents With Tourette Syndrome: A Randomized Clinical Trial.治疗师支持的互联网传递暴露和反应预防治疗儿童和青少年妥瑞氏症:一项随机临床试验。
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Digital and remote behavioral therapies for treating tic disorders: Recent advances and next steps.用于治疗抽动障碍的数字和远程行为疗法:最新进展与后续步骤
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Tourette Syndrome Treatment Updates: a Review and Discussion of the Current and Upcoming Literature.图雷特综合征治疗进展:当前和未来文献的综述与讨论。
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