Abstract |
Pharmacological and behavioral interventions have focused on reducing tic severity to alleviate tic-related impairment for youth with chronic tic disorders ( CTDs), with no existing intervention focused on the adverse psychosocial consequences of tics. This study examined the preliminary efficacy of a modularized cognitive behavioral intervention ("Living with Tics", LWT) in reducing tic-related impairment and improving quality of life relative to a waitlist control of equal duration. Twenty-four youth (ages 7-17 years) with Tourette Disorder or Chronic Motor Tic Disorder and psychosocial impairment participated. A treatment-blind evaluator conducted all pre- and post-treatment clinician-rated measures. Youth were randomly assigned to receive the LWT intervention (n=12) or a 10-week waitlist (n=12). The LWT intervention consisted of up to 10 weekly sessions targeted at reducing tic-related impairment and developing skills to manage psychosocial consequences of tics. Youth in the LWT condition experienced significantly reduced clinician-rated tic-impairment, and improved child-rated quality of life. Ten youth (83%) in the LWT group were classified as treatment responders compared to four youth in the waitlist condition (33%). Treatment gains were maintained at one-month follow-up. Findings provide preliminary data that the LWT intervention reduces tic-related impairment and improves quality of life for youth with CTDs.
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Authors | Joseph F McGuire, Elysse Arnold, Jennifer M Park, Joshua M Nadeau, Adam B Lewin, Tanya K Murphy, Eric A Storch |
Journal | Psychiatry research
(Psychiatry Res)
Vol. 225
Issue 3
Pg. 571-9
(Feb 28 2015)
ISSN: 1872-7123 [Electronic] Ireland |
PMID | 25500348
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural)
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Copyright | Copyright © 2014 Elsevier Ireland Ltd. All rights reserved. |
Topics |
- Adaptation, Psychological
- Adolescent
- Behavior Therapy
(methods)
- Child
- Chronic Disease
- Cognitive Behavioral Therapy
(methods)
- Female
- Humans
- Male
- Parents
(education)
- Problem Solving
- Quality of Life
- Single-Blind Method
- Tic Disorders
(psychology, therapy)
- Tourette Syndrome
(psychology, therapy)
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