Living with tics: Reduced impairment and improved quality of life for youth with chronic tic disorders

PSYCHIATRY RESEARCH

卷:225

Article

McGuire, Joseph F.^1,2  Arnold, Elysse^1,2  Park, Jennifer M.^1,2  Nadeau, Joshua M.²  Lewin, Adam B.^1,2,3,4  Murphy, Tanya K.^2,3,4,6  Storch, Eric A.^1,2,3,4,5,6 

[1] Univ S Florida, Dept Psychol, Tampa, FL 33620 USA

[2] Univ S Florida, Dept Pediat, Tampa, FL 33620 USA

[3] Univ S Florida, Dept Psychiat Neurosci, Tampa, FL USA

[4] Univ S Florida, Dept Behav Neurosci, Tampa, FL USA

[5] Rogers Behav Hlth Tampa Bay, Tampa, FL USA

[6] All Childrens Hosp Johns Hopkins Med, St Petersburg, FL USA

关键词: Cognitive behavior therapy;    Functional impairment;    Treatment outcome;    Quality of life;    Chronic tic disorders;    Tourette Disorder;   

DOI  :  10.1016/j.psychres.2014.11.045

来源: Elsevier

【 摘 要 】

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. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free