Recent research stresses that cognitive and affective processes are implicated in Tourette Syndrome (TS) and might influence treatment. The cognitive-behavioral and psychophysiological (CoPs) approach posits that negative appraisals and maladaptive action-planning elicit negative emotions and behaviors that increase muscular tension and thus the urge to tic in TS. Hence, the CoPs targets cognitive-behavioral and affective processes increasing tension prior to tic onset. This article provides clinically novel information in the implementation and utility of the CoPs approach in a severe case of a young man with TS and a range of comorbidities marked by negative cognitions and emotions as well as planning deficits with a long-term follow-up. He received 14 sessions of CoPs therapy. Tic severity significantly decreased post-treatment with maintenance up to 36-months. The process measure of action-planning improved significantly from pre-treatment to 12-months follow-up. Results support the feasibility and acceptability of the CoPs in treating complex TS cases.

中文翻译：

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在复杂的抽动秽语综合征病例中靶向认知，情绪和行为：心理生理学观点的例证

最近的研究强调认知和情感过程与Tourette综合征（TS）有关，并可能影响治疗。认知行为和心理生理学（CoPs）方​​法认为，负面评价和适应不良的行动计划会引起负面情绪和行为，从而增加肌肉紧张度，从而刺激TS抽动。因此，CoPs的目标是认知行为和情感过程，从而在抽动发作之前增加紧张感。本文提供了在CoPs方法的实施和实用性方面的临床新信息，该方法适用于患有TS的年轻男子的严重病例，其一系列合并症的特征是负面的认知和情绪，并计划了长期随访。他接受了14次CoPs治疗。抽动的严重程度显着降低了治疗后的维持时间长达36个月。从治疗前到随访12个月，行动计划的过程度量得到了显着改善。结果支持了CoP在治疗复杂TS病例中的可行性和可接受性。