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European clinical guidelines for Tourette syndrome and other tic disorders—version 2.0. Part II: psychological interventions
European Child & Adolescent Psychiatry ( IF 6.4 ) Pub Date : 2021-07-27 , DOI: 10.1007/s00787-021-01845-z
Per Andrén 1 , Ewgeni Jakubovski 2 , Tara L Murphy 3 , Katrin Woitecki 4 , Zsanett Tarnok 5 , Sharon Zimmerman-Brenner 6 , Jolande van de Griendt 7 , Nanette Mol Debes 8 , Paula Viefhaus 4 , Sally Robinson 9 , Veit Roessner 10 , Christos Ganos 11 , Natalia Szejko 12, 13, 14 , Kirsten R Müller-Vahl 2 , Danielle Cath 15 , Andreas Hartmann 16 , Cara Verdellen 17
Affiliation  

Part II of the European clinical guidelines for Tourette syndrome and other tic disorders (ECAP journal, 2011) provides updated information and recommendations for psychological interventions for individuals with tic disorders, created by a working group of the European Society for the Study of Tourette Syndrome (ESSTS). A systematic literature search was conducted to obtain original studies of psychological interventions for tic disorders, published since the initial European clinical guidelines were issued. Relevant studies were identified using computerized searches of the MEDLINE and PsycINFO databases for the years 2011–2019 and a manual search for the years 2019–2021. Based on clinical consensus, psychoeducation is recommended as an initial intervention regardless of symptom severity. According to a systematic literature search, most evidence was found for Habit Reversal Training (HRT), primarily the expanded package Comprehensive Behavioral Intervention for Tics (CBIT). Evidence was also found for Exposure and Response Prevention (ERP), but to a lesser degree of certainty than HRT/CBIT due to fewer studies. Currently, cognitive interventions and third-wave interventions are not recommended as stand-alone treatments for tic disorders. Several novel treatment delivery formats are currently being evaluated, of which videoconference delivery of HRT/CBIT has the most evidence to date. To summarize, when psychoeducation alone is insufficient, both HRT/CBIT and ERP are recommended as first-line interventions for tic disorders. As part of the development of the clinical guidelines, a survey is reported from ESSTS members and other tic disorder experts on preference, use and availability of psychological interventions for tic disorders.



中文翻译:

欧洲抽动秽语综合征和其他抽动障碍临床指南——2.0 版。第二部分:心理干预

欧洲抽动秽语综合征和其他抽动障碍临床指南的第二部分(ECAP 杂志,2011 年)为抽动障碍患者的心理干预提供了最新信息和建议,由欧洲抽动秽语综合征研究学会工作组创建( ESSTS)。自最初的欧洲临床指南发布以来,我们进行了系统的文献检索,以获得关于抽动障碍心理干预的原始研究。通过对 2011-2019 年 MEDLINE 和 PsycINFO 数据库的计算机搜索以及对 2019-2021 年的手动搜索,确定了相关研究。根据临床共识,无论症状严重程度如何,都建议将心理教育作为初始干预措施。根据系统文献检索,习惯逆转训练(HRT),主要是扩展的抽搐综合行为干预(CBIT) 包。还发现了暴露和反应预防的证据(ERP),但由于研究较少,其确定性低于 HRT/CBIT。目前,不推荐认知干预和第三波干预作为抽动障碍的独立治疗。目前正在评估几种新的治疗提供形式,其中 HRT/CBIT 的视频会议提供迄今为止的证据最多。总而言之,当单独的心理教育不足时,建议将 HRT/CBIT 和 ERP 作为抽动障碍的一线干预措施。作为临床指南制定的一部分,ESSTS 成员和其他抽动障碍专家报告了一项关于抽动障碍心理干预的偏好、使用和可用性的调查。

更新日期:2021-07-27
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