BACKGROUND Cognitive-behavioral therapy(CBT)and habit reversal training(HRT)have shown application potential in addressing tic symptoms and comorbid psychiatric conditions.Despite their theoretical potential,empirical...BACKGROUND Cognitive-behavioral therapy(CBT)and habit reversal training(HRT)have shown application potential in addressing tic symptoms and comorbid psychiatric conditions.Despite their theoretical potential,empirical evidence on their combined efficacy remains limited.AIM To evaluate the efficacy of CBT combined with HRT on anxiety disorders in children with Tourette’s syndrome(TS).METHODS Clinical data of children with TS admitted to our hospital from January 2022 to June 2023 were collected,and the patients were grouped into the conventional therapy(control)group and the CBT combined with HRT group.Baseline charac-teristics,anxiety scores,tic severity scores,treatment adherence,and parental satisfaction were assessed.Statistical analysis was performed using t-tests,chi-square tests,and correlation analysis.RESULTS A total of 136 patients,including 65 patients in the control group and 71 patients in the CBT combined with HRT group,were included.The CBT combined with HRT group showed remarkable improvements compared with the control group.Post-intervention assessment revealed a decrease in anxiety scores from 63.52±1.81 to 40.53±1.64(t=2.022,P=0.045),and the Yale Global Tic Severity Scale total score decreased from 22.14±5.67 to 16.28±4.91(t=2.288,P=0.024).Treatment adherence was significantly higher in the CBT combined with HRT group(85.47±7.62%)compared with the control group(82.32±6.54%;t=2.596,P=0.010).Parental satisfaction scores were also higher in the CBT combined with HRT group(8.69±1.77)compared with the control group(7.87±1.92;t=2.592,P=0.011).CONCLUSION This study demonstrates that CBT combined with HRT significantly reduces anxiety symptoms and tic severity in children with TS,with higher treatment adherence and parental satisfaction.These findings support the potential application of this comprehensive therapeutic approach for TS treatment.展开更多
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...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 et al,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.展开更多
Tic disorders(TD)is a neurodevelopmental disorder that is often first recognized in children and adolescents and is characterized mainly by motor and phonic tics.Drug treatment of TD has been criticized because of ser...Tic disorders(TD)is a neurodevelopmental disorder that is often first recognized in children and adolescents and is characterized mainly by motor and phonic tics.Drug treatment of TD has been criticized because of serious side effects,and TD treatment emphasizes behavioral psychotherapy.This study reviewed the most common behavioral psychotherapy for TD:habit reversal training(HRT).We examined the contents,variation,curative effects,and premonitory urge control of HRT and other behavioral psychotherapies.The findings suggest that current understanding of HRT is insufficient and further studies are needed.First,studies of online guidance training are needed to implement technology that can help more patients.Second,the future integration of HRT and other technologies is important.Third,imaging techniques could be used to further explore the brain mechanisms underlying HRT.Research on HRT for TD in China is insufficient.We call on more Chinese researchers to study,investigate,and develop technology to promote the development of behavioral psychotherapy for TD in China.展开更多
文摘BACKGROUND Cognitive-behavioral therapy(CBT)and habit reversal training(HRT)have shown application potential in addressing tic symptoms and comorbid psychiatric conditions.Despite their theoretical potential,empirical evidence on their combined efficacy remains limited.AIM To evaluate the efficacy of CBT combined with HRT on anxiety disorders in children with Tourette’s syndrome(TS).METHODS Clinical data of children with TS admitted to our hospital from January 2022 to June 2023 were collected,and the patients were grouped into the conventional therapy(control)group and the CBT combined with HRT group.Baseline charac-teristics,anxiety scores,tic severity scores,treatment adherence,and parental satisfaction were assessed.Statistical analysis was performed using t-tests,chi-square tests,and correlation analysis.RESULTS A total of 136 patients,including 65 patients in the control group and 71 patients in the CBT combined with HRT group,were included.The CBT combined with HRT group showed remarkable improvements compared with the control group.Post-intervention assessment revealed a decrease in anxiety scores from 63.52±1.81 to 40.53±1.64(t=2.022,P=0.045),and the Yale Global Tic Severity Scale total score decreased from 22.14±5.67 to 16.28±4.91(t=2.288,P=0.024).Treatment adherence was significantly higher in the CBT combined with HRT group(85.47±7.62%)compared with the control group(82.32±6.54%;t=2.596,P=0.010).Parental satisfaction scores were also higher in the CBT combined with HRT group(8.69±1.77)compared with the control group(7.87±1.92;t=2.592,P=0.011).CONCLUSION This study demonstrates that CBT combined with HRT significantly reduces anxiety symptoms and tic severity in children with TS,with higher treatment adherence and parental satisfaction.These findings support the potential application of this comprehensive therapeutic approach for TS treatment.
文摘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 et al,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.
文摘Tic disorders(TD)is a neurodevelopmental disorder that is often first recognized in children and adolescents and is characterized mainly by motor and phonic tics.Drug treatment of TD has been criticized because of serious side effects,and TD treatment emphasizes behavioral psychotherapy.This study reviewed the most common behavioral psychotherapy for TD:habit reversal training(HRT).We examined the contents,variation,curative effects,and premonitory urge control of HRT and other behavioral psychotherapies.The findings suggest that current understanding of HRT is insufficient and further studies are needed.First,studies of online guidance training are needed to implement technology that can help more patients.Second,the future integration of HRT and other technologies is important.Third,imaging techniques could be used to further explore the brain mechanisms underlying HRT.Research on HRT for TD in China is insufficient.We call on more Chinese researchers to study,investigate,and develop technology to promote the development of behavioral psychotherapy for TD in China.
