European clinical guidelines for Tourette syndrome and other tic disorders-version 2.0. Part II: psychological interventions

Per Andren*, Ewgeni Jakubovski, Tara L. Murphy, Katrin Woitecki, Zsanett Tarnok, Sharon Zimmerman-Brenner, Jolande van de Griendt, Nanette Mol Debes, Paula Viefhaus, Sally Robinson, Veit Roessner, Christos Ganos, Natalia Szejko, Kirsten R. Mueller-Vahl, Danielle Cath, Andreas Hartmann, Cara Verdellen

*Bijbehorende auteur voor dit werk

    Onderzoeksoutputpeer review

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    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.

    Originele taal-2English
    Pagina's (van-tot)403–423
    Aantal pagina's21
    TijdschriftEuropean Child & Adolescent Psychiatry
    Vroegere onlinedatum27-jul.-2021
    StatusPublished - mrt.-2022

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