TY - JOUR
T1 - European clinical guidelines for Tourette syndrome and other tic disorders—version 2.0. Part II: psychological interventions
AU - Andrén, Per
AU - Jakubovski, Ewgeni
AU - Murphy, Tara L.
AU - Woitecki, Katrin
AU - Tarnok, Zsanett
AU - Zimmerman-Brenner, Sharon
AU - van de Griendt, Jolande
AU - Debes, Nanette Mol
AU - Viefhaus, Paula
AU - Robinson, Sally
AU - Roessner, Veit
AU - Ganos, Christos
AU - Szejko, Natalia
AU - Müller-Vahl, Kirsten R.
AU - Cath, Danielle
AU - Hartmann, Andreas
AU - Verdellen, Cara
N1 - Publisher Copyright:
© 2021, The Author(s).
PY - 2022/3
Y1 - 2022/3
N2 - 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.
AB - 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.
KW - Behavior therapy
KW - Comprehensive behavioral intervention for tics
KW - Exposure and response prevention
KW - Habit reversal training
KW - Tic disorders
KW - Tourette syndrome
KW - Treatment guidelines
U2 - 10.1007/s00787-021-01845-z
DO - 10.1007/s00787-021-01845-z
M3 - Review article
C2 - 34313861
AN - SCOPUS:85111368282
SN - 1018-8827
VL - 31
SP - 403
EP - 423
JO - European Child and Adolescent Psychiatry
JF - European Child and Adolescent Psychiatry
IS - 3
ER -