Back to Search
Start Over
Addressing co-occurring conditions in behavioural therapy for tic disorders: a review and guideline.
- Source :
- European Child & Adolescent Psychiatry; Jul2024, Vol. 33 Issue 7, p2111-2127, 17p
- Publication Year :
- 2024
-
Abstract
- Co-occurring psychiatric conditions are very common in tic disorders and Tourette syndrome. These additional symptoms are often detrimental to quality of life and may impact upon the implementation and efficacy of evidence-based behavioural therapies (BT) for tics. Combining a review of the available literature, relevant theory, and expert clinical practice, we present a guideline for implementing behavioural and psychosocial interventions when common comorbidities are present. These include attention-deficit hyperactivity disorder (ADHD), obsessive–compulsive disorder (OCD), anxiety, disruptive behaviour, autism spectrum disorder (ASD) and depression. Practical recommendations are provided for assessment, formulation and management of specific and multiple comorbidities in BT for both children and adults. Despite comorbidities being common in tic disorders, few studies have comprehensively addressed how they may influence the efficacy or implementation of existing therapies or how such treatments may need to be modified or sequenced. We outline recommendations for future research, including randomised control trials of BT for those with specific or multiple comorbidities, as well as adequately powered sub-group analyses within larger scale trials or naturalistic study designs. Transdiagnostic models of psychiatric disorders and treatment, including modular cross-diagnostic therapies, which recognise the dimensionality of psychiatric disorders are also highlighted as an important focus in treatment development in tic disorders. [ABSTRACT FROM AUTHOR]
- Subjects :
- BEHAVIOR disorders
PSYCHOTHERAPY
TIC disorders
ATTENTION-deficit hyperactivity disorder
CONCEPTUAL models
AUTISM
MENTAL illness
TREATMENT effectiveness
TOURETTE syndrome
OBSESSIVE-compulsive disorder
PSYCHOLOGY
QUALITY of life
ASPERGER'S syndrome
ANXIETY disorders
BEHAVIOR therapy
COMORBIDITY
SYMPTOMS
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 10188827
- Volume :
- 33
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- European Child & Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 178483426
- Full Text :
- https://doi.org/10.1007/s00787-022-02097-1