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Open Access 01-03-2022 | Behavioural Therapy | Review

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

Authors: Per Andrén, 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. Müller-Vahl, Danielle Cath, Andreas Hartmann, Cara Verdellen

Published in: European Child & Adolescent Psychiatry | Issue 3/2022

Abstract

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.

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Title: European clinical guidelines for Tourette syndrome and other tic disorders—version 2.0. Part II: psychological interventions
Authors: Per Andrén
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. Müller-Vahl
Danielle Cath
Andreas Hartmann
Cara Verdellen
Publication date: 01-03-2022
Publisher: Springer Berlin Heidelberg
Keywords: Behavioural Therapy
Tic Disorder
Tourette Syndrome
Tourette Syndrome
Tic Disorder
Published in: European Child & Adolescent Psychiatry / Issue 3/2022
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-021-01845-z

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