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

Andrén, Per LU orcid ; Jakubovski, Ewgeni ; Murphy, Tara L. ; Woitecki, Katrin ; Tarnok, Zsanett ; Zimmerman-Brenner, Sharon ; van de Griendt, Jolande ; Debes, Nanette Mol ; Viefhaus, Paula and Robinson, Sally , et al. (2022) In European Child and Adolescent Psychiatry 31(3). p.403-423
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... (More)

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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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Behavior therapy, Comprehensive behavioral intervention for tics, Exposure and response prevention, Habit reversal training, Tic disorders, Tourette syndrome, Treatment guidelines
in
European Child and Adolescent Psychiatry
volume
31
issue
3
pages
403 - 423
publisher
Springer
external identifiers
  • scopus:85111368282
  • pmid:34313861
ISSN
1018-8827
DOI
10.1007/s00787-021-01845-z
language
English
LU publication?
no
additional info
Publisher Copyright: © 2021, The Author(s).
id
5f0a993a-477a-4090-a9c9-8eaab8a0ce29
date added to LUP
2023-07-14 11:33:21
date last changed
2025-07-15 05:29:38
@article{5f0a993a-477a-4090-a9c9-8eaab8a0ce29,
  abstract     = {{<p>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.</p>}},
  author       = {{Andrén, Per and Jakubovski, Ewgeni and Murphy, Tara L. and Woitecki, Katrin and Tarnok, Zsanett and Zimmerman-Brenner, Sharon and van de Griendt, Jolande and Debes, Nanette Mol and Viefhaus, Paula and Robinson, Sally and Roessner, Veit and Ganos, Christos and Szejko, Natalia and Müller-Vahl, Kirsten R. and Cath, Danielle and Hartmann, Andreas and Verdellen, Cara}},
  issn         = {{1018-8827}},
  keywords     = {{Behavior therapy; Comprehensive behavioral intervention for tics; Exposure and response prevention; Habit reversal training; Tic disorders; Tourette syndrome; Treatment guidelines}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{403--423}},
  publisher    = {{Springer}},
  series       = {{European Child and Adolescent Psychiatry}},
  title        = {{European clinical guidelines for Tourette syndrome and other tic disorders—version 2.0. Part II: psychological interventions}},
  url          = {{http://dx.doi.org/10.1007/s00787-021-01845-z}},
  doi          = {{10.1007/s00787-021-01845-z}},
  volume       = {{31}},
  year         = {{2022}},
}