Intensive outpatient comprehensive behavioral intervention for tics: A case series

作     者：Tabatha H Blount Ann-Louise T Lockhart Rocio V Garcia Jeslina J Raj Alan L Peterson 

作者机构：Department of Psychiatry The University of Texas Health Science Center at San AntonioSan Antonio TX 78229 United States Child and Adolescent Psychology San Antonio Military Medical Center Joint Base San Antonio Ft. Sam Houston TX 78234 United States 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2014年第2卷第10期

页      面：569-577页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

主　　题：Tourette syndrome Tics Habit reversal Intensive outpatient Behavior therapy 

摘      要：Recent randomized clinical trials have established the efficacy of Comprehensive Behavioral Intervention for Tics(CBIT) in treating children and adults with Tourette syndrome and persistent tic disorders. However, the standard CBIT protocol uses a weekly outpatient treatment format(i.e., 8 sessions over 10 wk), which may be inconvenient or impractical for some patients, particularly patients, who are required to travel long distances in order to receive care. In contrast, an intensive outpatient program may increase accessibility to evidence-based behavioral treatments for Tourette syndrome and other persistent tic disorders by eliminating the necessity of repeated travel. This case series evaluated the use of an intensive outpatient program CBIT(IOP CBIT) for the treatment of 2 preadolescent males(ages 10 and 14 years) with Tourette syndrome. The IOP CBIT treatment protocol included several hours of daily treatment over a 4-d period. Both children evi-denced notable reductions in their tics and maintained treatment gains at follow-up. Moreover, both patients and their parents expressed treatment satisfaction with the IOP CBIT format. This case series addresses an important research gap in the behavioral treatment of tic disorders literature. The patients treatment outcomes indicate that IOP CBIT is a promising treatment that warrants more systematic investigation.