Addressing co-occurring conditions in behavioural therapy for tic disorders: a review and guideline
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Addressing co-occurring conditions in behavioural therapy for tic disorders : a review and guideline. / Sanderson, Charlotte; Verdellen, Cara; Debes, Nanette; Tárnok, Zsanett; van de Griendt, Jolande; Zimmerman-Brenner, Sharon; Murphy, Tara.
In: European Child and Adolescent Psychiatry, 2024.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Addressing co-occurring conditions in behavioural therapy for tic disorders
T2 - a review and guideline
AU - Sanderson, Charlotte
AU - Verdellen, Cara
AU - Debes, Nanette
AU - Tárnok, Zsanett
AU - van de Griendt, Jolande
AU - Zimmerman-Brenner, Sharon
AU - Murphy, Tara
N1 - Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
KW - ADHD
KW - Anxiety
KW - ASD
KW - Autism
KW - Behavioural therapy
KW - Comorbidity
KW - Depression
KW - Disruptive behaviour
KW - Obsessive–compulsive disorder
KW - OCD
KW - Tic disorders
KW - Tourette syndrome
U2 - 10.1007/s00787-022-02097-1
DO - 10.1007/s00787-022-02097-1
M3 - Review
C2 - 36283996
AN - SCOPUS:85141084894
JO - European Child and Adolescent Psychiatry, Supplement
JF - European Child and Adolescent Psychiatry, Supplement
SN - 1433-5719
ER -
ID: 335695464