Pilot Testing Behavior Therapy for Chronic Tic Disorders in Neurology and Developmental Pediatrics Clinics.
Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = -2.0, P < .05, r = -.48, as did tic-related impairment, z = -2.4, P < .05, r = -.57. Five of the 9 completers (56%) were classified as treatment responders. Satisfaction ratings were high, and therapeutic alliance ratings were moderately high. Results provide guidance for refinement of this modified CBIT protocol.
University of California, Los Angeles, CA, USA University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Emily J
EJ
Ricketts
Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Donald L
DL
Gilbert
Seattle Children's Hospital, Seattle, WA, USA.
Samuel H
SH
Zinner
University of Rochester Medical Center, Rochester, NY, USA.
Jonathan W
JW
Mink
Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Tara D
TD
Lipps
Seattle Children's Hospital, Seattle, WA, USA.
Geoffrey A
GA
Wiegand
University of Rochester Medical Center, Rochester, NY, USA.
Amy E
AE
Vierhile
University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Laura J
LJ
Ely
University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
John
J
Piacentini
Weill Cornell Medical College, White Plains, NY, USA.
John T
JT
Walkup
Texas A&M University, College Station, TX, USA dowoods@tamu.edu.
Douglas W
DW
Woods
D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010865:Pilot Projects; D012720:Severity of Illness Index; D005879:Tourette Syndrome / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
Tourette disorder; behavior therapy; dissemination; neurology; pediatrics; tics