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Combined Habit Reversal Therapy and Acceptance and Commitment Therapy for Treatment of Tics in Tourette Syndrome: A Pilot Study of Effectiveness and Response Duration. | LitMetric

Combined Habit Reversal Therapy and Acceptance and Commitment Therapy for Treatment of Tics in Tourette Syndrome: A Pilot Study of Effectiveness and Response Duration.

Mov Disord Clin Pract

Perron Institute for Neurological and Translational Sciences, UWA Medical School, University of Western Australia, Perth, Western Australia, Australia.

Published: November 2024

AI Article Synopsis

  • - This study investigated the effectiveness of combining habit reversal therapy (HRT) with acceptance and commitment therapy (ACT) for reducing tic severity in adults with Tourette's syndrome.
  • - Participants were assessed for tic severity at multiple points (baseline, post-treatment, 6 months, and 12 months) using the Yale Global Tic Severity Scale (YGTSS) and video evaluations, demonstrating significant reductions in tics.
  • - The results indicate that the HRT + ACT approach not only effectively lowered tic severity following treatment but also maintained these improvements for up to 12 months, suggesting it's worth exploring further in comparison to HRT alone.

Article Abstract

Background: Few studies have examined the effectiveness and duration of mindfulness-based therapies for tics in Tourette's syndrome. This study combined habit reversal therapy (HRT) with acceptance and commitment therapy (ACT).

Objectives: To evaluate the efficacy and response duration of HRT + ACT in reducing tic severity in adults with Tourette's Syndrome.

Methods: Tic severity was assessed at baseline, post-intervention, and at 6- and 12-month follow-ups using the Yale Global Tic Severity Scale (YGTSS) and video assessments. The intervention included eight weekly 1-h sessions.

Results: Mixed-effects regression showed significant reductions in tic severity post-treatment (b = -10.36, P = 0.002), maintained at 6 months (b = -8.19, P = 0.012) and 12 months (b = -8.82, P = 0.009). Video assessments confirmed these findings.

Conclusion: The HRT + ACT protocol effectively reduced tic severity, with benefits lasting 12 months. These results support further trials to compare HRT + ACT with HRT alone.

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Source
http://dx.doi.org/10.1002/mdc3.14260DOI Listing

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