Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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A Review of Cognitive and Behavioral Interventions for Tic Disorder

  • Kim, Kyoung Min (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Bae, Eunju (Graduate School of Psychology, Dankook University) ;
  • Lee, Jiryun (Department of Psychiatry, Dankook University Hospital) ;
  • Park, Tae-Won (Department of Psychiatry, Jeonbuk National University Hospital) ;
  • Lim, Myung Ho (Department of Psychology, College of Health Science, Dankook University)
  • Received : 2020.10.19
  • Accepted : 2020.12.31
  • Published : 2021.04.01
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Abstract

Objectives: Tic disorder is a neurodevelopmental disorder characterized by multiple involuntary movements of muscles or vocalization. Although tic symptoms subside as the patient ages, some patients suffer from significant functional impairments related to severe tic symptoms. This manuscript aimed to review the latest scientific evidences for the effect of cognitive-behavioral interventions on tic disorder. Methods: The relevant studies were identified by searching medical research databases. We focused our search on studies published between 2000 and 2020 in order to reflect the latest scientific evidence. A total of 821 articles were identified in the initial database search and 27 articles were finally included for the review after the exclusion of duplicated and irrelevant articles. Results: Behavioral therapies including habit reversal training, Comprehensive Behavioral Intervention for Tics, and exposure and response prevention were the most widely studied interventions for tic disorder and are recommended as first-line treatments for tic disorders with high confidence. Cognitive psychophysiologic approaches were also reported to be effective. Conclusion: Further studies are needed to support the future treatment of tics with low-cost and more widely available treatments, in order to ensure better treatment outcomes.

Keywords

Acknowledgement

This research was funded by the Institute for Information & communication Technology Planning & evaluation (IITP), Ministry of Science and ICT, Republic of Korea (ID: 2020-0-00506).

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