Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Habit Reversal Training in Tic Disorder

틱 장애에서 습관뒤집기 훈련의 임상효과

  • Hong, Jong-Woo (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Doh, Jin-Ah (Clinical Psychology Laboratory) ;
  • Kim, Hyun-Woo (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Lim, Myung-Ho (Department of Psychiatry, College of Medicine, Dankook University)
  • 홍종우 (단국대학교 의과대학 정신과학교실) ;
  • 도진아 (의료원 임상심리실) ;
  • 김현우 (단국대학교 의과대학 정신과학교실) ;
  • 임명호 (단국대학교 의과대학 정신과학교실)
  • Received : 2010.03.02
  • Accepted : 2010.04.13
  • Published : 2010.04.30
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Abstract

Objectives : Tic disorder is known to be a chronic neuro-behavioral disease, cognitive behavioral treatment (CBT) strategies, like habit reversal training (HRT), are introducing recently. We report the effectiveness of HRT in Tourette disorder, which are very common in clinical settings. Methods : The DSM-IV clinical diagnosis applied by child psychiatrist. YGTSS, Kovac's children's depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners' Rating Scales, Dupaul ADHD Rating Scales are used. Ultimately, totally 10 children were evaluated. Subject group are consist of 6 boys and 4 girls, and the mean age was $10.90{\pm}1.73$ years old. This study is treatment-refractory 10 patients (from 9-14 years old) though 1 years drug treatment and psychiatric consultation were taken. We administered 5 times of HRT for 4 weeks. Results and Conclusion : There were improvement of scores in Yale Global Tic Severity Scale, Clinical Global Improvement. Our observations indicate that HRT might be effective in the treatment of Tourette disorder.

Keywords

References

  1. Singer HS. Tourette's syndrome: from behaviour to biology. Lancet Neurol 2005;4:149-159. https://doi.org/10.1016/S1474-4422(05)70018-1
  2. Kurlan R, McDermott MP, Deeley C, Como PG, Brower C, Eapen S, et al. Prevalence of tics in schoolchildren and association with placement in special education. Neurology 2001;57:1383-1388. https://doi.org/10.1212/WNL.57.8.1383
  3. Gadow K, Nolan E, Sprafkin J, Schwartz J. Tics and psychiatric comorbidity in children and adolescents. Dev Med Child Neurol 2002;44:330-338.
  4. George MS, Belmaker RH (eds). Transcranial Magnetic Stimulation in Clinical Psychiatry. Washington, DC: American Psychiatric Publishing; 2007.
  5. Mink JW. Neurobioloy of basal ganglia and Tourette syndrome: basal ganglia circuits and thalamocortical outputs. Adv Neurol 2006;99:89-98.
  6. Piacentini J, Chang S. Habit reversal training for tic disorders in children and adolescents. Behav Modif 2005;29:803-822. https://doi.org/10.1177/0145445505279385
  7. Azrin NH, Nunn RG. Habit-reversal: a method of eliminating nervous habits and tics. Behav Res Ther 1973;11:619-628. https://doi.org/10.1016/0005-7967(73)90119-8
  8. Peterson AL, Azrin NH. An evaluation of behavioral treatments for Tourette syndrome. Behav Res Ther 1992;30:167-174. https://doi.org/10.1016/0005-7967(92)90140-C
  9. Azrin NH, Nunn RG, Frantz SE. Habit reversal vs negative practice treatment of nervous tics. Behavior Therapy 1980;11:169-178. https://doi.org/10.1016/S0005-7894(80)80017-7
  10. Peterson AL, Campise RL, Azrin NH. Behavioral and pharmacological treatments for tic and habit disorders: a review. J Dev Behav Pediatr 1994;15:430-441.
  11. Wilhelm S, Deckersbach T, Coffey BJ, Bohne A, Peterson AL, Baer L. Habit reversal versus supportive psychotherapy for Tourette's disorder: a randomized controlled trial. Am J Psychiatry 2003;160:1175-1177. https://doi.org/10.1176/appi.ajp.160.6.1175
  12. Woods DW, Piacentini JC, Chang SW, Deckersbach T, Ginsburg GS, Peterson AL, et al. Managing Tourette Syndrome. -A behavioral intervention for children and adults; therapist guide- New York, NY: Oxford university press;2009.
  13. 임명호, 이혜진, 도진아, 박태원, 김영신, 조수철. 뚜렛증후군 조절하기: 소아 및 성인을 위한 행동치료 -치료자 지침서-. 서울, 학지사;2010.
  14. Behavior Sciences Consortium of the Tourette Syndrome Association. Comprehensive Behavioral Intervention for Tics (CBIT). 2009;http://www.tsa-usa.org/news/CBIT_intro.html.
  15. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association;1994.
  16. Leckman JF, Riddle MA, Hardin MT, Ort SI, Swartz KL, Stevenson J, et al. The Yale Global Tic Severity Scale: initial testing of a clinicianrated scale of tic severity. J Am Acad Child Adolesc Psychiatry 1989; 28:566-573. https://doi.org/10.1097/00004583-198907000-00015
  17. Guy W. ECDU Asessment Manual for Psychopharmacology, Revised. US Department of Health, Education, and Welfare, Bethesda, MD; 1976.
  18. Kim YS, Cheon KA, Kim BN, Chang SA, Yoo HJ, Kim JW, et al. The reliability and validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version- Korean version (KSADS- PL-K). Yonsei Med J 2004;45:81-89. https://doi.org/10.3349/ymj.2004.45.1.81
  19. DuPaul GJ. Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community-based sample. J Clin Child Psychol 1991;20:245-253. https://doi.org/10.1207/s15374424jccp2003_3
  20. Kovacs M. The children's depression inventory: A self-rated depression scale for school-aged youngsters. unpublished manuscript. university of Pittsburgh;1983.
  21. Cho SC, Lee YS. Development of the Korean form of the Kovacs children's depression inventory. J Korean Neuropsychiatr Assoc 1990; 29:943-956.
  22. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state-trait anxiety inventory. Pal Alto, CA: Consulting Psychologist Press;1970.
  23. Chung SJ, Lee JS, Yoo TI, Koo YJ, Jeon SI, Kim BS, et al. Development of the Korean Form of Yale Global Tic Severity Scale: A Validity and Reliability Study. J Korean Neuropsychiatr Assoc 1998; 37:942-951.
  24. Kim JT. Association of trait anxiety and sociality. Master's thesis, Seoul: Korea University;1978.
  25. Cho SC, Choi JS. Development of Korean form of the state-trait anxiety inventory for children. J Seoul Psychitr 1989;14:150-157.
  26. Ko RW, Oh KJ. Therapeutic effects of a parent training program on behavioral symptoms of ADHD Children. Korean Journal of Clinical Psychology 1994;13:217-233.
  27. Kim YS, So YK, Noh JS, Choi NK, Kim SJ, Koh YJ. Normative Data on the Korean ADHD Rating Scales (K-ARS) for Parents and Teacher. J Korean Neuropsychiatr Assoc 2003;42:352-359.
  28. Leckman JF, Walker DE, Cohen DJ. Premonitory urges in Tourette's syndrome. Am J Psychiatry 1993;150:98-102. https://doi.org/10.1176/ajp.150.1.98
  29. Miguel EC, do Rosário-Campos MC, Prado HS, do Valle R, Rauch SL, Coffey BJ, et al. Sensory phenomena in obsessive-compulsive disorder and Tourette's disorder. J Clin Psychiatry 2000;61:150-156. https://doi.org/10.4088/JCP.v61n0213
  30. Scahill L, Chappell PB, Kim YS, Schultz RT, Katsovich L, Shepherd E, et al. A placebo-controlled study of guanfacine in the treatment of children with tic disorders and attention deficit hyperactivity disorder. Am J Psychiatry 2001;158:1067-1074. https://doi.org/10.1176/appi.ajp.158.7.1067
  31. Sharenow EL, Fuqua RW, Miltenberger RG. The treatment of muscle tics with dissimilar competing response practice. J Appl Behav Anal 1989;22:35-42. https://doi.org/10.1901/jaba.1989.22-35
  32. Bliss J. Sensory experiences of Gilles de la Tourette syndrome. Arch Gen Psychiatry 1980;37:1343-1347. https://doi.org/10.1001/archpsyc.1980.01780250029002
  33. Dopfner M, Rothenberger A. Behavior therapy in tic-disorders with co-existing ADHD. Eur Child Adolesc Psychiatry 2007;16:S89-S99. https://doi.org/10.1007/s00787-007-1011-7