Evaluation of cognitive behaviour therapy for paediatric obsessive-compulsive disorder in the context of tic disorders

Bennett, Sophie; Stark, Daniel; Shafran, Roz; Heyman, Isobel; Krebs, Georgina

doi:10.1016/j.jbtep.2015.03.004

Cited by 12 publications

(2 citation statements)

References 41 publications

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“…The impact of chronic health conditions on emotional well-being is well documented as is the drive to integrate physical and psychological care and collect holistic outcomes (Barlow & Ellard, 2006; Bennett et al, 2015). Paediatric psychologists and psychiatrists have a critical role in helping wider multidisciplinary teams in health settings to think about measuring outcomes that are important to young people and their families.…”

Section: Introductionmentioning

confidence: 99%

Measuring psychological outcomes in paediatric settings: Making outcomes meaningful using client-defined perspectives

Flannery

Jacob

2020

Clin Child Psychol Psychiatry

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There is a growing drive to develop and implement patient-reported outcome measures within paediatric health services, particularly for young people living with chronic health conditions; however, there is little consensus on how best to do this in meaningful ways within psychological services working alongside medical teams. This reflective commentary considers some of the challenges of collecting psychological outcome measures in paediatric services and considers alternative approaches to making outcome measurement meaningful. All measures have their limitations; however, they become meaningless if they are not used in meaningful and considered ways with young people. Client-defined outcome measurement, such as goal-based outcome measures, alongside other types of measurement, can capture outcomes of meaning to young people living with chronic health conditions, and can enable them to feed into a shared decision-making process.

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Section: Introductionmentioning

confidence: 99%

Measuring psychological outcomes in paediatric settings: Making outcomes meaningful using client-defined perspectives

Flannery

Jacob

2020

Clin Child Psychol Psychiatry

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“…This includes the suggestion that primarily Behavior Therapy (BT) should be recommended for the treatment of both OCS/OCD and TS. BT seems to be equally effective for pure as well as tic-related OCD [2][3][4]. But many patients remain symptomatic after BT intervention.…”

Section: Introductionmentioning

confidence: 99%

Psychopharmacotherapy of Obsessive-Compulsive Symptoms within the Framework of Tourette Syndrome

Rothenberger

Roessner

2019

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While Behavioral Therapy (BT) should be recommended as the first step in the treatment of OCD as well as TS, medication can be added for augmentation and in certain situations (e.g. family preference, BT not available or feasible) the priority may even reverse. This narrative review is given on the complexity of drug treatment in patients comorbid for obsessive-compulsive disorder (OCD) and Tourette syndrome (TS) and other tic problems. OCD with TS is a co-occuring combination of two generally delimitable, but in detail also overlapping disorders which wax and wane with time but have different courses and necessities and options of treatment. Distinct subtypes like "tic-related OCD" are questionable. Obsessive-compulsive symptoms (OCS) and tics are frequently associated (OCS in TS up to 90%, tics in OCD up to 37%). Sensory-motor phenomena like urges and just-right feelings reflect some behavioral overlap. The main additional psychopathologies are attention-deficit hyperactivity disorder (ADHD), mood problems and anxiety. Also, hair pulling disorder and skin picking disorder are related to OCD with TS. Hence, the assessment and drug treatment of its many psychopathological problems needs high clinical experience, careful planning, and ongoing evaluation/adaptation. Drugs are able to reduce clinical symptoms but cannot cure the disorders, which should be treated in parallel in their own right; i.e. for OCD serotonin reuptake inhibitors (SSRI) and for TS (tics) certain antipsychotics can be successfully prescribed. In cases of OCD with tics, when OCS respond only partially, an augmentation with antipsychotics (recommended: aripiprazole and risperidone) may improve OCS as well as tics. Also, the benzamide sulpiride, an atypical antipsychotics, may be beneficial in treating the combination of OCS, tics and anxious-depressive problems. Probably, any additional psychopathologies of OCD might attenuate the effectiveness of SSRI on OCS; on the other hand, in cases of OCD with tics, SSRI may reduce not only OCS but also stress sensitivity and emotional problems and thus leading to better selfregulatory abilities, useful to improve tic suppression. In sum, some clinical guidance can be given, but there remain many uncertainties because of a scarce data base for psychopharmacotherapy in OCD with TS. Recently, a high quality primer on Tourette Syndrome (TS) has been published, giving a timely and comprehensive overview related to all relevant aspects of the disorder [1]. This includes the suggestion that primarily Behavior Therapy (BT) should be recommended for the treatment of both OCS/OCD and TS. BT seems to be equally effective for pure as well as tic-related OCD [2-4]. But many patients remain symptomatic after BT intervention. In this situation, medication comes into play for augmentation. Further, drug treatment may be given the priority if BT is not available, not feasible or not preferred by the family. Concerning the practically important relationship between obsessive-compulsive symptoms (OCS) and TS the present r...

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Zwangsstörung

Simons¹

2019

Lehrbuch Der Verhaltenstherapie, Band 3

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Evaluation of cognitive behaviour therapy for paediatric obsessive-compulsive disorder in the context of tic disorders

Cited by 12 publications

References 41 publications

Measuring psychological outcomes in paediatric settings: Making outcomes meaningful using client-defined perspectives

Measuring psychological outcomes in paediatric settings: Making outcomes meaningful using client-defined perspectives

Psychopharmacotherapy of Obsessive-Compulsive Symptoms within the Framework of Tourette Syndrome

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