The therapeutic effect of habit reversal training for Tourette syndrome: a meta-analysis of randomized control trials

Yu, Liping; Li, Ying; Zhang, Jishui; Yan, Cao; Wen, Fang; Yan, Junjuan; Wang, Fang; Liu, Jingran; Cui, Yonghua

doi:10.1080/14737175.2020.1826933

Cited by 13 publications

(9 citation statements)

References 46 publications

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“…It may be that this kind of game aggravates the score of vocal twitch due to the problems reported by the subjects in the process, such as quarrels, which aggravates the large total score of twitch. Chia-Wen Chen and Rachel Yates also showed that HRT and CBIT were not as effective as psychological education groups in the treatment of vocal tic ( McGuire et al, 2014 ; Yu et al, 2020 ). Therefore, we speculate that if we want to control motor tic, the direction of CBT may need to be biased toward somatic CBT treatment, while the direction of CBT of vocal tic needs to be biased toward psychotherapy.…”

Section: Discussionmentioning

confidence: 99%

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The Efficacy of Cognitive Behavioral Therapy for Tic Disorder: A Meta-Analysis and a Literature Review

Shou

Fan

et al. 2022

Front. Psychol.

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BackgroundAt present, tic disorder has attracted the attention of medical researchers in many countries. More clinicians choose non-drug therapy, especially cognitive-behavioral therapy (CBT) because of the cognitive side effects of drug therapy. However, few studies had assessed its efficacy. It is necessary to have a more comprehensive understanding of the literature quality of CBT and its intervention effect.MethodsIn this study, MEDLINE, Embase, and Cochrane were searched from the beginning to June 15, 2021 to study the efficacy of -CBT on tic disorder. Only studies using the Yale Global Tic Severity Scale (YGTSS) and the control group were included.ResultsA total of 12 randomized controlled trials (RCTs), including 536 patients with tic disorders, were identified. The results showed that the effect of CBT was better than that of the control group. The pooled standardized mean difference (SMD) was −0.34 (95% CI: −0.61, −0.07). The effect size of CBT differs from different intervention conditions. In seven studies, the subjects’ motor tic scores were counted. The sample size of the experimental group was 224 and that of the control group was 218. The pooled SMD was −0.43 (95% CI: −0.75, −0.11). Seven studies counted the vocal tic scores of subjects, 224 in the experimental group and 218 in the control group. The pooled SMD was −0.22 (95% CI: −0.54, −0.11). Seven studies counted the tic impairment scores of subjects, 220 in the experimental group and 214 in the control group. The pooled SMD was −0.48 (95% CI: −0.73, −0.23).ConclusionThe literature shows that different CBTs can significantly reduce the total score of tic disorder and the score of motor tic, but cannot significantly reduce the score of vocal tic. In the future, more new interventions were needed to improve the symptoms of different patients, especially vocal tic.

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Section: Discussionmentioning

confidence: 99%

“…At present, some meta-analysis studies ( McGuire et al, 2014 ; Yu et al, 2020 ) have determined the therapeutic effect of some CBT, but some problems need to be further studied. First, some new findings can be added to the meta-analysis to help clinicians make more rigorous decisions ( McGuire et al, 2014 ; Chen et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Cognitive Behavioral Therapy for Tic Disorder: A Meta-Analysis and a Literature Review

Shou

Fan

et al. 2022

Front. Psychol.

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“…In recent years, as more RCTs on the efficacy of BT have been published, a number of systematic reviews and metaanalyses have been undertaken [34][35][36][37][38]. The studies range from an early meta-analysis by Wile et al [34] including 4 RCTs to the most recent meta-analysis by Yu et al [38], which summarized 10 RCTs exclusively of HRT and CBIT. The latter meta-analysis included a total of 586 participants and found a medium effect size for HRT (SMD = 0.43).…”

Section: Meta-analyses Of Btmentioning

confidence: 99%

European clinical guidelines for Tourette syndrome and other tic disorders—version 2.0. Part II: psychological interventions

Andrén

Jakubovski

Murphy

et al. 2021

Eur Child Adolesc Psychiatry

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Part II of the European clinical guidelines for Tourette syndrome and other tic disorders (ECAP journal, 2011) provides updated information and recommendations for psychological interventions for individuals with tic disorders, created by a working group of the European Society for the Study of Tourette Syndrome (ESSTS). A systematic literature search was conducted to obtain original studies of psychological interventions for tic disorders, published since the initial European clinical guidelines were issued. Relevant studies were identified using computerized searches of the MEDLINE and PsycINFO databases for the years 2011–2019 and a manual search for the years 2019–2021. Based on clinical consensus, psychoeducation is recommended as an initial intervention regardless of symptom severity. According to a systematic literature search, most evidence was found for Habit Reversal Training (HRT), primarily the expanded package Comprehensive Behavioral Intervention for Tics (CBIT). Evidence was also found for Exposure and Response Prevention (ERP), but to a lesser degree of certainty than HRT/CBIT due to fewer studies. Currently, cognitive interventions and third-wave interventions are not recommended as stand-alone treatments for tic disorders. Several novel treatment delivery formats are currently being evaluated, of which videoconference delivery of HRT/CBIT has the most evidence to date. To summarize, when psychoeducation alone is insufficient, both HRT/CBIT and ERP are recommended as first-line interventions for tic disorders. As part of the development of the clinical guidelines, a survey is reported from ESSTS members and other tic disorder experts on preference, use and availability of psychological interventions for tic disorders.

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“…Habit reversal training includes awareness training and competitive response training, self-monitoring, relaxation training, emergency management, motivational procedures, and generalization training [ 26 ]. BT has been shown to be effective in reducing the severity of tics [ 27 , 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of efficacy of deep brain stimulation, repeat transcranial magnetic stimulation, and behavioral therapy in Tourette syndrome: A systematic review and Bayesian Network Meta-Analysis

Lin

Chen

et al. 2022

Heliyon

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The therapeutic effect of habit reversal training for Tourette syndrome: a meta-analysis of randomized control trials

Cited by 13 publications

References 46 publications

The Efficacy of Cognitive Behavioral Therapy for Tic Disorder: A Meta-Analysis and a Literature Review

The Efficacy of Cognitive Behavioral Therapy for Tic Disorder: A Meta-Analysis and a Literature Review

European clinical guidelines for Tourette syndrome and other tic disorders—version 2.0. Part II: psychological interventions

Comparison of efficacy of deep brain stimulation, repeat transcranial magnetic stimulation, and behavioral therapy in Tourette syndrome: A systematic review and Bayesian Network Meta-Analysis

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