Pilot Testing Behavior Therapy for Chronic Tic Disorders in Neurology and Developmental Pediatrics Clinics

Emily J. Ricketts; Donald L. Gilbert; Samuel H. Zinner; Jonathan W. Mink; Tara D. Lipps; Geoffrey A. Wiegand; Amy E. Vierhile; Laura J. Ely; John Piacentini; John T. Walkup; Douglas W. Woods

doi:10.1177/0883073815599257

Pilot Testing Behavior Therapy for Chronic Tic Disorders in Neurology and Developmental Pediatrics Clinics

Emily J. Ricketts, Donald L. Gilbert, Samuel H. Zinner, Jonathan W. Mink, Tara D. Lipps, Geoffrey A. Wiegand, Amy E. Vierhile, Laura J. Ely, John Piacentini, John T. Walkup, Douglas W. Woods^*

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = -2.0, P <.05, r = -.48, as did tic-related impairment, z = -2.4, P <.05, r = -.57. Five of the 9 completers (56%) were classified as treatment responders. Satisfaction ratings were high, and therapeutic alliance ratings were moderately high. Results provide guidance for refinement of this modified CBIT protocol.

Original language	English (US)
Pages (from-to)	444-450
Number of pages	7
Journal	Journal of child neurology
Volume	31
Issue number	4
DOIs	https://doi.org/10.1177/0883073815599257
State	Published - Mar 1 2016

Keywords

Tourette disorder
behavior therapy
dissemination
neurology
pediatrics
tics

ASJC Scopus subject areas

Clinical Neurology
Pediatrics, Perinatology, and Child Health

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title = "Pilot Testing Behavior Therapy for Chronic Tic Disorders in Neurology and Developmental Pediatrics Clinics",

abstract = "Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = -2.0, P <.05, r = -.48, as did tic-related impairment, z = -2.4, P <.05, r = -.57. Five of the 9 completers (56%) were classified as treatment responders. Satisfaction ratings were high, and therapeutic alliance ratings were moderately high. Results provide guidance for refinement of this modified CBIT protocol.",

keywords = "Tourette disorder, behavior therapy, dissemination, neurology, pediatrics, tics",

author = "Ricketts, {Emily J.} and Gilbert, {Donald L.} and Zinner, {Samuel H.} and Mink, {Jonathan W.} and Lipps, {Tara D.} and Wiegand, {Geoffrey A.} and Vierhile, {Amy E.} and Ely, {Laura J.} and John Piacentini and Walkup, {John T.} and Woods, {Douglas W.}",

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AU - Zinner, Samuel H.

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AU - Lipps, Tara D.

AU - Wiegand, Geoffrey A.

AU - Vierhile, Amy E.

AU - Ely, Laura J.

AU - Piacentini, John

AU - Walkup, John T.

AU - Woods, Douglas W.

N1 - Publisher Copyright: © SAGE Publications.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = -2.0, P <.05, r = -.48, as did tic-related impairment, z = -2.4, P <.05, r = -.57. Five of the 9 completers (56%) were classified as treatment responders. Satisfaction ratings were high, and therapeutic alliance ratings were moderately high. Results provide guidance for refinement of this modified CBIT protocol.

AB - Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = -2.0, P <.05, r = -.48, as did tic-related impairment, z = -2.4, P <.05, r = -.57. Five of the 9 completers (56%) were classified as treatment responders. Satisfaction ratings were high, and therapeutic alliance ratings were moderately high. Results provide guidance for refinement of this modified CBIT protocol.

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Pilot Testing Behavior Therapy for Chronic Tic Disorders in Neurology and Developmental Pediatrics Clinics

Abstract

Keywords

ASJC Scopus subject areas

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