A Therapy for Tics in Children Managing Underlying Processes: a Pilot Study

  • Julie B. Leclerc
  • Philippe Valois
  • Gabrielle J-Nolin
  • Mélyane Bombardier
  • Stéphanie Ouellette
  • Kieron P. O’Connor
ORIGINAL ARTICLE

Abstract

Tourette disorder is characterized by tics and is generally associated with many life impairments in childhood. International clinical guidelines recommend treatment with pharmacotherapy and behaviour therapy. The current pilot study reports a single-case design study assessing the effectiveness of an innovative cognitive-behavioural and physiological treatment for decreasing tics in children and adolescents. Fourteen participants aged 8–16 years old were recruited as consecutive referrals from the general population. Eleven cases completed a cognitive-psychophysiological treatment (CoPs) adapted for children and adolescents, and 5 children completed 6- and 12-months follow-up. The CoPs treatment lasted 14–16 sessions and covered 10 major steps principally addressing processes leading up to tics rather than the tics themselves. There was a significant decrease in tic severity as measured by the Tourette Symptom Global Scale overall children. Results showed a decrease of at least one standard deviation at follow-up time measurements and the majority of children showed a further decrease in tic severity at 12-months follow-up. In conclusion, the cognitive psychophysiological treatment reduced severity of tics in children and adolescents as well as in adults (O’Connor, 2015). These findings highlight the necessity for a therapeutic approach which focuses on the central and global processes surrounding tics to help symptom reduction in people with Tourette.

Keywords

Tourette syndrome Children Therapy Tics Behavioural treatment 

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Julie B. Leclerc
    • 1
    • 2
  • Philippe Valois
    • 1
  • Gabrielle J-Nolin
    • 1
  • Mélyane Bombardier
    • 1
  • Stéphanie Ouellette
    • 1
  • Kieron P. O’Connor
    • 2
    • 3
  1. 1.Psychology DepartmentUniversité du Québec à MontréalMontrealCanada
  2. 2.Research CentreInstitut universitaire en santé mentale de MontréalMontrealCanada
  3. 3.Department of PsychiatryUniversity of MontrealMontrealCanada

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