Skip to main content
Log in

Stress management and Gilles de la Tourette's syndrome

  • Notes And Observations
  • Published:
Biofeedback and Self-regulation Aims and scope Submit manuscript

Abstract

Tourette's syndrome is a lifelong disorder characterized by multiple motor and verbal tics. The present study examined relaxation training and desensitization training as a method of reducing the frequency and intensity of tics and the distress they caused in a young adult diagnosed with Tourette's syndrome. After a period of symptom monitoring the subject underwent 3 weeks of intensive training in relaxation skills and 5 weeks of desensitization training with situational cues previously identified as eliciting Tourette's symptoms. According to self-report monitoring, the experience of symptoms was decreased across 3 global dimensions: distress (48%), frequency (48%), and intensity (50%), and an hourly symptom count (50%). Collateral parental symptom report agreed with an observed decrease across distress (40%), frequency (41%), and intensity (40%). Inspection of data suggests that both components of stress management added to total treatment efficacy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.) (DSM-III-R). Washington, DC: Author.

    Google Scholar 

  • Azrin, N. H., Nunn, R. G., & Frantz, S. E. (1980). Habit reversal versus negative practice treatment of nervous ties.Behavior Therapy, 11 169–178.

    Google Scholar 

  • Barabas, G., Matthews, W. S., & Ferrari, M. (1984) Disorders of arousal in Gilles de la Tourette's syndrome.Neurology, 34 815–817.

    Google Scholar 

  • Benditsky, H. (1978). A psychosomatic approach to Gilles de la Tourette's syndrome.Dissertation Abstracts International, 39 969–970.

    Google Scholar 

  • Blanchard, E. B., & Andrasik, F. (1985).Management of chronic headache: A psychological approach. Elmsford, NY: Pergamon Press.

    Google Scholar 

  • Bliss, J. (1980). Sensory experiences of Gilles de la Tourette's syndrome.Archives of General Psychiatry, 37 1343–1347.

    Google Scholar 

  • Brudny, J., Grynbaum, B. B., & Korein, J. (1974). Spasmodic torticollis: Tretment by feedback display of the EMG.Archives of Physical Medical and Rehabilitation, 55 403–408.

    Google Scholar 

  • Brudny, J., Korein, J., Levidow, L., Grynsaum, B. B., Lieberman, A., & Erdman, L. W. (1974). Sensory feedback therapy as a modality of treatment in central nervous system disorders of voluntary movement.Neurology, 24 325–332.

    Google Scholar 

  • Bullen, J. G., & Hemsley, D. R. (1983). Sensory experience as a trigger in Gilles de la Tourette's syndrome.Journal of Behavior Therapy and Experimental Psychiatry, 14 197–201.

    Google Scholar 

  • Canavan, A. G. M., & Powell, G. E. (1981). The efficacy of several treatments of Gilles de la Tourette's syndrome as assessed in a single case.Behaviour Research and Therapy, 19 549–556.

    Google Scholar 

  • Devinsky, O. (1983). Neuroanatomy of Gilles de la Tourette's syndrome: Possible midbrain involvement.Archives of Neurology, 40 505–513.

    Google Scholar 

  • Glaze, D. G., Frost, J. D., & Jankovic, J. (1983). Sleep in Gilles de la Tourette's syndrome: Disorder of arousal.Neurology, 33 586, 592.

    Google Scholar 

  • Price, R. A., Kidd, K. K., Cohen, D. J., Pauls, D. L., & Leckman, J. F. (1985). A twin study of Tourette's syndrome.Archives of General Psychiatry, 42 815–820.

    Google Scholar 

  • Shapiro, A. K., Shapiro, E. S., Brunn, R. D., & Sweet, R. D. (1978).Gilles de la Tourette syndrome. New York: Raven Press.

    Google Scholar 

  • Shapiro, E. S., & Shapiro, A. K. (1981). Tic disorders.Journal of the American Medical Association, 245 1583–1585.

    Google Scholar 

  • Storms, L. (1985). Massed negative practice as a behavioral treatment for Gilles de la Tourette's syndrome.American Journal of Psychotherapy, 39(2), 277–281

    Google Scholar 

  • Turpin, G., & Powell, G. E. (1984). Effects of massed practice and cue-controlled relaxation of tic frequency in Gilles de la Tourette's syndrome.Behaviour Research and Therapy, 22 165–178.

    Google Scholar 

  • Wolpe, J. (1958).Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Michultka, D.M., Blanchard, E.B. & Rosenblum, E.L. Stress management and Gilles de la Tourette's syndrome. Biofeedback and Self-Regulation 14, 115–123 (1989). https://doi.org/10.1007/BF00999049

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00999049

Descriptor Key Words

Navigation