Efficacia Habit Reversal per tic e Sindrome di Tourette

Neeladri Duttaa,b

Andrea E. Cavanna, MD, PhDa,b,c

 A. College of Medical and Dental Sciences, University of Birmingham, UK

 B. The Michael Trimble Neuropsychiatry Research Group, Department of Neuropsychiatry,  BSMHFT and University of Birmingham, UK

 C. Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, London, UK

 

Summary

 

Tourette syndrome (TS) is a neurodevelopmental disorder characterized by multiple tics, which can require active intervention. It is recognized that behavioral techniques, especially habit reversal therapy  (HRT), can offer an effective alternative or complement to pharmacotherapy in this setting. We conducted a systematic literature review to evaluate the efficacy of HRT in TS and other chronic tic disorders (CTDs). Our search was restricted to randomized controlled trials that used standardized diagnostic and outcome measures to compare the efficacy of HRT against a control treatment. We identified five relevant studies, which included 353 patients. Significant post-treatment reductions in tic severity scores (range: 18.3%-37.5%) were seen in the HRT groups across all studies. Current evidence suggests that HRT can significantly reduce tic severity in both adults and children with TS and other CTDs. Further head-to-head studies are needed to compare the efficacy of HRT with other behavioral interventions for tic management.

 

KEY WORDS: behavioral therapy, habit reversal, tics, Tourette syndrome, treatment

 

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