描述,实施和综合性行为干预的有效性,作为首线治疗图雷特和其他症
Kelly Kohler1, Nicole Rosen1, John Piacentini1
1Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA.
Journal of child and adolescent psychopharmacology
|September 23, 2024
概括
对的综合行为干预 (CBIT) 是对图雷特症和的有效的非药物治疗方法. 它结合了习惯逆转训练和功能干预,单独或与药物一起显示持久的有效性.
科学领域:
- 神经学 神经学
- 行为科学 行为科学
- 精神病学是一个精神病学.
背景情况:
- 从历史上看,人们担心的行为干预是无效和危险的.
- 毫无根据的担忧包括症状替代和回弹.
- 最近的研究支持治疗动障碍的行为干预措施.
研究的目的:
- 提供基于证据的综合行为干预对Tics (CBIT) 的综合行为干预审查.
- 评估CBIT作为对图雷特症和其他动作障碍 (TD) 的非药物治疗方法.
主要方法:
- 审查支持CBIT的证据.
- 对CBIT疗效的随机对照试验 (RCT) 的分析.
- 检查CBIT的组件:习惯逆转训练 (HRT) 和功能干预.
主要成果:
- 对于患有TD的青少年和成年人来说,CBIT是一种可容忍和有效的非药物选择.
- 两项涉及248名参与者 (8-69岁) 的大型RCT证明了CBIT的有效性.
- 通过主要的医学院,CBIT被指定为一线治疗.
结论:
- CBIT显示了急性和持久的疗效,在各种格式 (面对面,远程医疗) 和环境 (用/不用药物,并发症) 中提供.
- 需要对CBIT与其他治疗方式结合进行进一步的研究.
- "CBIT是推的动障碍的一线治疗方法.
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