Efficacy of cognitive-behavioral therapy combined with habit reversal training on anxiety disorders in children with Tourette’s syndrome

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-07-19 DOI:10.5498/wjp.v14.i7.999

Yan-Zhen Wang, Xi Zhang, Xin-Min Han

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引用次数: 0

Abstract

BACKGROUND Cognitive-behavioral therapy (CBT) and habit reversal training (HRT) have shown application potential in addressing tic symptoms and comorbid psychiatric conditions. Despite their theoretical potential, empirical evidence on their combined efficacy remains limited. AIM To evaluate the efficacy of CBT combined with HRT on anxiety disorders in children with Tourette’s syndrome (TS). METHODS Clinical data of children with TS admitted to our hospital from January 2022 to June 2023 were collected, and the patients were grouped into the conventional therapy (control) group and the CBT combined with HRT group. Baseline characteristics, anxiety scores, tic severity scores, treatment adherence, and parental satisfaction were assessed. Statistical analysis was performed using t-tests, chi-square tests, and correlation analysis. RESULTS A total of 136 patients, including 65 patients in the control group and 71 patients in the CBT combined with HRT group, were included. The CBT combined with HRT group showed remarkable improvements compared with the control group. Post-intervention assessment revealed a decrease in anxiety scores from 63.52 ± 1.81 to 40.53 ± 1.64 (t = 2.022, P = 0.045), and the Yale Global Tic Severity Scale total score decreased from 22.14 ± 5.67 to 16.28 ± 4.91 (t = 2.288, P = 0.024). Treatment adherence was significantly higher in the CBT combined with HRT group (85.47 ± 7.62%) compared with the control group (82.32 ± 6.54%; t = 2.596, P = 0.010). Parental satisfaction scores were also higher in the CBT combined with HRT group (8.69 ± 1.77) compared with the control group (7.87 ± 1.92; t = 2.592, P = 0.011). CONCLUSION This study demonstrates that CBT combined with HRT significantly reduces anxiety symptoms and tic severity in children with TS, with higher treatment adherence and parental satisfaction. These findings support the potential application of this comprehensive therapeutic approach for TS treatment.

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认知行为疗法结合习惯逆转训练对妥瑞症儿童焦虑症的疗效

背景认知行为疗法（CBT）和习惯逆转训练（HRT）在治疗抽搐症状和合并精神病方面具有应用潜力。尽管这两种疗法具有理论上的潜力，但有关其综合疗效的实证证据仍然有限。目的评估 CBT 结合 HRT 对妥瑞症（TS）儿童焦虑症的疗效。方法收集我院 2022 年 1 月至 2023 年 6 月期间收治的 TS 儿童的临床资料，并将患者分为传统疗法（对照组）和 CBT 联合 HRT 组。对基线特征、焦虑评分、抽搐严重程度评分、治疗依从性和家长满意度进行了评估。统计分析采用 t 检验、卡方检验和相关分析。结果共纳入 136 名患者，其中对照组 65 人，CBT 联合 HRT 组 71 人。与对照组相比，CBT 联合 HRT 组有显著改善。干预后评估显示，焦虑评分从（63.52±1.81）分降至（40.53±1.64）分（t = 2.022，P = 0.045），耶鲁全球抽搐严重程度量表总分从（22.14±5.67）分降至（16.28±4.91）分（t = 2.288，P = 0.024）。与对照组（82.32 ± 6.54%；t = 2.596，P = 0.010）相比，CBT联合HRT组的治疗依从性明显更高（85.47 ± 7.62%）。与对照组（7.87 ± 1.92；t = 2.592，P = 0.011）相比，CBT 联合 HRT 组（8.69 ± 1.77）的家长满意度得分也更高。结论本研究表明，CBT 联合 HRT 能显著减轻 TS 患儿的焦虑症状和抽搐严重程度，治疗依从性和家长满意度也更高。这些研究结果支持将这种综合治疗方法应用于 TS 治疗的可能性。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.