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Cognitive Control Processes In Behavior Therapy For Youth With Tourette’S Disorder, Joseph F. Mcguire, Alexandra Sturm, Emily J. Ricketts, Gabrielle E. Montalbano, Susanna W. Chang, Sandra K. Loo, Douglas W. Woods, James T. Mccracken, John Piacentini

Psychology Faculty Research and Publications

Background

Cognitive control processes are implicated in the behavioral treatment of Tourette’s disorder (TD). However, the influence of these processes on treatment outcomes has received minimal attention. This study examined whether cognitive control processes and/or tic suppression predicted reductions in tic severity and treatment response to behavior therapy.

Method

Fifty-three youth with TD or a pervasive tic disorder participated in a randomized wait list-controlled trial of behavior therapy. Following a baseline assessment to evaluate psychiatric diagnoses, tic severity, and cognitive control processes (e.g., response selection, inhibition, and suppression), youth were randomly assigned to receive eight sessions of behavior therapy ( …

Treatment Use Among Children With Tourette Syndrome Living In The United States, 2014, Sara Beth Wolicki, Rebecca H. Bitsko, Joseph R. Holbrook, Melissa L. Danielson, Benjamin Zablotsky, Lawrence Scahill, John T. Walkup, Douglas W. Woods, Jonathan W. Mink

Psychology Faculty Research and Publications

Treatment of Tourette syndrome (TS) can be complicated by changes over time in tic expression, severity, and co-occurring disorders. Using the 2014 National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome, this study provides descriptive estimates of the use of behavioral interventions and medication among children living with TS. Parent-reported data on 115 children aged 5–17 years ever diagnosed with TS were analyzed to provide descriptive, unweighted results. Overall, 77.4% of children had current or past use of any TS treatment; 59.1% ever used behavioral interventions and 56.1% had ever taken TS medication. Children with "moderate” or …

Effect Of Behavior Therapy For Tourette's Disorder On Psychiatric Symptoms And Functioning In Adults, Joseph F. Mcguire, Emily J. Ricketts, Lawrence Scahill, Sabine Wilhelm, Douglas W. Woods, John Piacentini, John T. Walkup, Alan L. Peterson

Psychology Faculty Research and Publications

Background

Although behavior therapy reduces tic severity, it is unknown whether it improves co-occurring psychiatric symptoms and functional outcomes for adults with Tourette's disorder (TD). This information is essential for effective treatment planning. This study examined the effects of behavior therapy on psychiatric symptoms and functional outcomes in older adolescents and adults with TD.

Method

A total of 122 individuals with TD or a chronic tic disorder participated in a clinical trial comparing behavior therapy to psychoeducation and supportive therapy. At baseline, posttreatment, and follow-up visits, participants completed assessments of tic severity, co-occurring symptoms (inattention, impulsiveness, hyperactivity, anger, anxiety, depression, …

Development And Open Trial Of A Psychosocial Intervention For Young Children With Chronic Tics: The Cbit-Jr Study, Shannon M. Bennett, Matthew R. Capriotti, Christopher C. Bauer, Susanna W. Chang, Alex E. Keller, John T. Walkup, Douglas W. Woods, John Piacentini

Psychology Faculty Research and Publications

The Comprehensive Behavioral Intervention for Tic Disorders (CBIT) has demonstrated efficacy in large randomized controlled trials for children (≥9 yrs), adolescents and adults with Tourette Syndrome and Chronic Tic Disorders. Given the early age of onset for tic disorders, a large portion of affected individuals with chronic tic disorders are less than 9 years of age and appropriate developmental adaptations of behavioral treatment have not yet been tested. The goal of this study was to adapt and evaluate the acceptability and utility of a family-based adaptation of CBIT for children under 9 years of age. Children 5–8 years of age …

Pediatric Prevention: Tic Disorders, Jordan T. Stiede, Douglas W. Woods

Psychology Faculty Research and Publications

No abstract provided.

Neurocognitive Correlates Of Treatment Response In Children With Tourette's Disorder, Susanna W. Chang, Joseph F. Mcguire, John T. Walkup, Douglas W. Woods, Lawrence Scahill, Sabine Wilhelm, Alan L. Peterson, James Dziura, John Piacentini

Psychology Faculty Research and Publications

This paper examined neurocognitive functioning and its relationship to behavior treatment response among youth with Tourette's Disorder (TD) in a large randomized controlled trial. Participants diagnosed with TD completed a brief neurocognitive battery assessing inhibitory functions, working memory, and habit learning pre- and post-treatment with behavior therapy (CBIT, Comprehensive Behavioral Intervention for Tics) or psychoeducation plus supportive therapy (PST). At baseline, youth with tics and Attention Deficit Hyperactivity Disorder (ADHD) exhibited some evidence of impaired working memory and simple motor inhibition relative to youth with tics without ADHD. Additionally, a small negative association was found between antipsychotic medications and youth's …

Investigating Habituation To Premonitory Urges In Behavior Therapy For Tic Disorders, David C. Houghton, Matthew R. Capriotti, Lawrence Scahill, Sabine Wilhelm, Alan L. Peterson, John T. Walkup, John Piacentini, Douglas W. Woods

Psychology Faculty Research and Publications

Behavior therapy is effective for Persistent Tic Disorders (PTDs), but behavioral processes facilitating tic reduction are not well understood. One process, habituation, is thought to create tic reduction through decreases in premonitory urge severity. The current study tested whether premonitory urges decreased in youth with PTDs (N = 126) and adults with PTDs (N = 122) who participated in parallel randomized clinical trials comparing behavior therapy to psychoeducation and supportive therapy (PST). Trends in premonitory urges, tic severity, and treatment outcome were analyzed according to the predictions of a habituation model, whereby urge severity would be expected to …

Pilot Open Case Series Of Voice Over Internet Protocol-Delivered Assessment And Behavior Therapy For Chronic Tic Disorders, Emily J. Ricketts, Christopher C. Bauer, Dagong Ran, Michael B. Himle, Douglas W. Woods

Psychology Faculty Research and Publications

Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment for children with chronic tic disorders (CTDs). Nevertheless, many families of children with CTDs are unable to access CBIT due to a lack of adequately trained treatment providers, time commitment, and travel distance. This study established the interrater reliability between in-person and Voice over Internet Protocol (VoIP) administrations of the Yale Global Tic Severity Scale (YGTSS), and examined the preliminary efficacy, feasibility, and acceptability of VoIP-delivered CBIT for reducing tics in children with CTDs in an open case series. Across in-person and VoIP administrations of the YGTSS, results showed mean …

Pilot Testing Behavior Therapy For Chronic Tic Disorders In Neurology And Developmental Pediatrics Clinics, Emily J. Ricketts, Donald L. Gilbert, Samuel H. Zinner, Jonathan W. Mink, Tara D. Lipps, Geoffrey A. Wiegand, Amy E. Vierhile, Laura J. Ely, John Piacentini, John T. Walkup, Douglas W. Woods

Psychology Faculty Research and Publications

Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = –2.0, P < .05, r = –.48, as did tic-related impairment, z …

An Empirical Examination Of Symptom Substitution Associated With Behavior Therapy For Tourette's Disorder, Alan L. Peterson, Joseph F. Mcguire, Sabine Wilhelm, John Piacentini, Douglas W. Woods, John T. Walkup, John P. Hatch, Robert Villarreal, Lawrence Scahill

Psychology Faculty Research and Publications

Over the past six decades, behavior therapy has been a major contributor to the development of evidence-based psychotherapy treatments. However, a long-standing concern with behavior therapy among many nonbehavioral clinicians has been the potential risk for symptom substitution. Few studies have been conducted to evaluate symptom substitution in response to behavioral treatments, largely due to measurement and definitional challenges associated with treated psychiatric symptoms. Given the overt motor and vocal tics associated with Tourette’s disorder, it presents an excellent opportunity to empirically evaluate the potential risk for symptom substitution associated with behavior therapy. The present study examined the possible presence …