틱 장애에서 습관뒤집기 훈련의 임상효과
Habit Reversal Training in Tic Disorder
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives：Tic disorder is known to be a chronic neuro-behavioral disease, cognitive behavioral treatment (CBT) strategies, like habit reversal training (HRT), are introducing recently. We report the effectiveness of HRT in Tourette disorder, which are very common in clinical settings. Methods：The DSM-IV clinical diagnosis applied by child psychiatrist. YGTSS, Kovac’s children’s depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners’ Rating Scales, Dupaul ADHD Rating Scales are used. Ultimately, totally 10 children were evaluated. Subject group are consist of 6 boys and 4 girls, and the mean age was 10.90±1.73 years old. This study is treatment-refractory 10 patients (from 9-14 years old) though 1 years drug treatment and psychiatric consultation were taken. We administered 5 times of HRT for 4 weeks. Results and Conclusion：There were improvement of scores in Yale Global Tic Severity Scale, Clinical Global Improvement. Our observations indicate that HRT might be effective in the treatment of Tourette disorder.
Abstract
Objectives：Tic disorder is known to be a chronic neuro-behavioral disease, cognitive behavioral treatment (CBT) strategies, like habit reversal training (HRT), are introducing recently. We report the effectiveness of HRT in Tourette disorder, which are very common in clinical settings. Methods：The DSM-IV clinical diagnosis applied by child psychiatrist. YGTSS, Kovac’s children’s depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners’ Rating Scales, Dupaul ADHD Rating Scales are used. Ultimately, totally 10 children were evaluated. Subject group are consist of 6 boys and 4 girls, and the mean age was 10.90±1.73 years old. This study is treatment-refractory 10 patients (from 9-14 years old) though 1 years drug treatment and psychiatric consultation were taken. We administered 5 times of HRT for 4 weeks. Results and Conclusion：There were improvement of scores in Yale Global Tic Severity Scale, Clinical Global Improvement. Our observations indicate that HRT might be effective in the treatment of Tourette disorder.
참고문헌 (32)
- Singer HS, "Tourette’s syndrome: from behaviour to biology", Lancet Neurol, 4, pp.149~159 (2005)
- Kurlan R, "Prevalence of tics in schoolchildren and association with placement in special education", Neurology, 57, pp.1383~1388 (2001)
- Gadow K, "Tics and psychiatric comorbidity in children and adolescents", Dev Med Child Neurol, 4, pp.330~338 (2002)
- George MS, "Transcranial Magnetic Stimulation in Clinical Psychiatry" (2007), American Psychiatric Publishing
- Mink JW, "Neurobioloy of basal ganglia and Tourette syndrome: basal ganglia circuits and thalamocortical outputs", Adv Neurol, 99, pp.89~98 (2006)
- Piacentini J, "Habit reversal training for tic disorders in children and adolescents", Behav Modif, 29, pp.803~822 (2005)
- Azrin NH, "Habit-reversal: a method of eliminating nervous habits and tics", Behav Res Ther, 11, pp.619~628 (1973)
- Peterson AL, "An evaluation of behavioral treatments for Tourette syndrome", Behav Res Ther, 30, pp.167~174 (1992)
- Azrin NH, "Habit reversal vs negative practice treatment of nervous tics", Behavior Therapy, 11, pp.169~178 (1980)
- Peterson AL, "Behavioral and pharmacological treatments for tic and habit disorders: a review", J Dev Behav Pediatr, 15, pp.430~441 (1994)
- Wilhelm S, "Habit reversal versus supportive psychotherapy for Tourette’s disorder: a randomized controlled trial", Am J Psychiatry, 160, pp.1175~1177 (2003)
- Woods DW, "Managing Tourette Syndrome. -A behavioral intervention for children and adults; therapist guide- New York" (2009), Oxford university press
- 임명호, "뚜렛증후군 조절하기: 소아 및 성인을 위한 행동치료 -치료자 지침서-" (2010), 학지사
- "Comprehensive Behavioral Intervention for Tics (CBIT)"[URL]
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders. 4th ed" (1994), American Psychiatric Association
- Leckman JF, "The Yale Global Tic Severity Scale: initial testing of a clinicianrated scale of tic severity", J Am Acad Child Adolesc Psychiatry, 28, pp.566~573 (1989)
- Guy W, "ECDU Asessment Manual for Psychopharmacology, Revised" (1976), US Department of Health, Education, and Welfare, Bethesda
- 김영신, "The Reliability and Validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version (K-SADS-PL-K)", Yonsei Medical Journal, 45(1), pp.81~89 (2004), 연세대학교의과대학
- DuPaul GJ, "Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community-based sample", J Clin Child Psychol, 20, pp.245~253 (1991)
- Kovacs M, "The children’s depression inventory: A self-rated depression scale for school-aged youngsters. unpublished manuscript", univer- sity of Pittsburgh, ~ (1983)
- Cho SC, "Development of the Korean form of the Kovacs children’s depression inventory", J Korean Neuropsychiatr Assoc, 29, pp.943~956 (1990)
- Spielberger CD, "Manual for the state-trait, Development of the Korean Form of Yale Global Tic Severity Scale: A Validity and Reliability Study", J Korean Neuropsychiatr Assoc, 37, pp.942~951 (1998)
- Kim JT, "Association of trait anxiety and sociality", 석사, pp.1978
- Cho SC, "Development of Korean form of the state-trait anxiety inventory for children", J Seoul Psychitr, 14, pp.150~157 (1989)
- Ko RW, "herapeutic effects of a parent training program on behavioral symptoms of ADHD Children", Korean Journal of Clinical Psychology, 13, pp.217~233 (1994)
- 김영신, "한국어판 부모 및 교사용 ADHD 평가 척도(K-ARS)의 규준연구", 신경정신의학, 42(3) (2003), 대한신경정신의학회
- Leckman JF, "Premonitory urges in Tourette’s syndrome", Am J Psychiatry, 150, pp.98~102 (1993)
- Miguel EC, "Sensory phenomena in obsessive-compulsive disorder and Tourette’s disorder", J Clin Psychiatry, 61, pp.150~156 (2000)
- Scahill L, "A placebo-controlled study of guanfacine in the treatment of children with tic disorders and attention deficit hyperactivity disorder", Am J Psychiatry, 158, pp.1067~1074 (2001)
- Sharenow EL, "The treatment of muscle tics with dissimilar competing response practice", J Appl Behav Anal, 22, pp.35~42 (1989)
- Bliss J, "Sensory experiences of Gilles de la Tourette syndrome", Arch Gen Psychiatry, 37, pp.1343~1347 (1980)
- Dopfner M, "Behavior therapy in tic-disorders with co-existing ADHD", Eur Child Adolesc Psychiatry, 16, pp.S89~S99 (2007)