Relaxation therapy in tourette syndrome: A pilot study

Ann Marie R. Bergin · H. Richard Waranch · Janice E. Brown · Kathryn A. Carson · Harvey S. Singer

85 citations0/0 files storedPediatric Neurology

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Obsessive-Compulsive Spectrum Disorders Behavioral and Psychological Studies Stuttering Research and Treatment

Abstract

To evaluate the feasibility and efficacy of behavioral relaxation therapy as treatment for Tourette syndrome, 23 patients were recruited from a university-based pediatric Tourette syndrome referral clinic. Individuals were randomized and stratified according to initial tic severity and the presence of attention-deficit hyperactivity disorder into either relaxation therapy or a minimal therapy (control) group. Sixteen patients, mean age 11.8 years (S.D. 2.8 years), completed the 3-month study, which included weekly, hour-long, individual training sessions for 6 weeks. Individuals (n = 7) in the relaxation therapy group demonstrated a significantly increased ability to relax, compared with the minimal therapy (awareness and quiet time training) group. At 6 weeks, tic findings, based on five established tic severity scales, revealed greater improvement in the relaxation treatment group, but values failed to reach statistical significance. No difference between therapy groups was apparent at the 3-month evaluation. The acquired ability to relax did not significantly affect behavioral measures on the Child Behavioral Checklist. On the basis of this pilot study, relaxation therapy appears to have a limited role in the treatment of tics in Tourette syndrome.

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References

1989The Yale Global Tic Severity Scale: Initial Testing of a Clinician-Rated Scale of Tic Severity 1976ON THE METHODS AND THEORY OF RELIABILITY 1987Applied relaxation: Description of a coping technique and review of controlled studies 1988Tourette's syndrome and tic disorders : clinical understanding and treatment 1991Tourette Syndrome and Other Tic Disorders Diagnosis, Pathophysiology, and Treatment 1983Behavioral relaxation training and assessment 1991Patient perception of tics and other movement disorders 1992The Validity of Instruments Measuring Tic Severity in Tourette's Syndrome

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2011Tourette syndrome and other tic disorders 2005Habit Reversal Training for Tic Disorders in Children and Adolescents 2017Behavioral therapy for Tourette syndrome and chronic tic disorders 2000Current issues in Tourette syndrome 2009Open Label Aripiprazole in the Treatment of Youth with Tic Disorders 2013Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review

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