Bothersome tics in patients with chronic tic disorders: Characteristics and individualized treatment response to behavior therapy

Joseph F. McGuire, John Piacentini, Lawrence Scahill, Douglas W. Woods, Robert Villarreal, Sabine Wilhelm, John T. Walkup, Alan L Peterson

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

This report examined the most frequently reported bothersome tics among individuals with chronic tic disorders and evaluated the improvement and remission of tics and their associated characteristics. Youths and adults (N=240) were randomly assigned to receive the comprehensive behavioral intervention for tics (CBIT) or psychoeducation and supportive therapy (PST). At baseline, motor tics and tics with an urge were rated as more bothersome relative to vocal tics and tics without premonitory urges. The five most common bothersome tics included eye blinking, head jerks, sniffing, throat clearing, and other complex motor tics. While CBIT outperformed PST across tic type and urge presence, tics preceded by premonitory urges at baseline had higher severity at posttreatment across treatment condition. Six individual tic types had lower severity at posttreatment following CBIT relative to PST. Baseline urge presence was associated with tic remission for CBIT but not PST. Specific bothersome tics were more likely to remit with CBIT relative to PST. Findings suggest that individual tics respond and remit differently to CBIT relative to PST, with implications highlighting the negative reinforcement hypothesis in tic symptom maintenance.

Original languageEnglish (US)
Pages (from-to)56-63
Number of pages8
JournalBehaviour Research and Therapy
Volume70
DOIs
StatePublished - Jul 1 2015

Keywords

  • Behavior therapy
  • Comprehensive behavioral intervention for tics
  • Habit reversal training
  • Individualized treatment response
  • Tourette's disorder
  • Treatment outcome

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Experimental and Cognitive Psychology
  • Arts and Humanities (miscellaneous)
  • Developmental and Educational Psychology

Fingerprint Dive into the research topics of 'Bothersome tics in patients with chronic tic disorders: Characteristics and individualized treatment response to behavior therapy'. Together they form a unique fingerprint.

  • Cite this

    McGuire, J. F., Piacentini, J., Scahill, L., Woods, D. W., Villarreal, R., Wilhelm, S., Walkup, J. T., & Peterson, A. L. (2015). Bothersome tics in patients with chronic tic disorders: Characteristics and individualized treatment response to behavior therapy. Behaviour Research and Therapy, 70, 56-63. https://doi.org/10.1016/j.brat.2015.05.006