دورية أكاديمية
أعرض في EDS

Homework adherence predicts therapeutic improvement from behavior therapy in Tourette's disorder.

التفاصيل البيبلوغرافية
العنوان: Homework adherence predicts therapeutic improvement from behavior therapy in Tourette's disorder.
المؤلفون: Essoe JK; Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Ricketts EJ; Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA., Ramsey KA; Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Piacentini J; Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA., Woods DW; Department of Psychology, Marquette University, Milwaukee, WI, USA., Peterson AL; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, Texas, USA; Department of Psychology, University of Texas at San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, San Antonio, TX, USA., Scahill L; Marcus Autism Center, Emory University School of Medicine, Atlanta, GA, USA., Wilhelm S; Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA., Walkup JT; Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL, USA., McGuire JF; Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jfmcguire@jhmi.edu.
المصدر: Behaviour research and therapy [Behav Res Ther] 2021 May; Vol. 140, pp. 103844. Date of Electronic Publication: 2021 Mar 13.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: England NLM ID: 0372477 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-622X (Electronic) Linking ISSN: 00057967 NLM ISO Abbreviation: Behav Res Ther Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Elsevier Science
Original Publication: Oxford [etc.]
مواضيع طبية MeSH: Tourette Syndrome*/therapy, Adolescent ; Adult ; Behavior Therapy ; Humans ; Treatment Outcome
مستخلص: Behavior therapy is a first-line intervention for Tourette's Disorder (TD), and a key component is the practice of therapeutic skills between treatment visits (i.e., homework). This study examined the relationship between homework adherence during behavior therapy for TD and therapeutic outcomes, and explored baseline predictors of homework adherence during treatment. Participants included 119 individuals with TD (70 youth, 49 adults) who received behavior therapy in a clinical trial. After a baseline assessment of tic severity and clinical characteristics, participants received 8 sessions of behavior therapy. Therapists recorded homework adherence at each therapy session. After treatment, tic severity was re-assessed by independent evaluators masked to treatment condition. Greater overall homework adherence predicted tic severity reductions and treatment response across participants. Early homework adherence predicted therapeutic improvement in youth, whereas late adherence predicted improvement in adults. Baseline predictors of greater homework adherence in youth included lower hyperactivity/impulsivity and caregiver strain. Meanwhile in adults, baseline predictors of increased homework adherence included younger age, lower hyperactivity/impulsivity, obsessive-compulsive severity, anger, and greater work-related disability. Homework adherence is an integral component of behavior therapy and linked to therapeutic improvement. Strategies that improve homework adherence may optimize the efficacy of behavioral treatments and improve treatment outcomes.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
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معلومات مُعتمدة: R01 MH069874 United States MH NIMH NIH HHS; UL1 TR001863 United States TR NCATS NIH HHS; R01 MH069875 United States MH NIMH NIH HHS; K23 MH113884 United States MH NIMH NIH HHS; R01 MH070802 United States MH NIMH NIH HHS; R01 MH069877 United States MH NIMH NIH HHS
فهرسة مساهمة: Keywords: Behavior therapy; Comprehensive behavioral intervention for tics; Homework adherence; Tics
تواريخ الأحداث: Date Created: 20210326 Date Completed: 20211025 Latest Revision: 20220503
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8026681
DOI: 10.1016/j.brat.2021.103844
PMID: 33770556
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-622X
DOI:10.1016/j.brat.2021.103844