Homework Adherence Predicts Therapeutic Improvement from Behavior Therapy in Tourette’s Disorder
| Autor: | John T. Walkup, Joseph F. McGuire, Lawrence Scahill, Emily J. Ricketts, Sabine Wilhelm, John Piacentini, Joey K.-Y. Essoe, Alan L. Peterson, Douglas W. Woods, Kesley Ramsey |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
050103 clinical psychology
Younger age Neurodegenerative Anger 0302 clinical medicine Behavior Therapy Psychology media_common Pediatric 05 social sciences Psychiatry and Mental health Clinical Psychology Mental Health Treatment Outcome Tics Cognitive Sciences medicine.symptom After treatment Adult medicine.medical_specialty Treatment response Adolescent media_common.quotation_subject Clinical Trials and Supportive Activities education Experimental and Cognitive Psychology Homework adherence Impulsivity Article 03 medical and health sciences Clinical Research Intervention (counseling) Behavioral and Social Science medicine Humans 0501 psychology and cognitive sciences Comprehensive behavioral intervention for tics business.industry medicine.disease Brain Disorders Clinical trial Behavior therapy Physical therapy business Mind and Body human activities 030217 neurology & neurosurgery Tourette Syndrome |
| Zdroj: | Behav Res Ther |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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