TY - JOUR
T1 - Group comprehensive behavioral intervention for tics contribution to broader cognitive and emotion regulation in children
AU - Gur, Noa
AU - Zimmerman-Brenner, Sharon
AU - Fattal-Valevski, Aviva
AU - Rotstein, Michael
AU - Pilowsky Peleg, Tammy
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
PY - 2023/10
Y1 - 2023/10
N2 - There is increasing evidence for the effectiveness of behavioral techniques in managing tics in youth with Tourette syndrome and tics disorders (TDs). One such intervention is Comprehensive Behavioral Intervention for Tics (CBIT), which focuses on reducing tic severity by training control and regulation. In view of the regulation deficits characteristic to TDs, in the current study, we aimed to explore the contribution of CBIT beyond tic control, to a wider expression of regulation abilities—cognitive inhibition and emotion regulation. A total of 55 participants with TDs, aged 8–15, who were randomly assigned to group-CBIT or group-Educational Intervention for Tics, were compared on cognitive inhibition tests and use of emotion-regulation strategies, pre- and post-intervention. Whereas on none of the scales a significant interaction effect was found reflecting superiority of CBIT over EIT, repeated measures ANOVA revealed a significant time effect, with post hoc analyses indicating that cognitive inhibition and cognitive reappraisal significantly increased following CBIT intervention only. Within the group-CBIT, the increase in cognitive reappraisal was associated with higher intellectual ability. These findings may lead to a broader understanding of CBIT contribution to more than tic control, but rather to better cognitive and emotional regulation abilities.
AB - There is increasing evidence for the effectiveness of behavioral techniques in managing tics in youth with Tourette syndrome and tics disorders (TDs). One such intervention is Comprehensive Behavioral Intervention for Tics (CBIT), which focuses on reducing tic severity by training control and regulation. In view of the regulation deficits characteristic to TDs, in the current study, we aimed to explore the contribution of CBIT beyond tic control, to a wider expression of regulation abilities—cognitive inhibition and emotion regulation. A total of 55 participants with TDs, aged 8–15, who were randomly assigned to group-CBIT or group-Educational Intervention for Tics, were compared on cognitive inhibition tests and use of emotion-regulation strategies, pre- and post-intervention. Whereas on none of the scales a significant interaction effect was found reflecting superiority of CBIT over EIT, repeated measures ANOVA revealed a significant time effect, with post hoc analyses indicating that cognitive inhibition and cognitive reappraisal significantly increased following CBIT intervention only. Within the group-CBIT, the increase in cognitive reappraisal was associated with higher intellectual ability. These findings may lead to a broader understanding of CBIT contribution to more than tic control, but rather to better cognitive and emotional regulation abilities.
KW - Children
KW - Comprehensive behavioral intervention for tics
KW - Emotion regulation
KW - Inhibition
KW - Tic disorders
KW - Tourette syndrome
UR - http://www.scopus.com/inward/record.url?scp=85131945184&partnerID=8YFLogxK
U2 - 10.1007/s00787-022-02018-2
DO - 10.1007/s00787-022-02018-2
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C2 - 35695947
AN - SCOPUS:85131945184
SN - 1018-8827
VL - 32
SP - 1925
EP - 1933
JO - European Child and Adolescent Psychiatry
JF - European Child and Adolescent Psychiatry
IS - 10
ER -