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Author Notes:

Corresponding author at: Department of Psychology, Texas State University, San Marcos, Texas 78666; Phone: +1 (512) 245-2526, Fax: +1 (512) 245-3153. abramovitch@txstate.edu (A. Abramovitch)

Subjects:

Research Funding:

This work was supported by grants from the National Institute of Mental Health (NIMH) to Drs. Wilhelm (5R01MH069877), Scahill (R01MH069874), and Peterson (RO1MH069875) with subcontracts to Drs. Piacentini and Woods.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Clinical Neurology
  • Neurosciences
  • Pharmacology & Pharmacy
  • Psychiatry
  • Neurosciences & Neurology
  • Tourette's disorder
  • Response inhibition
  • Executive function
  • Treatment
  • Neuropsychology
  • OBSESSIVE-COMPULSIVE DISORDER
  • TOURETTE-SYNDROME
  • BEHAVIOR-THERAPY
  • CONTROLLED-TRIAL
  • INHIBITION
  • CHILDREN
  • METAANALYSIS
  • SEVERITY

Neurocognitive predictors of treatment response to randomized treatment in adults with tic disorders

Tools:

Journal Title:

Progress in Neuro-Psychopharmacology and Biological Psychiatry

Volume:

Volume 74

Publisher:

, Pages 9-14

Type of Work:

Article | Post-print: After Peer Review

Abstract:

Tourette's disorder (TS) and chronic tic disorder (CTD) are neurodevelopmental disorders characterized by involuntary vocal and motor tics. Consequently, TS/CTD have been conceptualized as disorders of cognitive and motor inhibitory control. However, most neurocognitive studies have found comparable or superior inhibitory capacity among individuals with TS/CTD relative to healthy controls. These findings have led to the hypothesis that individuals with TS/CTD develop increased inhibitory control due to the constant need to inhibit tics. However, the role of cognitive control in TS/CTD is not yet understood, particularly in adults. To examine the role of inhibitory control in TS/CTD, the present study investigated this association by assessing the relationship between inhibitory control and treatment response in a large sample of adults with TS/CTD. As part of a large randomized trial comparing behavior therapy versus supportive psychotherapy for TS/CTD, a battery of tests, including tests of inhibitory control was administered to 122 adults with TS/CTD at baseline. We assessed the association between neuropsychological test performance and change in symptom severity, as well as compared the performance of treatment responders and non-responders as defined by the Clinical Global Impression Scale. Results indicated that change in symptoms, and treatment response were not associated with neuropsychological performance on tests of inhibitory control, intellectual ability, or motor function, regardless of type of treatment. The finding that significant change in symptom severity of TS/CTD patients is not associated with impairment or change in inhibitory control regardless of treatment type suggests that inhibitory control may not be a clinically relevant facet of these disorders in adults.

Copyright information:

© 2016 Elsevier Inc.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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