中国临床心理学杂志

抽动障碍的行为治疗研究进展

作者：徐雯赵俊秀孙锦华

单位：1. 上海交通大学医学院附属精神卫生中心上海 200030 2. 上海交通大学附属第一人民医院医学心理科上海 200080

关键词：抽动障碍行为治疗心理治疗

分类号：R395.5

出版年,卷(期):页码：2018,26(2):417-420

摘要：

抽动障碍（Tic Disorders,TD）是一种常见的神经精神性疾病。既往国内主要采取药物治疗进行干预，然而由于药物治疗可能存在的副反应，使得患者的依从性较差。近年来，行为治疗作为一种安全、持久有效的心理干预手段，已被不少研究证实对抽动症状的控制作用。本文拟对行为治疗的主要技术和/或方法，即习惯逆转训练（Hab?it Reversal Treatment,HRT）、综合性抽动行为干预疗法（Comprehensive Behavioral Intervention for Tics，CBIT）、暴露和反应预防（Exposure and Response Prevention,ERP）等三种行为疗法/技术在TD治疗上的应用研究文献进行复习，对上述疗法的具体内容以及相关的实证依据进行综述，并总结了当前行为治疗应用于TD的临床治疗中所面临的一些挑战和不足。

Tic disorder is one of the common neuropsychiatric diseases. In mainland of China, pharmacotherapy has been traditionally considered as the first-line intervention, although along with various side effect from pharmacotherapy and poor compliance in patients. In recent years, behavior therapy, as a safe, efficacious, and long-lasting way of psychologi-cal intervention, has been applied in some of foreign medical institutions, and evidenced its efficacy on decreasing tic sever-ity. This review focuses on three main behavior therapies-habit reversal treatment(HRT), comprehensive behavioral inter-vention for tics(CBIT), and exposure and response prevention(ERP) by reviewing the past evidenced-based study and metaanalysis. Additionally, this review also discusses current challenges and weaknesses when using the behavior therapy for TD.

基金项目：

2010年度上海市自然科学基金项目（10ZR1425600）；2014年度上海市自然科学基金项目（14ZR1435800）

作者简介：

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