Evidence map›Paper›PMID 34313861›Full record

GuidelineEuropean child & adolescent psychiatry2022

European clinical guidelines for Tourette syndrome and other tic disorders-version 2.0. Part II: psychological interventions.

Per Andrén, Ewgeni Jakubovski, Tara L Murphy, Katrin Woitecki, Zsanett Tarnok, Sharon Zimmerman-Brenner, Jolande van de Griendt, Nanette Mol Debes, Paula Viefhaus, Sally Robinson and 7 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 7 pooled it
17.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 7 syntheses or guidelines pooled it, 186 citations in OpenAlex.

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  6. Guideline
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  18. Effects of Tic Suppression and Urge Monitoring on Premonitory Urges and Tic Frequency in Tourette Syndrome.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2026
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 14 institutions in 10 countries.

Per Andrén *Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Region Stockholm, Gävlegatan 22, 113 30, Stockholm, Sweden. per.andren@ki.se.ORCID http://orcid.org/0000-0003-1358-0166
Ewgeni Jakubovski *Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.ORCID http://orcid.org/0000-0001-8546-5330
Tara L MurphyTic Disorder Clinic, Great Ormond Street Hospital NHS Foundation Trust, London, WC1 3JH, UK.ORCID http://orcid.org/0000-0003-1759-3562
Katrin WoiteckiSchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), University Hospital, Cologne, Germany.
Zsanett TarnokVadaskert Child and Adolescent Psychiatry, Budapest, Hungary.ORCID http://orcid.org/0000-0002-2493-0232
Sharon Zimmerman-BrennerBaruch Ivcher School of Psychology, The Interdisciplinary Center (IDC) Herzliya, Herzliya, Israel.ORCID http://orcid.org/0000-0001-6681-2958
Jolande van de GriendtTicXperts, Heteren, The Netherlands.ORCID http://orcid.org/0000-0003-2548-3339
Nanette Mol DebesDepartment of Pediatrics, Herlev University Hospital, Herlev, Denmark.ORCID http://orcid.org/0000-0003-0279-1865
Paula ViefhausSchool of Child and Adolescent Cognitive Behavior Therapy (AKiP), University Hospital, Cologne, Germany.ORCID http://orcid.org/0000-0003-4929-8138
Sally RobinsonTic and Neurodevelopmental Movement Service (TANDeM), Children's Neurosciences, Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0001-8239-4354
Veit RoessnerDepartment of Child and Adolescent Psychiatry, TU Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-1873-7081
Christos GanosDepartment of Neurology, Charité University Medicine Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0001-8077-8530
Natalia SzejkoDepartment of Neurology, Medical University of Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0001-6160-9221
Kirsten R Müller-VahlDepartment of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.ORCID http://orcid.org/0000-0002-7181-7419
Danielle CathDepartment of Psychiatry, University Medical Center Groningen, Rijks Universiteit Groningen, GGZ Drenthe Mental Health Institution, Assen, The Netherlands.ORCID http://orcid.org/0000-0001-9539-4118
Andreas HartmannDepartment of Neurology, Hôpital de La Pitié-Salpêtrière, 75013, Paris, France.ORCID http://orcid.org/0000-0002-0335-984X
Cara VerdellenPsyQ Nijmegen, Outpatient Treatment Center, Parnassia Group, Den Haag, The Netherlands.ORCID http://orcid.org/0000-0002-3436-6903
Medizinische Hochschule Hannover · DEUniversity Hospital Cologne · DECharité - Universitätsmedizin Berlin · DEGreat Ormond Street Hospital for Children NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBHerlev Hospital · DKKarolinska Institutet · SEMedical University of Warsaw · PLParnassia Groep · NLReichman University · ILSorbonne Université · FRTechnische Universität Dresden · DEUniversity Medical Center Groningen · NLVadaskert Alapítvány a Gyermekek Lelki Egészségéért · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Part II of the European clinical guidelines for Tourette syndrome and other tic disorders (ECAP journal, 2011) provides updated information and recommendations for psychological interventions for individuals with tic disorders, created by a working group of the European Society for the Study of Tourette Syndrome (ESSTS). A systematic literature search was conducted to obtain original studies of psychological interventions for tic disorders, published since the initial European clinical guidelines were issued. Relevant studies were identified using computerized searches of the MEDLINE and PsycINFO databases for the years 2011-2019 and a manual search for the years 2019-2021. Based on clinical consensus, psychoeducation is recommended as an initial intervention regardless of symptom severity. According to a systematic literature search, most evidence was found for Habit Reversal Training (HRT), primarily the expanded package Comprehensive Behavioral Intervention for Tics (CBIT). Evidence was also found for Exposure and Response Prevention (ERP), but to a lesser degree of certainty than HRT/CBIT due to fewer studies. Currently, cognitive interventions and third-wave interventions are not recommended as stand-alone treatments for tic disorders. Several novel treatment delivery formats are currently being evaluated, of which videoconference delivery of HRT/CBIT has the most evidence to date. To summarize, when psychoeducation alone is insufficient, both HRT/CBIT and ERP are recommended as first-line interventions for tic disorders. As part of the development of the clinical guidelines, a survey is reported from ESSTS members and other tic disorder experts on preference, use and availability of psychological interventions for tic disorders.

Indexed as

Tic DisordersTicsTourette SyndromeBehavior TherapyHumansPsychosocial InterventionBehavior therapyComprehensive behavioral intervention for ticsExposure and response preventionHabit reversal trainingTic disordersTourette syndromeTreatment guidelines

Identifiers

PMID34313861
PMCPMC8314030
OpenAlexW3183349377

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.