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_aBiofeedback Treatment for Tourette Syndrome: A Preliminary Randomized Controlled Trial / _cNagai, Yoko; Cavanna, Andrea E.; Critchley, Hugo D.; Stern, Jeremy J.; Robertson, Mary M.; Joyce, Eileen M. |
500 | _aPDF en biblioteca | ||
504 | _aBibliografĂa: p.23-24 | ||
520 | 8 | _aObjective: To study the clinical effectiveness of biofeedback treatment in reducing tics in patients with Tourette syndrome. Background: Despite advances in the pharmacologic treatment of patients with Tourette syndrome, many remain troubled by their tics, which may be resistant to multiple medications at tolerable doses. Electrodermal biofeedback is a noninvasive biobehavioral intervention that can be useful in managing neuropsychiatric and neurologic conditions. Methods: We conducted a randomized controlled trial of electrodermal biofeedback training in 21 patients with Tourette syndrome. Results: After training the patients for 3 sessions a week over 4 weeks, we observed a significant reduction in tic frequency and improved indices of subjective well-being in both the active-biofeedback and sham-feedback (control) groups, but there was no difference between the groups in these measurements. Furthermore, the active-treatment group did not demonstrably learn to reduce their sympathetic electrodermal tone using biofeedback. Conclusions: Our findings indicate that this form of biofeedback training was unable to produce a clinical effect greater than placebo. The main confounding factor appeared to be the 30-minute duration of the training sessions, which made it difficult for patients to sustain a reduction in sympathetic tone when their tics themselves were generating competing phasic electrodermal arousal responses. Despite a negative finding in this study, electrodermal biofeedback training may have a role in managing tics if optimal training schedules can be identified. | |
653 | 1 | 4 | _abiofeedback |
653 | 1 | 4 | _aelectrodermal activity |
653 | 1 | 4 | _asympathetic autonomic arousal |
653 | 1 | 4 | _atics |
653 | 1 | 4 | _atourette syndrome |
773 |
_g-- 2014, v. 27, 1, p. 17-24 _tCognitive and Behavioral Neurology |
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