000 02448nas a22002537a 4500
003 OSt
005 20210517131830.0
006 m|||||r|||| 00| 0
007 ta
008 171219t2014 sp ||||| |||| 00| 0 spa |
022 _a0894-878X
040 _cSalus Infirmorum
245 0 0 _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
942 _2udc
_cARTÍCULO
999 _c13134
_d13134