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Habituation of premonitory sensations during exposure and response prevention treatment in Tourette’s syndrome
Abstract
Exposure to premonitory sensations and response prevention of tics (ER) has been shown to be a promising new treatment for Tourette's syndrome (TS). The present study tested the hypothesis that habituation to unpleasant premonitory sensations associated with the tic is an underlying mechanism of change in ER. Patients rated the severity of sensations and urges at 15-minute intervals during ten 2-hour ER sessions. Multilevel models using multiple time trend analyses showed significant reductions of the sensory severity ratings both within and between sessions. The decrease of these severity ratings was related to the frequency of tics exhibited during sessions, regardless of tic severity at baseline. These results support the hypothesis that habituation may be at least part of the underlying working mechanism of exposure in the treatment of tics in TS and that effective tic suppression during sessions is an important factor in this habituation process.
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“considering the established relationship between OCD and tic disorders, including the substantial evidence linking the two, both diagnostically and in terms of shared treatment approaches [39]”
From Habit as a therapeutic component in psychological treatment for obsessive-compulsive disorder: A randomised controlled feasibility study. (2026) · cites this paper as [39]
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The Gilles De La Tourette syndrome: the current status
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“In this regard, ER is one behavioural intervention for tics that has shown to reduce the urge to tic by teaching the child to resist the urge as long as possible [38].”
BackgroundSpecht, M. W., Woods, D. W., Nicotra, C. M., Kelly, L. M., Ricketts, E. J., Conelea, C. A., Grados, M. A., Ostrander, R. S., & Walkup, J. T. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.09.009 · Cited by 134
“Indeed, a recent study found that average urge ratings decreased significantly within and between exposure and response prevention treatment sessions for tics (Verdellen et al., 2008).”
BackgroundMcDiarmid, T. A., Bernardos, A. C., & Rankin, C. H. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.05.028 · Cited by 119
“…used different self-report methodologies to measure premonitory urges including the Premonitory Urge for Tics Scale (Capriotti et al., 2014), Subjective Units of Distress Scale (Verdellen et al., 2008), Visual Analogue Scale (Hoogduin et al., 1997) and the Urge Thermometer (Specht et al., 2013).”
InfluentialSinger, H. S. (2019) · CONTINUUM Lifelong Learning in Neurology · doi:10.1212/con.0000000000000752 · Cited by 126
Temporal relationship between premonitory urges and tics in Gilles de la Tourette syndrome
Brandt, V. C., Beck, C., Sajin, V., Baaske, M. K., Bäumer, T., Beste, C., Anders, S., & Münchau, A. M. (2016) · Cortex · doi:10.1016/j.cortex.2016.01.008 · Cited by 116
“The fourth unresolved question was whether or not urges increase under tic suppression and then decrease (habituate; Capriotti et al., 2014; Specht et al., 2013; Verdellen et al., 2008).”
BackgroundFree will and mental disorder: Exploring the relationship
Meynen, G. (2010) · Metamedicine · doi:10.1007/s11017-010-9158-5 · Cited by 100
“The majority of tic-disorder patients reported that their tics were voluntary; their motor and phonic tics were intentionally produced (this, of course, does not imply that these people want to have tics or Tourette’s syndrome, but it is, rather, about the specific nature or phenomenology of some of the tics and how t…”
BackgroundInfluentialSensory Phenomena in Tourette Syndrome: Their Role in Symptom Formation and Treatment
Houghton, D. C., Capriotti, M. R., Conelea, C. A., & Woods, D. W. (2014) · Current Developmental Disorders Reports · doi:10.1007/s40474-014-0026-2 · Cited by 89
Conelea, C. A., Walther, M. R., Freeman, J. B., Garcia, A. M., Sapyta, J. J., Khanna, M. S., & Franklin, M. E. (2014) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.09.014 · Cited by 86
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van de Griendt, J. M. T. M., Verdellen, C. W. J., van Dijk, M. K., & Verbraak, M. J. P. M. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.10.007 · Cited by 75
Self-citationBehavioral therapy for Tourette syndrome and chronic tic disorders
Fründt, O., Woods, D. W., & Ganos, C. (2017) · Neurology Clinical Practice · doi:10.1212/cpj.0000000000000348 · Cited by 71
“It is based on the view that tics are conditioned responses to premonitory urges,(25,26) and that weakening the association between impeding tics and premonitory urges will lead not only to meaningful tic reduction but also to reduction of urges.(25) During ERP, patients are asked to tolerate premonitory urges for lon…”
BackgroundInvestigating Habituation to Premonitory Urges in Behavior Therapy for Tic Disorders
Houghton, D. C., Capriotti, M. R., Scahill, L. D., Wilhelm, S., Peterson, A. L., Walkup, J. T., Piacentini, J., & Woods, D. W. (2017) · Behavior Therapy · doi:10.1016/j.beth.2017.08.004 · Cited by 67
“Indeed, studies that showed positive evidence of PMU habituation included both adults and children but were weighted toward adults (Hoogduin et al., 1997; Verdellen et al., 2008).”
BackgroundInfluentialVoluntary inhibitory motor control over involuntary tic movements
Ganos, C., Rothwell, J. C., & Haggard, P. (2018) · Movement Disorders · doi:10.1002/mds.27346 · Cited by 69
Behavioural Treatments for Tourette Syndrome: An Evidence-Based Review
Frank, M., & Cavanna, A. E. (2013) · Behavioural Neurology · doi:10.1155/2013/134863 · Cited by 67
Premonitory Urges and Sensorimotor Processing in Tourette Syndrome
Rajagopal, S., Seri, S., & Cavanna, A. E. (2013) · Behavioural Neurology · doi:10.1155/2013/984836 · Cited by 72
Tourette syndrome in children and adolescents: Special considerations
Eapen, V., & Črnčec, R. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.08.003 · Cited by 56
“The application of a competing or incompatible response to tics in HRT sets it apart from ER, where tics are suppressed for prolonged periods, providing the possibility to habituate to premonitory sensations and to disrupt the habitual motor pattern [72].”
BackgroundPhenomenology of Tics and Sensory Urges: The Self Under Siege
Leckman, J. F., Bloch, M. H., Sukhodolsky, D. G., Scahill, L. D., & King, R. A. (2013) · Oxford University Press eBooks · doi:10.1093/med/9780199796267.003.0001 · Cited by 51
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Help or hurt? How attention modulates tics under different conditions
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“Tic suppression skills in ERP aim to disrupt the reinforcement cycle that maintains tic expression and help patients habituate to premonitory urges [56].”
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Capriotti, M. R., Turkel, J. E., Johnson, R. A., Espil, F. M., & Woods, D. W. (2016) · Journal of Applied Behavior Analysis · doi:10.1002/jaba.360 · Cited by 38
“However, clinical behavior therapy for CTDs is thought to facilitate long-term tic reduction by providing new learning experiences wherein patients suppress tics in the presence of strong premonitory urges and sustain this suppression until the urge has dissipated (Capriotti & Woods, 2013; Evers & van de Wetering, 199…”
BackgroundInfluentialTourette Syndrome and Consciousness of Action
Cavanna, A. E., & Nani, A. (2013) · Europe PMC (PubMed Central) · doi:10.7916/d89z9g14 · Cited by 36
Essing, J., Jakubovski, E., Psathakis, N., Cevirme, S., Leckman, J. F., & Müller‐Vahl, K. (2022) · Journal of Movement Disorders · doi:10.14802/jmd.21045 · Cited by 34
Specht, M. W., Nicotra, C. M., Kelly, L. M., Woods, D. W., Ricketts, E. J., Perry-Parrish, C. K., Reynolds, E. K., Hankinson, J. C., Grados, M. A., Ostrander, R. S., et al. (2014) · Behavior Modification · doi:10.1177/0145445514537059 · Cited by 32
“TSBT naive children and adolescents appear to have varying capacity to suppress tics, without instruction, for prolonged periods in an environment that differentially reinforces tic suppression (Himle, Woods, Conelea, Bauer, & Rice, 2007; Specht et al., 2013; Verdellen et al., 2008).”
BackgroundResultInfluentialA Review of Cognitive and Behavioral Interventions for Tic Disorder
Kim, K. M., Bae, E. J., Lee, J., Park, T. W., & Lim, M. H. (2021) · Journal of korean Academy of Child and Adolescent Psychiatry · doi:10.5765/jkacap.200042 · Cited by 31
Correlates and Clinical Implications of Tic Suppressibility
Ueda, K., Kim, S., Greene, D. J., & BLACK, K. J. (2021) · Current Developmental Disorders Reports · doi:10.1007/s40474-021-00230-4 · Cited by 31
Premonitory Urge and Tic Severity, Comorbidities, and Quality of Life in Chronic Tic Disorders
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“The estimate for the prevalence of PU varies, with approximately 77% of patients over 13 years and approximately 90% of patients over 18 years reporting to experience PU.2,5–8 Adults with TS report urges more frequently than children do, but it is unclear whether urges develop as a consequence of tics or precede tics…”
BackgroundInfluentialValidation of the University of São Paulo’s Sensory Phenomena Scale — English version
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“Having an awareness of their SP could also lead patients to better results with cognitive behavioral therapy (CBT) [16].”
ResultBehavioral Interventions for Tic Disorders
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Acceptance of premonitory urges and tics
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“…which tic suppression was established via “coaching” from a therapist with no systematic reinforcement, did not find initial increases in average urge ratings during the first 5 minutes of tic suppression, but did note within- and betweensession reductions in urge ratings (Verdellen et al., 2008).”
BackgroundResultBehavioural Activation Therapy: Philosophy, Concepts, and Techniques
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“…behaviours, including binge eating (Bosch, Miltenberger, Gross, Knudson, & Breitweiser, 2008), Tourette’s syndrome-related behaviour (e.g., tics; Verdellen et al., 2008), smoking (Gifford et al., 2004), excessive alcohol use (Fournier, Ehrhart, Glindermann, & Geller, 2004), and aggression…”
BackgroundBeetsma, D. J. V., van den Hout, M., Engelhard, I. M., Rijkeboer, M. M., & Cath, D. C. (2013) · Behavioural Neurology · doi:10.1155/2013/642487 · Cited by 18
Tourette syndrome and other tic disorders of childhood
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“Verdellen et al. (2008) found support for the habituation hypothesis, both within and between sessions.”
BackgroundResultBehavioral Interventions for Children and Adults with Tic Disorder
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“Within the tic disorder research specifically, habituation to premonitory urges was common (Hoogduin et al., 1997; Houghton et al., 2017; Verdellen et al., 2008).”
BackgroundHollis, C. P., Hall, C. L., Khan, K., Novere, M. L., Marston, L., Jones, R., Hunter, R. M., Brown, B. J., Sanderson, C., Andrén, P., et al. (2023) · Health Technology Assessment · doi:10.3310/cpms3211 · Cited by 15
The Normal Inhibition of Associations is Impaired by Clonidine in Tourette Syndrome.
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“These fi ndings generally align with those of a smaller study of 19 children and adults with TS: 53% reported their urges as focal sensations, 11% as generalized sensations, and 37% as both generalized and focal sensations (56).”
Influentialvan de Griendt, J. M. T. M., van den Berg, N. M. E., Verdellen, C. W. J., Cath, D. C., & Verbraak, M. J. P. M. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12227087 · Cited by 11
“Verdellen et al. (2008) [38] tested the habituation hypothesis as a possible underlying mechanism of ERP in 20 TS patients (age 7–55 years) during 10 two-hour sessions.”
BackgroundMethodResultInfluentialBeetsma, D. J. V., van den Hout, M., Engelhard, I. M., Rijkeboer, M. M., & Cath, D. C. (2014) · Behavioural Neurology · doi:10.1155/2014/753020 · Cited by 11
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A Test of the Behavioral Model of Tic Disorders Using a Dynamical Systems Framework
Wellen, B. C. M., Ramanujam, K., Lavelle, M., Capriotti, M. R., Butner, J., Euler, M. J., & Himle, M. B. (2023) · Behavior Therapy · doi:10.1016/j.beth.2023.08.010 · Cited by 9
“Second, our suppression task was 30 minutes and procedures and results were consistent with those from Specht et al. (2013), but in contrast to the methods used by Verdellen et al. (2008), who reported findings consistent with within-session habituation when utilizing 2-hour suppression sessions.”
BackgroundResultSoftware for web-based tic suppression training
Black, J. K., & BLACK, K. J. (2018) · F1000Research · doi:10.12688/f1000research.13460.2 · Cited by 9
Sørensen, C. B., Lange, T., Jensen, S. N., Grejsen, J., Aaslet, L., Skov, L., & Debes, N. M. (2022) · Neuropediatrics · doi:10.1055/a-1987-3205 · Cited by 9
Nilles, C., Berg, L., Fleming, C., Martino, D., & Pringsheim, T. M. (2023) · Journal of Fluency Disorders · doi:10.1016/j.jfludis.2023.105992 · Cited by 9
BLACK, K. J. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-374105-9.00385-3 · Cited by 9
Friedrich, J., Rawish, T., Bluschke, A., Frings, C., Beste, C., & Münchau, A. M. (2023) · Biomedicines · doi:10.3390/biomedicines11061550 · Cited by 8
“, exposure) to habituate to the unpleasant urges [32,33].”
BackgroundSulkowski, M. L., Jacob, M. L., & Storch, E. A. (2013) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-013-9234-z · Cited by 8
“The first approach involves using ERP procedures for all symptoms as described by Hoogduin et al. (1997) and Verdellen et al. (2008).”
BackgroundMethodResultMünchau, A. M., Thomalla, G., & Roessner, V. (2011) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000091 · Cited by 8
Cognitive-Behavioral Treatment for Tics
Capriotti, M. R., & Woods, D. W. (2013) · Oxford University Press eBooks · doi:10.1093/med/9780199796267.003.0023 · Cited by 8
Treatment of psychiatric disturbances in common hyperkinetic movement disorders
Berardelli, I., Pasquini, M., Conte, A., Bologna, M., Berardelli, A., & Fabbrini, G. (2018) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2019.1555475 · Cited by 8
Leckman, J. F., & Bloch, M. H. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch56 · Cited by 8
Morand‐Beaulieu, S., Crowley, M. J., Grantz, H., Leckman, J. F., & Sukhodolsky, D. G. (2023) · Psychological Medicine · doi:10.1017/s0033291723001940 · Cited by 6
“…is some evidence supporting the role of habituation as a mechanism in some behavioral therapies such as exposure and response prevention (Hoogduin, Verdellen, & Cath, 1997; Verdellen et al., 2008), but it has not been investigated much in CBITandsofaritsroleremainsunconclusive(Houghtonetal.,2017).”
BackgroundEvidence-Based Behavior Therapy for Tourette Syndrome
Katato, H., Muniz, J. A., López‐Arvizu, C., & Mcguire, J. F. (2024) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2024.08.007 · Cited by 6
van de Griendt, J. M. T. M., Cath, D. C., Wertenbroek, A. A. A. C. M., Verdellen, C. W. J., Rath, J. J. G., Klugkist, I. G., de Bruijn, S. F. T. M., & Verbraak, M. J. P. M. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1360895 · Cited by 6
Sørensen, C. B., Lange, T., Jensen, S. N., Grejsen, J., Aaslet, L., Skov, L., & Debes, N. M. (2022) · Neuropediatrics · doi:10.1055/a-1993-3783 · Cited by 6
Clinical Aspects of Premonitory Urges in Patients with Tourette’s Disorder
Nam, S. H., Park, J., & Park, T. W. (2019) · Journal of korean Academy of Child and Adolescent Psychiatry · doi:10.5765/jkacap.180025 · Cited by 5
Management of Severe Pediatric Tourette Syndrome Resistant to Drug Treatment
Perera, H., & Abayanayaka, C. (2012) · Case Reports in Psychiatry · doi:10.1155/2012/497160 · Cited by 4
“Thirdly, ERP is a useful behavioural technique, known to be as effective as habit reversal in tic disorders, with no rebound phenomena on termination of treatment [8, 9].”
MethodRelationship of Body-Focused Repetitive Behavior Disorders to OCD
Murphy, Y. E., Flessner, C. A., & Smith, A. C. G. (2016) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-016-0097-2 · Cited by 4
Software for web-based tic suppression training
Black, J. K., & BLACK, K. J. (2017) · F1000Research · doi:10.12688/f1000research.13460.1 · Cited by 4
“Features that could yet be implemented include adding self-report (and/or trainer-report) measures of inter-session tic severity or of other symptoms, or measures of premonitory sensations/urge intensity before, during or after sessions (Himle et al., 2007; Specht et al., 2014; Verdellen et al., 2008).”
BackgroundIs ACT-Informed Exposure a Viable Treatment for Excoriation Disorder? A Multiple Baseline Study
Thompson, B. L. (2022) · Behavior Modification · doi:10.1177/01454455221091778 · Cited by 4
“(Frank & McKay, 2019) and Tourette’s syndrome (van de Griendt et al., 2018; Verdellen et al., 2008).”
BackgroundConelea, C. A., Tucker, B. T. P., & Woods, D. W. (2010) · Springer eBooks · doi:10.1007/978-0-387-09757-2_51 · Cited by 3
Behavioural Therapy for tic disorders: a comprehensive review of the literature
Morand‐Beaulieu, S., Szejko, N., Fletcher, J., & Pringsheim, T. M. (2024) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2024.2405740 · Cited by 2
Gilles de la Tourette-Syndrom: Klinik, Ursachen, Therapie
Jakubovski, E., & Müller‐Vahl, K. (2017) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0043-103269 · Cited by 2
“In den bisher durchgeführten Studien führte es zu ähnlichen Behandlungsergebnissen wie das HRT [62, 63].”
InfluentialFranklin, M. E., & Talbott, S. (2009) · Springer eBooks · doi:10.1007/978-0-387-09757-2_27 · Cited by 2
Shephard, E. (2014) · Nottingham ePrints (University of Nottingham) · Cited by 2
Verdellen, C. W. J., van de Griendt, J., Hoogduin, C. A. L., & de Schino-Bruyn, I. (2004) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-313-7117-4_10 · Cited by 2
Phenomenology of Tics and Sensory Urges
Leckman, J. F., Bloch, M. H., Sukhodolsky, D. G., Artukoglu, B. B., Scahill, L. D., & King, R. A. (2022) · Oxford University Press eBooks · doi:10.1093/med/9780197543214.003.0002 · Cited by 1
Behavioral interventions for tic disorders
Himle, M. B., Marklin, M., & Wellen, B. C. M. (2026) · Handbook of clinical neurology · doi:10.1016/b978-0-443-13554-5.00030-4 · Cited by 1
You, X.-R., Cai, W.-H., Yang, Y.-T., Li, Y., & Ni, X. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121677 · Cited by 1
Identifying and managing Tourette syndrome
Pountney, D. (2009) · British Journal of Neuroscience Nursing · doi:10.12968/bjnn.2009.5.9.44098 · Cited by 1
The Current Understanding of Premonitory Urge Phenomena in Chronic Tic Disorders
Raines, J. M., & Specht, M. W. (2016) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-016-0099-9 · Cited by 1
Lichtman, J. D. (2017) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v13i1.2002 · Cited by 1
“Regarding the first question, one must recognize that despite the differences in tic presentation, the maintaining mechanisms behind these tics are the same (Verdellen et al., 2008).”
BackgroundThe Mind-Brain Problem and the Problem of Free Will
Fountoulakis, K. Ν. (2021) · Springer eBooks · doi:10.1007/978-3-030-86541-2_16 · Cited by 1
Mainka, T., & Ganos, C. (2022) · Current clinical neurology · doi:10.1007/978-3-030-86495-8_12 · Cited by 1
Murphy, Y. E., Luke, A. K., & Flessner, C. A. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108235655.023 · Cited by 2
Die Bedeutung des Vorgefühls bei Tic-Störungen
Schütteler, C., & Gerlach, A. L. (2022) · Zeitschrift für Klinische Psychologie und Psychotherapie · doi:10.1026/1616-3443/a000677 · Cited by 2
He, J. L., Mikkelsen, M. E., Huddleston, D. A., Crocetti, D., Cecil, K. M., Singer, H. S., Edden, R. A. E., Gilbert, D. L., Mostofsky, S. H., & Puts, N. A. J. (2021) · doi:10.31234/osf.io/j8uwc · Cited by 1
Pereira de Souza, A. M. F. L., Mpavaenda, D., Banca, P., Wellsted, D., Hopkins, J., Marzuki, A. A., Lee, M., Karafylli, E., Bardsley, O., Mazoruk, S., et al. (2026) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2026.152666 · Cited by 1
Turner, J. S. (2010) · Murdoch University Research Portal
Why Mental Disorders Can Diminish Responsibility: Proposing a Theoretical Framework
Meynen, G. (2013) · Library of ethics and applied philosophy · doi:10.1007/978-94-007-6343-2_13
“My approach is to discuss three senses or aspects of free will based on an account suggested by the philosopher and psychiatrist Henrik Walter (2001).9 He proposes to take three elements as key players in the philosophical discussion on free will: (1) acting for reasons, (2) being able to do otherwise, and (3) being t…”
BackgroundTucker, B. T. P., Conelea, C. A., & Woods, D. W. (2012) · doi:10.1002/9781118156391.ebcp001014
Kantini, E. (2010) · Nottingham ePrints (University of Nottingham)
Psychologische interventies voor tics zijn niet zinvol en onwenselijk
Verdellen, C. W. J., & Hoogduin, K. A. L. (2008) · Directieve therapie · doi:10.1007/bf03076447
Fenomenologia e história natural da síndrome de Tourette: breve resumo da pesquisa
Leckman, J. F. (2014) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2014.tde-05052014-105233
Metadata
- Authors
- Verdellen, C. W. J., Hoogduin, C. A. L., Kato, B. S., Keijsers, G. P. J., Cath, D. C., & Hoijtink, H. B.
- Affiliations
- Radboud University Nijmegen (NL)
- Utrecht University (NL)
- GGZ Buitenamstel Amsterdam/Vrije University Medical Center
- Utrecht University
- Corresponding author
- Verdellen, Cara W. J.
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2008-03
- Volume
- 32
- Issue
- 2
- Pages
- 215-227
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2158307287
- Cited by
- 112
- References
- 33
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 2 · 2023: 10 · 2022: 8 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 5 · 2014: 8 · 2013: 9 · 2012: 9
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Stuttering Research and Treatment
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- Tourette syndrome, habituation, exposure and response prevention, tics, tic suppression, therapeutic mechanisms, tic frequency
- MeSH terms
- Adolescent, Adult, Child, Female, Tourette Syndrome, Habituation, Psychophysiologic, Humans, Male, Middle Aged, Sensation, Tics
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