Group comprehensive behavioral intervention for tics contribution to broader cognitive and emotion regulation in children

Noa Gur*, Sharon Zimmerman-Brenner, Aviva Fattal-Valevski, Michael Rotstein, Tammy Pilowsky Peleg

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


There is increasing evidence for the effectiveness of behavioral techniques in managing tics in youth with Tourette syndrome and tics disorders (TDs). One such intervention is Comprehensive Behavioral Intervention for Tics (CBIT), which focuses on reducing tic severity by training control and regulation. In view of the regulation deficits characteristic to TDs, in the current study, we aimed to explore the contribution of CBIT beyond tic control, to a wider expression of regulation abilities—cognitive inhibition and emotion regulation. A total of 55 participants with TDs, aged 8–15, who were randomly assigned to group-CBIT or group-Educational Intervention for Tics, were compared on cognitive inhibition tests and use of emotion-regulation strategies, pre- and post-intervention. Whereas on none of the scales a significant interaction effect was found reflecting superiority of CBIT over EIT, repeated measures ANOVA revealed a significant time effect, with post hoc analyses indicating that cognitive inhibition and cognitive reappraisal significantly increased following CBIT intervention only. Within the group-CBIT, the increase in cognitive reappraisal was associated with higher intellectual ability. These findings may lead to a broader understanding of CBIT contribution to more than tic control, but rather to better cognitive and emotional regulation abilities.

Original languageEnglish
Pages (from-to)1925-1933
Number of pages9
JournalEuropean Child and Adolescent Psychiatry
Issue number10
StatePublished - Oct 2023
Externally publishedYes


FundersFunder number
Tourette Syndrome Association in Israel


    • Children
    • Comprehensive behavioral intervention for tics
    • Emotion regulation
    • Inhibition
    • Tic disorders
    • Tourette syndrome


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