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Themenschwerpunkt

Tic- und Zwangsstörungen

Published Online:April 25, 2007https://doi.org/10.1026/0942-5403.16.2.75

Abstract

Zusammenfassung. In diesem Übersichtsartikel werden die Gemeinsamkeiten und Unterschiede von Tic- und Zwangsstörungen auf verschiedenen Ebenen dargestellt. In der Psychopathologie unterscheiden sich beide Phänomene zunächst deutlich - Tics sind plötzlich auftretende, unwillkürliche, motorische Bewegungen oder Vokalisationen. Zwänge sind wiederholte, zweckmäßige und beabsichtigte Verhaltensweisen. Es gibt jedoch fließende Übergänge, die sich vor allem bei den Just-Right-Zwängen manifestieren, die bei Tourette-Störungen gehäuft auftreten. Die diagnostischen Strategien und die dabei hilfreichen Instrumente werden vorgestellt. In der Therapie haben sich bei beiden Störungen sowohl verhaltenstherapeutische als auch pharmakotherapeutische Verfahren bewährt. Es wird eine Übersicht über den Stand der empirischen Evidenz gegeben. Die Behandlung von kombinierten Tic- und Zwangsstörungen wird speziell erörtert.


Tic disorders and obsessive-compulsive disorders

Abstract. This review article describes similarities and differences between tic disorders and obsessive-compulsive disorders at various levels. At first glance, the two phenomena are quite different on the psychopathological level. Tics are sudden, rapid, unintended motor movements or vocalizations. Compulsions are repetitive and intended behaviors. However, there is no clear-cut differences between tic movements and compulsive movements, which is obvious from in the just-right compulsions often seen in Tourette's disorder. The assessment strategies and assessment tools are presented. In the treatment of both disorders, behavioral and pharmacological interventions have proven to be effective. The empirical evidence for the treatment is reviewed. The treatment of combined tic- and obsessive-compulsive disorders is discussed.

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