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Differentiating tic-related from non-tic-related impairment in children with persistent tic disorders. Compr Psychiatry 2018 11;87:38-45

Date

09/09/2018

Pubmed ID

30195099

Pubmed Central ID

PMC6240497

DOI

10.1016/j.comppsych.2018.07.017

Scopus ID

2-s2.0-85052890213   6 Citations

Abstract

Children with persistent (chronic) tic disorders (PTDs) experience impairment across multiple domains of functioning, but given high rates of other non-tic-related conditions, it is often difficult to differentiate the extent to which such impairment is related to tics or to other problems. The current study used the Child Tourette's Syndrome Impairment Scale - Parent Report (CTIM-P) to examine parents' attributions of their child's impairment in home, school, and social domains in a sample of 58 children with PTD. Each domain was rated on the extent to which the parents perceived that impairment was related to tics versus non-tic-related concerns. In addition, the Yale Global Tic Severity Scale (YGTSS) was used to explore the relationship between tic-related impairment and tic severity. Results showed impairment in school and social activities was not differentially attributed to tics versus non-tic-related impairment, but impairment in home activities was attributed more to non-tic-related concerns than tics themselves. Moreover, tic severity was significantly correlated with tic-related impairment in home, school, and social activities, and when the dimensions of tic severity were explored, impairment correlated most strongly with motor tic complexity. Results suggest that differentiating tic-related from non-tic-related impairment may be clinically beneficial and could lead to treatments that more effectively target problems experienced by children with PTDs.

Author List

Stiede JT, Alexander JR, Wellen B, Bauer CC, Himle MB, Mouton-Odum S, Woods DW

Author

Jennifer Alexander in the CTSI department at Medical College of Wisconsin - CTSI




MESH terms used to index this publication - Major topics in bold

Adolescent
Child
Diagnosis, Differential
Female
Humans
Male
Personality Disorders
Severity of Illness Index
Social Behavior
Social Perception
Tic Disorders
Tics
Tourette Syndrome