Clinical Correlates and Predictors of Caregiver Strain in Children With Chronic Tic Disorders

Ramanujam, Krishnapriya; Himle, Michael B.; Hayes, Loran P.; Woods, Douglas W.; Scahill, Lawrence David; Sukhodolsky, Denis G.; Wilhelm, Sabine; Deckersbach, Thilo; Peterson, Alan L.; Specht, Matt W.; Walkup, John T.; Chang, Shih-Shin; Piacentini, John

doi:10.1080/02739615.2014.948166

Cited by 18 publications

(6 citation statements)

References 25 publications

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“…2,3,6 Child-reported quality of life has been shown to more strongly correlate with tic severity than parent-reported pediatric quality of life. 11 This may be related to parent reports of greater impairment from disruptive behaviors such as ADHD, 17,23,24 or that some parents may poorly distinguish impairment related to tics from impairment related to comorbidities. 17…”

Section: Discussionmentioning

confidence: 99%

Implementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions

et al. 2020

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Functional impairment is an important factor in Tic Disorder treatment decisions. We evaluated the mini Child Tourette Syndrome Impairment Scale (mini-CTIM) for correlation with symptom severity and association with interventions. A total of 61 randomly selected tic encounters were retrospectively analyzed for mini-CTIM correlation with symptom severity scores and compared between patients who received treatment and those who did not. Regression models identified factors associated with treatment decisions. Mini-CTIM-tic scores correlated with tic severity and mini-CTIM-non-tic scores correlated with attention-deficit hyperactivity disorder (ADHD) severity. Tic treatment was associated with higher child, but not parent, mini-CTIM-tic scores. Regression models identified that comorbidity treatment was predicted by ADHD severity, obsessive compulsive disorder severity, and parent but not child mini-CTIM-non-tic scores. These findings suggest children have valuable insight into their tic-related impairment, but parent assessment is important for evaluating comorbidity-related impairment. The mini-CTIM may be a useful clinical tool for assessing tic-related impairment.

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Section: Discussionmentioning

confidence: 99%

Implementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions

et al. 2020

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“…A higher proportion of children with ADHD (i.e., the TS+ADHD and ADHD-only groups) were minorities relative to children with TS alone. Previous studies have highlighted the issue of undiagnosed or underreported cases of TS among children in racial or ethnic minorities [4,28,29]. While this was not an aim of our analysis, the higher proportion of children with ADHD in racial or ethnic minorities may provide an opportunity to identify children with TS indirectly via a commonly co-occurring disorder, ADHD.…”

Section: Discussionmentioning

confidence: 97%

Academic, Interpersonal, Recreational, and Family Impairment in Children with Tourette Syndrome and Attention-Deficit/Hyperactivity Disorder

Ricketts

Wolicki

Danielson

et al. 2021

Child Psychiatry Hum Dev

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This study describes impairment in academic, interpersonal, recreational, and family financial or occupational domains across children in three mutually exclusive diagnostic groups: ever diagnosed with Tourette syndrome (TS), attention-deficit/hyperactivity disorder (ADHD), and both disorders. In 2014, parents reported on impairment and diagnostic status of children aged 4-17 years (n=3,014). Weighted analysis and pairwise t-tests showed more children with ADHD (with or without TS) experienced impairment in overall school performance, writing, and mathematics, relative to children with TS but not ADHD. More children with TS and ADHD

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“…In addition, youth with tics often struggle to maintain strong social relationships, are often victimized by peers, and are rated by their peers as being more withdrawn, aggressive, and less popular than children without PTD [6, 9]. Further, Robinson et al [11] and Espil et al [5] demonstrated that tics had some influence on children arguing with their parents and their ability to do chores Likewise, Storch et al [12] found that 24% of parents in their study reported that tics caused at least one significant problem across home activities (e.g., difficulty going places, doing chores), and Ramanujam et al [13] found that the number and intensity of a child’s tics was associated with increased objective caregiver strain (e.g., missing work, disruption of family routines, etc. ).…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, Sukhodolsky et al [25] and Stephens and Sandor [26] found that children with TD+ have more disruptive behaviors than children with TD-only and unaffected controls. Finally, Ramanujam et al [13] found that parents of children with PTD and one or more comorbid internalizing or externalizing conditions reported higher levels of objective and subjective caregiver strain compared to parents of children with PTD without comorbidity.…”

Section: Introductionmentioning

confidence: 99%

Differentiating tic-related from non-tic-related impairment in children with persistent tic disorders

Stiede

Alexander

Wellen

et al. 2018

Comprehensive Psychiatry

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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.

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Clinical Correlates and Predictors of Caregiver Strain in Children With Chronic Tic Disorders

Cited by 18 publications

References 25 publications

Implementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions

Implementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions

Academic, Interpersonal, Recreational, and Family Impairment in Children with Tourette Syndrome and Attention-Deficit/Hyperactivity Disorder

Differentiating tic-related from non-tic-related impairment in children with persistent tic disorders

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