Revisiting the structure of the Yale Global Tic Severity Scale (YGTSS) in a sample of Chinese children with tic disorders

Wen, Fang; Gu, Yun; Yan, Junjuan; Liu, Jingran; Wang, Fang; Yu, Liping; Li, Ying; Cui, Yonghua

doi:10.1186/s12888-021-03399-5

Cited by 23 publications

(21 citation statements)

References 37 publications

(42 reference statements)

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“… Participants were assessed eligible if they were in line with the diagnosis standard in tic disorders in children [ 12 , 13 ], could participate in daily life and school activities normally, had not taken healthcare products containing vitamins within 3 months before enrollment of the study, and family members of the children gave informed consent to this trial Participants were assessed ineligible if they had other hereditary, serious organic, nervous system, and mental diseases …”

Section: Methodsmentioning

confidence: 99%

Correlation between Serum Levels of Vitamin A and Vitamin D with Disease Severity in Tic Disorder Children

Wang

Yang

Zhou

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Purpose. To explore and analyze the correlation between serum vitamins A and D levels and disease severity in children with tic disorder. Methods. A total of 59 children with tic disorders treated in the Linping Hospital of Traditional Chinese Medicine from April 2018 to May 2021 were selected as the observation group. 55 healthy children with matched age and sex who underwent physical examination were selected as the control group. Children in the observation group were subdivided to the mild group (n = 35) and moderate-to-severe group (n = 24) according to the Yale comprehensive tic severity scale. Afterwards, they were grouped into the temporary group (n = 25), persistent group (n = 22), and Tourette’s syndrome group (n = 12) according to their clinical characteristics and course of disease. The severity and serum vitamins A and D levels were collected and compared, and then, Spearman correlation analysis was performed to analyze the correlation between the severity and serum vitamins A and D levels. Results. Compared with the control group, the serum vitamin A and D levels in the observation group were lower. Compared with the mild group, the serum vitamins A and D levels were lower in the moderate-to-severe group. Spearman correlation analysis revealed a significant negative correlation between disease severity and serum vitamins A and D levels. Regarding the serum D levels, the temporary group > the persistent group > Tourette’s syndrome group. There was no significant difference in serum vitamin A levels among the three groups. Conclusion. Vitamins A and D deficiency in children is strongly associated with tic disorders, and vitamins A and D demonstrate a negative correlation with the severity of tic disorders. Vitamin D is also linked to the clinical type of tic disorder.

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Section: Methodsmentioning

confidence: 99%

Correlation between Serum Levels of Vitamin A and Vitamin D with Disease Severity in Tic Disorder Children

Wang

Yang

Zhou

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…The YGTSS is a semi-structured interview developed for the assessment of the nature and severity of motor and vocal tics (Leckman et al, 1989 ; Wen et al, 2021 ). The assessment dimensions of the YGTSS include the number, frequency, intensity, complexity, and interference of vocal and motor tic symptoms, with a maximum score of 50 for tic severity (25 for motor and 25 for vocal tics) and a score of 50 for the impairment caused by the tics, yielding a total maximum score of 100.…”

Section: Methodsmentioning

confidence: 99%

“…In our previous report about the prevalence of tic disorder in China, it was 2.5% (Li et al, 2021). As screening tools for tic disorders play an important role in the early diagnoses of tic disorders, but only the Yale Global Tic Severity Scale (YGTSS) has been validated in the assessment of tic disorders in China (Wen et al, 2021). Moreover, behavioral therapy has been conducted in several hospitals in China (Sellbom and Tellegen, 2019), and awareness of PU is believed to play an important role in the efficacy of behavioral therapies, such as habit reversal training.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Chinese Version of the Premonitory Urge for Tics Scale: A Preliminary Report

Liu

Woods

et al. 2021

Front. Psychol.

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Premonitory urges (PUs) are sensory phenomena that immediately precede tics. The Premonitory Urge for Tics Scale (PUTS) is widely used to assess the severity of PUs, but the psychometric properties of PUTS and clinical features of PU in Chinese patients with tic disorders are still unclear. In this study, we examined the psychometric properties of the Chinese version of the PUTS in a large sample (including 367 Chinese pediatric patients with tic disorders). We found no difference in PU in different age groups. The exploratory factor analysis (EFA) of PUTS showed the emergence of four primary factors. The results of reliability and validity analyses indicated that the Chinese version showed good psychometric properties. It seemed that PU was associated with the severity of obsession symptoms in patients with tic disorders. Network analysis showed that Item 7 is a critical node for the PU, in addition to Items 1 and 4. Overall, the Chinese version of PUTS can be used in Chinese child and adolescent patients with tic disorders, particularly for patients with Tourette syndrome.

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“…The YGTSS is a semi-structured interview developed to assess the nature and severity of motor and vocal tics ( 25 , 26 ). The assessment dimensions of the YGTSS include the number, frequency, intensity, complexity, and interference of vocal and motor tic symptoms, with a maximum score of 50 for tic severity (25 for motor and 25 for vocal tics) and 50 for the impairment caused by the tics, yielding a total maximum score of 100.…”

Section: Methodsmentioning

confidence: 99%

The Behavioral and Emotional Profile of Pediatric Tourette Syndrome Based on CBCL in a Chinese Sample

et al. 2022

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BackgroundTourette syndrome (TS) is a childhood-onset neuropsychiatric disorder that has a unique status of a quintessentially neuropsychiatric condition at the interface of neurology (movement disorder) and psychiatry (behavioral/emotional condition). However, the behavioral and emotional profile has seemed to be neglected in the literature thus far. This study aimed to investigate the behavioral and emotional profile of TS.MethodsA total of 124 patients aged 6–16 years with TS were included in this study, including age- and sex-matched health control, attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and major depressive disorder (MDD) groups. The Child Behavior Checklist (CBCL) was used to screen the behavioral and emotional profile of the TS and other compared groups. The Yale Global Tic Severity Scale (YGTSS) was used to assess TS tic severity. Analysis of variance (ANOVA) was used to investigate the difference between the TS and other compared groups.ResultsThe results showed that the eight factors of the CBCL had no association with motor tics, vocal tics, or tic severity (p > 0.05). However, positive correlations were identified between functional impairments (subscales of YGTSS) and thought problems (TP) and rule-breaking behavior (RBB). Based on the eight-factor profile of the CBCL, TS showed a similar profile to MDD but different from ADHD and OCD, which showed similar profiles.ConclusionsBased on the assessment of the CBCL of TS, it was found that “pure” TS might show fewer behavioral and emotional problems than OCD, ADHD, and MDD. Similar behavioral and emotional profiles were identified between TS and MDD, but not OCD and ADHD. More attention needs to be paid to the thought problems and rule break problems in the CBCL in the screening stage, which might have a potential influence on the functional impairments of TS.

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Revisiting the structure of the Yale Global Tic Severity Scale (YGTSS) in a sample of Chinese children with tic disorders

Cited by 23 publications

References 37 publications

Correlation between Serum Levels of Vitamin A and Vitamin D with Disease Severity in Tic Disorder Children

Correlation between Serum Levels of Vitamin A and Vitamin D with Disease Severity in Tic Disorder Children

Psychometric Properties of the Chinese Version of the Premonitory Urge for Tics Scale: A Preliminary Report

The Behavioral and Emotional Profile of Pediatric Tourette Syndrome Based on CBCL in a Chinese Sample

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