A Population-Based Study of the Utility of Screening for Tics and the Relative Contribution of Tics and Psychiatric Comorbidity to Academic and Social Impairment in Adolescents

Details

• Alternative Title:
  Evid Based Pract Child Adolesc Ment Health
• Personal Author:
  Smith, Jessica N. ; Owens, Julie Sarno ; Evans, Steven W. ; Bitsko, Rebecca H. ; Holbrook, Joseph R.
• Description:
  This study examined the performance of a brief screening tool for tics in adolescents. Academic and social impairment in students by tic screen status and emotional/behavioral problem status were examined. Data were collected as part of an epidemiologic study, the Project to Learn about Youth - Mental Health. Participants were 2,312 secondary school students at the Ohio site (47.4% female; 94.4% non-Hispanic white) and their teachers. Students completed 6 items from the Motor tic, Obsessions and compulsions, Vocal tic Evaluation Survey (MOVES-6) and the Strengths and Difficulties Questionnaire (SDQ). Teachers completed the Proxy Report Questionnaire for tics and SDQ. Based on responses to the MOVES-6, 11.1% of students screened positive for tics. Internal consistency was adequate (α = 0.76); inter-rater consistency between teachers and students was low (0.03). Based on student self-report, those who screened positive for tics self-reported more academic and social impairment than students who screened negative for tics; teacher-report of impairment was similar between those with a positive or negative tic screen. Students who screened positive for tics | reported internalizing difficulties reported more academic and social impairment than students with only a positive tic screen. Teachers perceived those screening positive for tics | externalizing difficulties as the most socially impaired. In conclusion, a positive self-reported tic screen was associated with self-reported academic and social impairment. Findings reveal the independent contribution of tics to impairment, even when internalizing and externalizing problems are present, and the potential utility of a school-based screening for tics in adolescents.
• Source:
  Evid Based Pract Child Adolesc Ment Health. 9(2):192-204
• Pubmed ID:
  38883230
• Pubmed Central ID:
  PMC11177595
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U01 DD001007/DD/NCBDD CDC HHSUnited States/ ; U01DD001007/ACL/ACL HHSUnited States/
• Volume:
  9
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8b44dcb2de041f4549db53261097505bf536e1b6c232f546e16c16af4a6ffe85
• Download URL:
  https://stacks.cdc.gov/view/cdc/157973/cdc_157973_DS1.pdf
• File Type:
  [PDF - 670.27 KB ]