Clinical Correlates and Mediators of Self-Concept in Youth with Chronic Tic Disorders

Details

• Alternative Title:
  Child Psychiatry Hum Dev
• Personal Author:
  Hanks, Camille E. ; McGuire, Joseph F. ; Lewin, Adam B. ; Storch, Eric A. ; Murphy, Tanya K.
• Description:
  This study investigated the clinical correlates and mediators of self-concept in youth with Chronic Tic Disorders (CTD). Ninety-seven youth aged 6-17 (M = 11.1 ± 2.89; 79.4 % male) with CTD were administered the Yale Global Tic Severity Scale, the Piers-Harris Children's Self-Concept Scale-Second Edition, and self-report and clinician-administered measures assessing behavioral and psychological difficulties and comorbid conditions. Youth with CTD had a slightly below average level of self-concept, with 20 % (n = 19) exhibiting low self-concept. Youth with CTD-only had greater self-concept relative to youth with CTD and obsessive-compulsive disorder (OCD) (p = 0.04) or CTD, OCD, and attention deficit hyperactivity disorder (ADHD) combined (p = 0.009). Medium-to-large-sized associations were observed between youth's self-concept and clinical characteristics (e.g., severity of ADHD, OCD and depressive symptoms). Youth's self-concept partially mediated the relationship between tic severity and depressive symptom severity, and the interaction between tic impairment and youth's reliance on avoidant coping strategies moderated youth's self-concept. Implications, limitations, and recommendations for future interventions are discussed.
• Subjects:
  Adaptation, Psychological Adolescent Attention Deficit Disorder With Hyperactivity Child Chronic Disease Defense Mechanisms Depression Female Humans Male Obsessive-Compulsive Disorder Self Concept Tic Disorders Tourette Syndrome

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• Source:
  Child Psychiatry Hum Dev. 47(1):64-74.
• Pubmed ID:
  25791488
• Pubmed Central ID:
  PMC4575820
• Document Type:
  Journal Article
• Funding:
  U01DD000509/DD/NCBDD CDC HHS/United States ; U01 MH078594/MH/NIMH NIH HHS/United States ; R01 MH063914/MH/NIMH NIH HHS/United States ; K23 MH001739/MH/NIMH NIH HHS/United States ; U01 DD000509/DD/NCBDD CDC HHS/United States
• Volume:
  47
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e918618ce3988094c46fdfbc0ff5e89714ae33c6d381c48e68448f5e3388de85
• Download URL:
  https://stacks.cdc.gov/view/cdc/34419/cdc_34419_DS1.pdf
• File Type:
  [PDF - 301.13 KB ]