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

Camille E. Hanks, Joseph F. McGuire, Adam B. Lewin, Eric A. Storch, Tanya K. Murphy

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)64-74
Number of pages11
JournalChild Psychiatry and Human Development
Issue number1
StatePublished - Feb 1 2016
Externally publishedYes


  • Avoidance
  • Chronic Tic Disorders
  • Depression
  • Self-concept
  • Tourette Disorder

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health


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