TY - JOUR
T1 - Social deficits in children with chronic tic disorders
T2 - Phenomenology, clinical correlates and quality of life
AU - McGuire, Joseph F.
AU - Hanks, Camille
AU - Lewin, Adam B.
AU - Storch, Eric A.
AU - Murphy, Tanya K.
N1 - Funding Information:
In alphabetical order, the authors would like to thank and acknowledge the contributions of Ms. Leah Jung, Dr. Lawrence Scahill, and the children and families that participated in this project. This work was supported by funding from the Centers for Disease Control and Prevention, “Impact of Tic Disorders including Tourette Syndrome, in Youth, on Individuals, Families and Communities” through a parallel study with the University of Rochester.
Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/10
Y1 - 2013/10
N2 - Youth with chronic tic disorders (CTD) experience social problems that have been associated with functional impairment and a diminished quality of life. Previous examinations have attributed social difficulties to either tic severity or the symptom severity of coexisting conditions, but have not directly explored performance deficits in social functioning. This report examined the presence and characteristics of social deficits in youth with CTD and explored the relationship between social deficits, social problems, and quality of life. Ninety-nine youth (8-17 years) and their parents completed a battery of assessments to determine diagnoses, tic severity, severity of coexisting conditions, social responsiveness, and quality of life. Parents reported that youth with CTD had increased social deficits, with 19% reported to have severe social deficits. The magnitude of social deficits was more strongly associated with inattention, hyperactivity, and oppositionality than with tic severity. Social deficits predicted internalizing and social problems, and quality of life above and beyond tic severity. Social deficits partially mediated the relationship between tic severity and social problems, as well as tic severity and quality of life. Findings suggest that youth with CTD have social deficits, which are greater in the presence of attention-deficit hyperactivity disorder and obsessive compulsive disorder. These social deficits play an influential role in social problems and quality of life. Future research is needed to develop interventions to address social performance deficits among youth with CTD.
AB - Youth with chronic tic disorders (CTD) experience social problems that have been associated with functional impairment and a diminished quality of life. Previous examinations have attributed social difficulties to either tic severity or the symptom severity of coexisting conditions, but have not directly explored performance deficits in social functioning. This report examined the presence and characteristics of social deficits in youth with CTD and explored the relationship between social deficits, social problems, and quality of life. Ninety-nine youth (8-17 years) and their parents completed a battery of assessments to determine diagnoses, tic severity, severity of coexisting conditions, social responsiveness, and quality of life. Parents reported that youth with CTD had increased social deficits, with 19% reported to have severe social deficits. The magnitude of social deficits was more strongly associated with inattention, hyperactivity, and oppositionality than with tic severity. Social deficits predicted internalizing and social problems, and quality of life above and beyond tic severity. Social deficits partially mediated the relationship between tic severity and social problems, as well as tic severity and quality of life. Findings suggest that youth with CTD have social deficits, which are greater in the presence of attention-deficit hyperactivity disorder and obsessive compulsive disorder. These social deficits play an influential role in social problems and quality of life. Future research is needed to develop interventions to address social performance deficits among youth with CTD.
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U2 - 10.1016/j.comppsych.2013.04.009
DO - 10.1016/j.comppsych.2013.04.009
M3 - Article
C2 - 23806708
AN - SCOPUS:84884350777
SN - 0010-440X
VL - 54
SP - 1023
EP - 1031
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
IS - 7
ER -