title: Clinical Correlates and Mediators of Self-Concept in Youth with Chronic Tic Disorders.
abstract: 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.
authors: Department of Pediatrics, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.
authors: Camille E
authors: CE
authors: Hanks
authors: Department of Pediatrics, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.|Department of Psychology, University of South Florida, St. Petersburg, FL, USA.
authors: Joseph F
authors: JF
authors: McGuire
authors: Department of Pediatrics, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.|Department of Psychology, University of South Florida, St. Petersburg, FL, USA.|Departments of Psychiatry and Behavioral Neurosciences, University of South Florida, St. Petersburg, FL, USA.
authors: Adam B
authors: AB
authors: Lewin
authors: Department of Pediatrics, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.|Department of Psychology, University of South Florida, St. Petersburg, FL, USA.|Departments of Psychiatry and Behavioral Neurosciences, University of South Florida, St. Petersburg, FL, USA.|Rogers Behavioral Health - Tampa Bay, Tampa, FL, USA.|All Children's Hospital - Johns Hopkins Medicine, St. Petersburg, FL, USA.|Department of Health Policy and Management, University of South Florida, Tampa, FL, USA.
authors: Eric A
authors: EA
authors: Storch
authors: Department of Pediatrics, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA. tmurphy@health.usf.edu.|Departments of Psychiatry and Behavioral Neurosciences, University of South Florida, St. Petersburg, FL, USA. tmurphy@health.usf.edu.|All Children's Hospital - Johns Hopkins Medicine, St. Petersburg, FL, USA. tmurphy@health.usf.edu.
authors: Tanya K
authors: TK
authors: Murphy
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000523:psychology; D002648:Child; D002908:Chronic Disease; D003674:Defense Mechanisms; D003863:Depression; D005260:Female; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis; D012649:Self Concept; D013981:Tic Disorders / Q000175:diagnosis* / Q000523:psychology*; D005879:Tourette Syndrome / Q000175:diagnosis* / Q000523:psychology*
keywords: Avoidance; Chronic Tic Disorders; Depression; Self-concept; Tourette Disorder