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Behavioral problems and severity of tics

L A Rosenberg1, J Brown, H S Singer

  • 1Johns Hopkins University, Baltimore, MD 21287-3325, USA.

Journal of Clinical Psychology
|November 1, 1995
PubMed
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Behavioral symptoms in children with tic disorders are complex. Severity of tics does not always correlate with behavioral issues, with some resilient and others vulnerable to adjustment problems.

Area of Science:

  • Neuroscience
  • Child Psychology
  • Psychiatry

Background:

  • Tic disorders are common in children.
  • Behavioral symptoms frequently co-occur with tic disorders.
  • The relationship between tic severity and behavioral problems requires further elucidation.

Purpose of the Study:

  • To investigate the incidence of behavioral symptoms in pediatric patients with tic disorders.
  • To explore the relationship between tic severity and the frequency of behavioral symptoms.
  • To identify factors influencing this relationship, including resilience and vulnerability.

Main Methods:

  • A cohort of 186 young patients diagnosed with tic disorders was assessed.
  • The Child Behavior Checklist (CBCL) was utilized to evaluate behavioral symptoms.

Related Experiment Videos

  • A Motor/Vocal Tic Severity Scale was employed to quantify tic severity.

    • Main Results:

    • The association between tic severity and behavioral symptoms was non-linear.
    • A subgroup of "resilient" patients exhibited severe tics with minimal behavioral issues.
    • Another subgroup of "vulnerable" patients showed significant adjustment problems despite mild tics.
    • Age was not found to be related to behavioral problems.
    • Medication status influenced the severity of behavioral problems, necessitating careful consideration in future research.

    Conclusions:

    • The interplay between tic severity and behavioral symptoms in children is complex and influenced by individual patient factors.
    • The identification of resilient and vulnerable patient profiles offers new insights into managing tic disorders.
    • Future research must account for the potential confounding effects of medication on behavioral outcomes in tic disorder populations.