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Self-, parent-, and teacher-reported behavioral symptoms in youngsters with Tourette syndrome: a case-control study.
Eur J Paediatr Neurol. 2011 Mar; 15(2):95-100.EJ

Abstract

AIMS

Tourette syndrome (TS) is a neurodevelopmental disorder characterized by multiple tics and associated with co-morbid behavioral problems (TS-plus). We investigated the usefulness of self-report versus parent- and teacher-report instruments in assisting the specialist assessment of TS-plus in a child/adolescent population.

METHODS

Twenty-three patients diagnosed with TS (19 males; age 13.9 ± 3.7 years) and 69 matched healthy controls participated in this study. All recruited participants completed a standardized psychometric battery, including the Children's Depression Inventory (CDI), the Self Administrated Psychiatric Scales for Children and Adolescents (SAFA) and the State-Trait Anger Expression Inventory (STAXI). Parents completed the Child Behavior Checklist (CBCL) and Conners' Parent Rating Scales-Revised (CPRS-R). Participants' teachers completed the Conners' Teacher Rating Scales-Revised (CTRS-R). Results were compared with similar data obtained from controls.

RESULTS

Nineteen patients (82.6%) fulfilled DSM-IV-TR criteria for at least one co-morbid condition: obsessive-compulsive disorder (OCD, n = 8; 34.8%); attention deficit-hyperactivity disorder (ADHD, n = 6; 26.1%); OCD + ADHD (n = 5; 21.7%). Scores on self-report instruments failed to show any significant differences between TS and controls. Most subscores of the CPRS-R, CTRS-R, and CBCL were significantly higher for the TS group than controls. The TS + OCD subgroup scored significantly higher than the TS-OCD subgroup on the CBCL-Externalizing, Anxious/Depressed and Obsessive-Compulsive subscales.

CONCLUSIONS

Self-report instruments appear to have limited usefulness in assisting the assessment of the behavioral spectrum of young patients with TS. However, proxy-rated instruments differentiate TS populations from healthy subjects, and the CBCL can add relevant information to the clinical diagnosis of co-morbid OCD.

Authors+Show Affiliations

Child Neuropsychiatry Unit, Department of Experimental Medicine, University of Insubria, Varese, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21273099

Citation

Termine, Cristiano, et al. "Self-, Parent-, and Teacher-reported Behavioral Symptoms in Youngsters With Tourette Syndrome: a Case-control Study." European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society, vol. 15, no. 2, 2011, pp. 95-100.
Termine C, Selvini C, Balottin U, et al. Self-, parent-, and teacher-reported behavioral symptoms in youngsters with Tourette syndrome: a case-control study. Eur J Paediatr Neurol. 2011;15(2):95-100.
Termine, C., Selvini, C., Balottin, U., Luoni, C., Eddy, C. M., & Cavanna, A. E. (2011). Self-, parent-, and teacher-reported behavioral symptoms in youngsters with Tourette syndrome: a case-control study. European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society, 15(2), 95-100. https://doi.org/10.1016/j.ejpn.2011.01.002
Termine C, et al. Self-, Parent-, and Teacher-reported Behavioral Symptoms in Youngsters With Tourette Syndrome: a Case-control Study. Eur J Paediatr Neurol. 2011;15(2):95-100. PubMed PMID: 21273099.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-, parent-, and teacher-reported behavioral symptoms in youngsters with Tourette syndrome: a case-control study. AU - Termine,Cristiano, AU - Selvini,Claudia, AU - Balottin,Umberto, AU - Luoni,Chiara, AU - Eddy,Clare M, AU - Cavanna,Andrea E, Y1 - 2011/01/26/ PY - 2010/10/13/received PY - 2010/12/16/revised PY - 2011/01/04/accepted PY - 2011/1/29/entrez PY - 2011/1/29/pubmed PY - 2012/2/14/medline SP - 95 EP - 100 JF - European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society JO - Eur J Paediatr Neurol VL - 15 IS - 2 N2 - AIMS: Tourette syndrome (TS) is a neurodevelopmental disorder characterized by multiple tics and associated with co-morbid behavioral problems (TS-plus). We investigated the usefulness of self-report versus parent- and teacher-report instruments in assisting the specialist assessment of TS-plus in a child/adolescent population. METHODS: Twenty-three patients diagnosed with TS (19 males; age 13.9 ± 3.7 years) and 69 matched healthy controls participated in this study. All recruited participants completed a standardized psychometric battery, including the Children's Depression Inventory (CDI), the Self Administrated Psychiatric Scales for Children and Adolescents (SAFA) and the State-Trait Anger Expression Inventory (STAXI). Parents completed the Child Behavior Checklist (CBCL) and Conners' Parent Rating Scales-Revised (CPRS-R). Participants' teachers completed the Conners' Teacher Rating Scales-Revised (CTRS-R). Results were compared with similar data obtained from controls. RESULTS: Nineteen patients (82.6%) fulfilled DSM-IV-TR criteria for at least one co-morbid condition: obsessive-compulsive disorder (OCD, n = 8; 34.8%); attention deficit-hyperactivity disorder (ADHD, n = 6; 26.1%); OCD + ADHD (n = 5; 21.7%). Scores on self-report instruments failed to show any significant differences between TS and controls. Most subscores of the CPRS-R, CTRS-R, and CBCL were significantly higher for the TS group than controls. The TS + OCD subgroup scored significantly higher than the TS-OCD subgroup on the CBCL-Externalizing, Anxious/Depressed and Obsessive-Compulsive subscales. CONCLUSIONS: Self-report instruments appear to have limited usefulness in assisting the assessment of the behavioral spectrum of young patients with TS. However, proxy-rated instruments differentiate TS populations from healthy subjects, and the CBCL can add relevant information to the clinical diagnosis of co-morbid OCD. SN - 1532-2130 UR - https://www.unboundmedicine.com/medline/citation/21273099/Self__parent__and_teacher_reported_behavioral_symptoms_in_youngsters_with_Tourette_syndrome:_a_case_control_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1090-3798(11)00005-5 DB - PRIME DP - Unbound Medicine ER -