Psychosocial stress in children with Tourette syndrome and chronic tic disorder
Background: This study aimed to understand the longitudinal relationship between psychosocial stress with tic exacerbation in children with Tourette syndrome (TS) and chronic tic disorder. Methods: Consecutive ratings of tic severity as well as child and parental reports of psychosocial stress were...
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Elsevier
2024-07-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957223002103 |
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| author | Chiew Yin Tan Nan-Chang Chiu Yi-Hong Zeng Jia-Yun Huang Ruu-Fen Tzang Hui-Ju Chen Yi-Jie Lin Fang-Ju Sun Che-Sheng Ho |
| author_facet | Chiew Yin Tan Nan-Chang Chiu Yi-Hong Zeng Jia-Yun Huang Ruu-Fen Tzang Hui-Ju Chen Yi-Jie Lin Fang-Ju Sun Che-Sheng Ho |
| author_sort | Chiew Yin Tan |
| collection | DOAJ |
| description | Background: This study aimed to understand the longitudinal relationship between psychosocial stress with tic exacerbation in children with Tourette syndrome (TS) and chronic tic disorder. Methods: Consecutive ratings of tic severity as well as child and parental reports of psychosocial stress were obtained for 373 children (296 males, 77 females; mean age 9y 5mo; SD 3y 3mo) with TS and chronic tic disorder between January 2018 and December 2020. The Yale Global Tic Severity Scale (YGTSS) global severity score, total tic score, and impairment rating were calculated. The stressful events and YGTSS measurements were used and treated as time-varying variables in the analyses. Models that controlled for non-independence among the repeated observations using a random intercept and random slope model were employed. Each participant was treated as a random factor in the modelling. Results: Family-related stress, personal relationship stress and school-related stress were independently associated with increasing YGTSS global severity, total tic score, and impairment rating over time. An increased number of stressful events were associated with increased severity of tics. Conclusion: Family, personal relationships, and school-related stress were consistently associated with the exacerbation of tics. Managing these stressful events is important in the treatment of TS and chronic tic disorder. |
| format | Article |
| id | doaj-art-25deefb6b87346f1acb2145aab367ee2 |
| institution | OA Journals |
| issn | 1875-9572 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-25deefb6b87346f1acb2145aab367ee22025-08-20T01:58:52ZengElsevierPediatrics and Neonatology1875-95722024-07-0165433634010.1016/j.pedneo.2023.06.011Psychosocial stress in children with Tourette syndrome and chronic tic disorderChiew Yin Tan0Nan-Chang Chiu1Yi-Hong Zeng2Jia-Yun Huang3Ruu-Fen Tzang4Hui-Ju Chen5Yi-Jie Lin6Fang-Ju Sun7Che-Sheng Ho8Division of Pediatric Neurology, Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; Department of Pediatrics, Taitung Hospital, Ministry of Health and Welfare, TaiwanDivision of Pediatric Neurology, Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; The Department of Medicine, MacKay Medical College, New Taipei City, TaiwanThe Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; Division of Endocrinology and Metabolism, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, TaiwanDivision of Pediatric Neurology, Department of Pediatrics, MacKay Children's Hospital, Taipei, TaiwanThe Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan; MacKay Junior College of Medicine, Nursing, and Management, Taipei, TaiwanDivision of Pediatric Neurology, Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; The Department of Medicine, MacKay Medical College, New Taipei City, TaiwanDivision of Pediatric Neurology, Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; The Department of Medicine, MacKay Medical College, New Taipei City, TaiwanMacKay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; Institute of Biomedical Informatics, National Yang Ming Chiao Tung University, Hsinchu, TaiwanDivision of Pediatric Neurology, Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; The Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; Corresponding author. MacKay Children's Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City, 104217, Taiwan.Background: This study aimed to understand the longitudinal relationship between psychosocial stress with tic exacerbation in children with Tourette syndrome (TS) and chronic tic disorder. Methods: Consecutive ratings of tic severity as well as child and parental reports of psychosocial stress were obtained for 373 children (296 males, 77 females; mean age 9y 5mo; SD 3y 3mo) with TS and chronic tic disorder between January 2018 and December 2020. The Yale Global Tic Severity Scale (YGTSS) global severity score, total tic score, and impairment rating were calculated. The stressful events and YGTSS measurements were used and treated as time-varying variables in the analyses. Models that controlled for non-independence among the repeated observations using a random intercept and random slope model were employed. Each participant was treated as a random factor in the modelling. Results: Family-related stress, personal relationship stress and school-related stress were independently associated with increasing YGTSS global severity, total tic score, and impairment rating over time. An increased number of stressful events were associated with increased severity of tics. Conclusion: Family, personal relationships, and school-related stress were consistently associated with the exacerbation of tics. Managing these stressful events is important in the treatment of TS and chronic tic disorder.http://www.sciencedirect.com/science/article/pii/S1875957223002103ChildLongitudinal studiesPsychological ticsStressTourette syndrome |
| spellingShingle | Chiew Yin Tan Nan-Chang Chiu Yi-Hong Zeng Jia-Yun Huang Ruu-Fen Tzang Hui-Ju Chen Yi-Jie Lin Fang-Ju Sun Che-Sheng Ho Psychosocial stress in children with Tourette syndrome and chronic tic disorder Pediatrics and Neonatology Child Longitudinal studies Psychological tics Stress Tourette syndrome |
| title | Psychosocial stress in children with Tourette syndrome and chronic tic disorder |
| title_full | Psychosocial stress in children with Tourette syndrome and chronic tic disorder |
| title_fullStr | Psychosocial stress in children with Tourette syndrome and chronic tic disorder |
| title_full_unstemmed | Psychosocial stress in children with Tourette syndrome and chronic tic disorder |
| title_short | Psychosocial stress in children with Tourette syndrome and chronic tic disorder |
| title_sort | psychosocial stress in children with tourette syndrome and chronic tic disorder |
| topic | Child Longitudinal studies Psychological tics Stress Tourette syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S1875957223002103 |
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