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20-03-2015 | Original Article

Clinical Correlates and Mediators of Self-Concept in Youth with Chronic Tic Disorders

Auteurs: Camille E. Hanks, Joseph F. McGuire, Adam B. Lewin, Eric A. Storch, Tanya K. Murphy

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2016

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.

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Titel: Clinical Correlates and Mediators of Self-Concept in Youth with Chronic Tic Disorders
Auteurs: Camille E. Hanks
Joseph F. McGuire
Adam B. Lewin
Eric A. Storch
Tanya K. Murphy
Publicatiedatum: 20-03-2015
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 1/2016
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-015-0544-0

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