Skip to main content
Top
Gepubliceerd in: Research on Child and Adolescent Psychopathology 2/2008

01-02-2008

Durability, Negative Impact, and Neuropsychological Predictors of Tic Suppression in Children with Chronic Tic Disorder

Auteurs: Douglas W. Woods, Michael B. Himle, Raymond G. Miltenberger, James E. Carr, David C. Osmon, Amanda M. Karsten, Candice Jostad, Amanda Bosch

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 2/2008

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Chronic tic disorders are characterized by involuntary motor and vocal tics, which are influenced by contextual factors. Recent research has shown that (a) children can suppress tics for brief periods of time, (b) suppression is enhanced when programmed reinforcement is provided for tic-free intervals, and (c) short periods of suppression do not result in a paradoxical “rebound” in tic frequency when active suppression has ceased. The current study extended existing research in three important ways. First, we examined whether tic suppression ability decreased as suppression duration increased from 5 to 25 to 40 min. Second, we examined post-suppression tic frequency to test whether longer periods of suppression were more likely to be associated with a rebound effect. Finally, we explored neuropsychological predictors of tic suppression. Thirteen children with Tourette syndrome or a chronic tic disorder completed the study. Results showed that (a) tic suppression was sustained for all of the suppression durations, (b) rebound effects were not observed following any of the suppression durations, and (c) ability to suppress was correlated with omission, but not commission errors on a continuous performance task. Implications of these findings are discussed.
Voetnoten
1
The reported 0% inter-observer reliability coefficient represents a case in which one rater observed and recorded a single tic during a suppression condition whereas the second rater observed zero tics during that same segment.
 
2
We ran a 2 (WMU vs NDSU) × 4 (BL, 5, 25, 40 min) ANOVA for the suppression data. Results showed a main effect of site, F(1,10) = 6.22, p = 0.03, with the tic rate across the four conditions at NDSU being significantly higher than the tic rate from WMU participants. The interaction between site and condition was not significant, F(3, 30) = 0.13, p = 0.94. The results of the main effect of suppression were similar to those reported in the body of the paper.
 
3
We ran a 2 (medicated vs nonmedicated) × 4 (BL, 5, 25, 40 min) ANOVA for the suppression data. The suppression data showed no main effect of med status, F(1, 11) = 0.13, p > 0.05, nor a med status × condition interaction, F(3,33) = 0.39, p > 0.05. The results of the main effect of suppression were similar to those reported in the body of the paper.
 
4
We ran a 2 (WMU vs NDSU) × 4 (BL, 5, 25, 40 min) ANOVA for the rebound data. Results showed no main effect of site, F(1,11) = 3.99, p = 0.07. Results showed no significant interaction between site and condition, F(3, 33) = 1.0, p = 0.40. The results of the main effect of rebound were similar to those reported in the body of the paper.
 
5
We ran a 2 (medicated vs nonmedicated) × 4 (BL, 5, 25, 40 min) ANOVA for the rebound data. There was no main effect of med status, F(1, 11) = 0.05, p > 0.05, nor a med status × condition interaction, F(3,33) = 1.65, p > 0.05. The results of the main effect of rebound were similar to those reported in the body of the paper (Table 1).
 
Literatuur
go back to reference Achenbach, T. M. (1991). Manual for the child behavior checklist/4-18 and 1991 profile. Burlington: University of Vermont Press. Achenbach, T. M. (1991). Manual for the child behavior checklist/4-18 and 1991 profile. Burlington: University of Vermont Press.
go back to reference Barlow, D. H., & Hersen, M. (1984). Single case experimental designs: Strategies for studying behavior change (2nd ed.). Boston: Allyn and Bacon. Barlow, D. H., & Hersen, M. (1984). Single case experimental designs: Strategies for studying behavior change (2nd ed.). Boston: Allyn and Bacon.
go back to reference Burd, L., & Kerbeshian, J. (1987). Treatment-generated problems associated with behavior modification in tourette disorder. Developmental Medicine and Child Neurology, 29, 831–832.PubMed Burd, L., & Kerbeshian, J. (1987). Treatment-generated problems associated with behavior modification in tourette disorder. Developmental Medicine and Child Neurology, 29, 831–832.PubMed
go back to reference Bruun, R. D., & Bruun, B. (1994). A mind of its own: Tourette’s syndrome: a story and a guide. New York: Oxford University Press. Bruun, R. D., & Bruun, B. (1994). A mind of its own: Tourette’s syndrome: a story and a guide. New York: Oxford University Press.
go back to reference Conners, K. J., & Multi-Health Systems Staff (2002). Conners’ continuous performance test (CPT II). North Tonowanda, NY: Multi-Health Systems. Conners, K. J., & Multi-Health Systems Staff (2002). Conners’ continuous performance test (CPT II). North Tonowanda, NY: Multi-Health Systems.
go back to reference Deckersbach, T., Rauch, S., Buhlmann, U., & Wilhelm, S. (2006). Habit reversal versus supportive psychotherapy in Tourette's disorder: A randomized controlled trial and predictors of treatment response. Behaviour Research and Therapy, 44, 1079–1090.PubMedCrossRef Deckersbach, T., Rauch, S., Buhlmann, U., & Wilhelm, S. (2006). Habit reversal versus supportive psychotherapy in Tourette's disorder: A randomized controlled trial and predictors of treatment response. Behaviour Research and Therapy, 44, 1079–1090.PubMedCrossRef
go back to reference Goodman, W., Price, L., & Rasmussen, R. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). The Yale–Brown obsessive–compulsive scale: Part I. Development, use and reliability. Archives of General Psychiatry, 46, 1006-1011.PubMed Goodman, W., Price, L., & Rasmussen, R. A., Mazure, C., Fleischmann, R. L., Hill, C. L., et al. (1989). The Yale–Brown obsessive–compulsive scale: Part I. Development, use and reliability. Archives of General Psychiatry, 46, 1006-1011.PubMed
go back to reference Halperin, J. M., Sharma, V., Greenblatt, E., & Schwartz, S. T. (1991). Assessment of the Continuous Performance Test: Reliability and validity in a nonreferred sample. Psychological Assessment, 3, 603–608.CrossRef Halperin, J. M., Sharma, V., Greenblatt, E., & Schwartz, S. T. (1991). Assessment of the Continuous Performance Test: Reliability and validity in a nonreferred sample. Psychological Assessment, 3, 603–608.CrossRef
go back to reference Himle, M. B., Chang, S., Woods, D. W., Pearlman, A., Buzzella, B., Bunaciu, L., et al. (2006a). Direct observation of tics in children with chronic tic disorders: Reliability, validity, and feasibility. Journal of Applied Behavior Analysis, 39, 429–440.PubMedCrossRef Himle, M. B., Chang, S., Woods, D. W., Pearlman, A., Buzzella, B., Bunaciu, L., et al. (2006a). Direct observation of tics in children with chronic tic disorders: Reliability, validity, and feasibility. Journal of Applied Behavior Analysis, 39, 429–440.PubMedCrossRef
go back to reference Himle, M. B., & Woods, D. W. (2005). An experimental evaluation of tic suppression and the tic rebound effect. Behaviour Research and Therapy, 43, 1443–1451.PubMedCrossRef Himle, M. B., & Woods, D. W. (2005). An experimental evaluation of tic suppression and the tic rebound effect. Behaviour Research and Therapy, 43, 1443–1451.PubMedCrossRef
go back to reference Himle, M. B., Woods, D. W., Piacentini, J. C., & Walkup, J. (2006b). Brief review of habit reversal training for Tourette’s syndrome. Journal of Child Neurology, 21, 719–725.PubMedCrossRef Himle, M. B., Woods, D. W., Piacentini, J. C., & Walkup, J. (2006b). Brief review of habit reversal training for Tourette’s syndrome. Journal of Child Neurology, 21, 719–725.PubMedCrossRef
go back to reference Khalifa, N., & Von Knorring, A. L. (2006). Psychopathology in a Swedish population of school children with tic disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1346–1353.PubMedCrossRef Khalifa, N., & Von Knorring, A. L. (2006). Psychopathology in a Swedish population of school children with tic disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1346–1353.PubMedCrossRef
go back to reference Leckman, J. F., Riddle, M. A., Hardin, M., Ort, S. I., Swartz, K. L., Stevenson, J., et al. (1989). The Yale Global Tic Severity Scale: Initial testing of a clinician-rated scale of tic severity. American Academy of Child and Adolescent Psychiatry, 28, 566–573.CrossRef Leckman, J. F., Riddle, M. A., Hardin, M., Ort, S. I., Swartz, K. L., Stevenson, J., et al. (1989). The Yale Global Tic Severity Scale: Initial testing of a clinician-rated scale of tic severity. American Academy of Child and Adolescent Psychiatry, 28, 566–573.CrossRef
go back to reference Leckman, J. F., Walker, D. E., & Cohen, D. J. (1993). Premonitory urges in Tourette’s syndrome. American Journal of Psychiatry, 150, 98–102.PubMed Leckman, J. F., Walker, D. E., & Cohen, D. J. (1993). Premonitory urges in Tourette’s syndrome. American Journal of Psychiatry, 150, 98–102.PubMed
go back to reference Malatesta, V. J. (1990). Behavioral case formulation: An experimental assessment study of transient tic disorder. Journal of Psychopathology and Behavioral Assessment, 12, 219–232.CrossRef Malatesta, V. J. (1990). Behavioral case formulation: An experimental assessment study of transient tic disorder. Journal of Psychopathology and Behavioral Assessment, 12, 219–232.CrossRef
go back to reference Marcks, B. A., Woods, D. W., Teng, E. J., & Twohig, M. P. (2004). What do those who know, know? Investigating providers’ knowledge about Tourette syndrome and its treatment. Cognitive and Behavioral Practice, 11, 298–305.CrossRef Marcks, B. A., Woods, D. W., Teng, E. J., & Twohig, M. P. (2004). What do those who know, know? Investigating providers’ knowledge about Tourette syndrome and its treatment. Cognitive and Behavioral Practice, 11, 298–305.CrossRef
go back to reference Meidinger, A. L., Miltenberger, R. G., Himle, M. B., Omvig, M., Trainor, C., & Crosby, R. (2005). An investigation of tic suppression and the rebound effect in Tourette’s disorder. Behavior Modification, 29, 716–745.PubMedCrossRef Meidinger, A. L., Miltenberger, R. G., Himle, M. B., Omvig, M., Trainor, C., & Crosby, R. (2005). An investigation of tic suppression and the rebound effect in Tourette’s disorder. Behavior Modification, 29, 716–745.PubMedCrossRef
go back to reference O’Connor, K., Brisebois, H., Brault, M., Robillard, S., & Loiselle, J. (2003). Behavioral activity associated with onset in chronic tic and habit disorder. Behaviour Research and Therapy, 41, 241–249.PubMedCrossRef O’Connor, K., Brisebois, H., Brault, M., Robillard, S., & Loiselle, J. (2003). Behavioral activity associated with onset in chronic tic and habit disorder. Behaviour Research and Therapy, 41, 241–249.PubMedCrossRef
go back to reference Peterson, B. S., Skudlarski, P., Anderson, A. W., Zhang, H., Gatnenby, J. C., Lacadie, C. M., et al. (1998). A functional magnetic resonance imaging study of tic suppression in Tourette syndrome. Archives of General Psychiatry, 55, 326–333.PubMedCrossRef Peterson, B. S., Skudlarski, P., Anderson, A. W., Zhang, H., Gatnenby, J. C., Lacadie, C. M., et al. (1998). A functional magnetic resonance imaging study of tic suppression in Tourette syndrome. Archives of General Psychiatry, 55, 326–333.PubMedCrossRef
go back to reference Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., et al. (1997). Children’s Yale–Brown obsessive–compulsive scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.PubMedCrossRef Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., et al. (1997). Children’s Yale–Brown obsessive–compulsive scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 844–852.PubMedCrossRef
go back to reference Silva, R. R., Munoz, D. M., Barickman, J., & Friedhoff, A. J. (1995). Environmental factors and related fluctuation of symptoms in children and adolescents with Tourette’s disorder. Journal of Child Psychology and Psychiatry, 36, 305–312.PubMedCrossRef Silva, R. R., Munoz, D. M., Barickman, J., & Friedhoff, A. J. (1995). Environmental factors and related fluctuation of symptoms in children and adolescents with Tourette’s disorder. Journal of Child Psychology and Psychiatry, 36, 305–312.PubMedCrossRef
go back to reference Silverman, W., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV—child and parent versions. San Antonio, TX: Physiological Corporation. Silverman, W., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV—child and parent versions. San Antonio, TX: Physiological Corporation.
go back to reference Silverman, W. K., & Eisen, A. R. (1992). Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 117–124.PubMedCrossRef Silverman, W. K., & Eisen, A. R. (1992). Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 117–124.PubMedCrossRef
go back to reference Silverman, W. K., & Nelles, W. B. (1988). The Anxiety Disorders Inventory Schedule for Children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 779–784.PubMedCrossRef Silverman, W. K., & Nelles, W. B. (1988). The Anxiety Disorders Inventory Schedule for Children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 779–784.PubMedCrossRef
go back to reference The Psychological Corporation (1999). Wechsler abbreviated scale of intelligence. San Antonio, TX: The Psychological Corporation. The Psychological Corporation (1999). Wechsler abbreviated scale of intelligence. San Antonio, TX: The Psychological Corporation.
go back to reference Wilhelm, S., Deckersbach, T., Coffey, B. J., Bohne, A., Peterson, A. L., & Baer, L. (2003). Habit reversal versus supportive psychotherapy for Tourette’s disorder: A randomized controlled trial. American Journal of Psychiatry, 160, 1175–1177.PubMedCrossRef Wilhelm, S., Deckersbach, T., Coffey, B. J., Bohne, A., Peterson, A. L., & Baer, L. (2003). Habit reversal versus supportive psychotherapy for Tourette’s disorder: A randomized controlled trial. American Journal of Psychiatry, 160, 1175–1177.PubMedCrossRef
go back to reference Woods, D. W., & Himle, M. B. (2004). Creating tic suppression: Comparing the effects of verbal instruction to differential reinforcement. Journal of Applied Behavior Analysis, 37, 417–420.PubMedCrossRef Woods, D. W., & Himle, M. B. (2004). Creating tic suppression: Comparing the effects of verbal instruction to differential reinforcement. Journal of Applied Behavior Analysis, 37, 417–420.PubMedCrossRef
go back to reference Woods, D. W., Twohig, M. P., Flessner, C. A., & Roloff, T. J. (2003). Treatment of vocal tics in children with Tourette syndrome: Investigating the efficacy of habit reversal. Journal of Applied Behavior Analysis, 36, 109–112.PubMedCrossRef Woods, D. W., Twohig, M. P., Flessner, C. A., & Roloff, T. J. (2003). Treatment of vocal tics in children with Tourette syndrome: Investigating the efficacy of habit reversal. Journal of Applied Behavior Analysis, 36, 109–112.PubMedCrossRef
Metagegevens
Titel
Durability, Negative Impact, and Neuropsychological Predictors of Tic Suppression in Children with Chronic Tic Disorder
Auteurs
Douglas W. Woods
Michael B. Himle
Raymond G. Miltenberger
James E. Carr
David C. Osmon
Amanda M. Karsten
Candice Jostad
Amanda Bosch
Publicatiedatum
01-02-2008
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 2/2008
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-007-9173-9

Andere artikelen Uitgave 2/2008

Research on Child and Adolescent Psychopathology 2/2008 Naar de uitgave