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Clinical Correlates and Mediators of Self-Concept in Youth with Chronic Tic Disorders.
- Source :
-
Child psychiatry and human development [Child Psychiatry Hum Dev] 2016 Feb; Vol. 47 (1), pp. 64-74. - Publication Year :
- 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.
- Subjects :
- Adaptation, Psychological
Adolescent
Attention Deficit Disorder with Hyperactivity diagnosis
Attention Deficit Disorder with Hyperactivity psychology
Child
Chronic Disease
Defense Mechanisms
Depression
Female
Humans
Male
Obsessive-Compulsive Disorder diagnosis
Self Concept
Tic Disorders diagnosis
Tic Disorders psychology
Tourette Syndrome diagnosis
Tourette Syndrome psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1573-3327
- Volume :
- 47
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Child psychiatry and human development
- Publication Type :
- Academic Journal
- Accession number :
- 25791488
- Full Text :
- https://doi.org/10.1007/s10578-015-0544-0