Clinical Correlates and Predictors of Caregiver Strain in Children with Chronic Tic Disorders

Krishnapriya Ramanujam; Michael B. Himle; Loran P. Hayes; Douglas W. Woods; Lawrence Scahill; Denis G. Sukhodolsky; Sabine Wilhelm; Thilo Deckersbach; Alan L. Peterson; Matt Specht; John T. Walkup; Susanna W. Chang; John Piacentini

doi:10.1080/02739615.2014.948166

Clinical Correlates and Predictors of Caregiver Strain in Children with Chronic Tic Disorders

Krishnapriya Ramanujam
, Michael B. Himle
, Loran P. Hayes
, Douglas W. Woods
, Lawrence Scahill
, Denis G. Sukhodolsky
, Sabine Wilhelm
, Thilo Deckersbach
, Alan L. Peterson
, Matt Specht
, John T. Walkup
, Susanna W. Chang
, John Piacentini

Department of Psychiatry & Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Although tics are the defining feature of chronic tic disorders (CTD), many children experience comorbid internalizing and externalizing problems that contribute to impairment across several domains, including family functioning. The current study examined clinical correlates and predictors of caregiver strain in parents of children with CTD. Participants were 123 children and adolescents diagnosed with a CTD who participated in a randomized-controlled trial of behavior therapy for reducing tics. Results showed that a combination of disruptive behavior, inattention/hyperactivity, and tic intensity best explained objective strain, and a combination of inattention/hyperactivity and tic intensity were the best predictors of subjective caregiver strain. Implications of these findings for care providers are discussed.

Original language	English (US)
Pages (from-to)	249-263
Number of pages	15
Journal	Children's Health Care
Volume	44
Issue number	3
DOIs	https://doi.org/10.1080/02739615.2014.948166
State	Published - Jul 3 2015

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Developmental and Educational Psychology
Clinical Psychology

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Ramanujam, K., Himle, M. B., Hayes, L. P., Woods, D. W., Scahill, L., Sukhodolsky, D. G., Wilhelm, S., Deckersbach, T., Peterson, A. L., Specht, M., Walkup, J. T., Chang, S. W., & Piacentini, J. (2015). Clinical Correlates and Predictors of Caregiver Strain in Children with Chronic Tic Disorders. Children's Health Care, 44(3), 249-263. https://doi.org/10.1080/02739615.2014.948166

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abstract = "Although tics are the defining feature of chronic tic disorders (CTD), many children experience comorbid internalizing and externalizing problems that contribute to impairment across several domains, including family functioning. The current study examined clinical correlates and predictors of caregiver strain in parents of children with CTD. Participants were 123 children and adolescents diagnosed with a CTD who participated in a randomized-controlled trial of behavior therapy for reducing tics. Results showed that a combination of disruptive behavior, inattention/hyperactivity, and tic intensity best explained objective strain, and a combination of inattention/hyperactivity and tic intensity were the best predictors of subjective caregiver strain. Implications of these findings for care providers are discussed.",

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AU - Ramanujam, Krishnapriya

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AU - Hayes, Loran P.

AU - Woods, Douglas W.

AU - Scahill, Lawrence

AU - Sukhodolsky, Denis G.

AU - Wilhelm, Sabine

AU - Deckersbach, Thilo

AU - Peterson, Alan L.

AU - Specht, Matt

AU - Walkup, John T.

AU - Chang, Susanna W.

AU - Piacentini, John

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AB - Although tics are the defining feature of chronic tic disorders (CTD), many children experience comorbid internalizing and externalizing problems that contribute to impairment across several domains, including family functioning. The current study examined clinical correlates and predictors of caregiver strain in parents of children with CTD. Participants were 123 children and adolescents diagnosed with a CTD who participated in a randomized-controlled trial of behavior therapy for reducing tics. Results showed that a combination of disruptive behavior, inattention/hyperactivity, and tic intensity best explained objective strain, and a combination of inattention/hyperactivity and tic intensity were the best predictors of subjective caregiver strain. Implications of these findings for care providers are discussed.

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Clinical Correlates and Predictors of Caregiver Strain in Children with Chronic Tic Disorders

Abstract

ASJC Scopus subject areas

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