Sex Differences in Youth with Chronic Tic Disorder and Tourette Syndrome: Evaluation of Tic Severity, Psychological Profiles, and Quality of Life
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedures
2.3. Clinical Assessment
2.4. Questionnaire Measures
2.5. Statistical Analyses
3. Results
3.1. Tic-Related Measures
3.2. Externalizing Symptoms
3.3. Internalizing Symptoms
3.4. Sex by Age Interactions
4. Discussion
4.1. Strengths and Limitations
4.2. Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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All N = 66 | Girls N = 19 | Boys N = 47 | Test Statistic | p-Value | |
---|---|---|---|---|---|
Preliminary interview | |||||
Age of tic onset | 5.7 (2.1) | 5.4 (2.3) | 5.8 (2.0) | 379 a | 0.551 |
YGTSS | |||||
Clinical interview with youth | |||||
Motor tic severity | 11.3 (4.1) | 11.8 (5.6) | 11.2 (3.4) | 0.539 b | 0.592 |
Phonic tic severity | 7.8 (5.3) | 7.2 (5.7) | 8.0 (5.2) | 412 a | 0.618 |
Total tic severity | 19.1 (7.8) | 19.0 (9.5) | 19.1 (7.1) | −0.082 b | 0.935 |
Impairment | 12.5 (11.7) | 13.7 (10.5) | 12.0 (12.2) | 385 a | 0.432 |
Global severity | 31.5 (15.8) | 32.7 (17.7) | 31.1 (15.1) | 420 a | 0.806 |
Clinical interview with parents | |||||
Motor tic severity | 11.6 (3.8) | 11.6 (4.2) | 11.7 (3.8) | −0.115 b | 0.909 |
Phonic tic severity | 8.3 (5.7) | 7.7 (5.8) | 8.6 (5.6) | 414 a | 0.734 |
Total tic severity | 20.0 (7.5) | 19.2 (7.5) | 20.3 (7.6) | −0.503 b | 0.617 |
Impairment | 16.6 (11.2) | 17.2 (9.7) | 16.3 (11.8) | 386 a | 0.670 |
Global severity | 36.1 (14.1) | 36.4 (14.1) | 36.0 (14.3) | 0.097 b | 0.923 |
STOP | |||||
Over preparedness | 29.0 (7.4) | 27.3 (7.5) | 29.7 (7.3) | −1.13 b | 0.261 |
Inflexibility | 42.9 (7.5) | 39.8 (8.3) | 44.1 (6.2) | −2.12 b | 0.038 * |
Over anticipation | 24.8 (5.7) | 24.1 (5.0) | 25.1 (6.0) | −0.631 b | 0.530 |
Over activity | 7.2 (12.1) | 4.9 (3.2) | 8.1 (14.1) | 303 a | 0.093 |
Global score | 111 (16.9) | 102 (14.3) | 114 (16.9) | 255 a | 0.017 * |
GTS-QoL | |||||
Psychological | 30.2 (17.3) | 39.4 (20.4) | 26.6 (14.6) | 252 a | 0.015 * |
Physical | 22.3 (15.0) | 26.8 (14.1) | 20.6 (15.1) | 290 a | 0.062 |
Obsessive-compulsive | 24.9 (16.4) | 24.2 (14.3) | 25.2 (17.4) | 412 a | 0.970 |
Cognitive | 23.3 (17.0) | 27.8 (18.5) | 21.6 (16.3) | 320 a | 0.157 |
Life satisfaction | 26.2 (13.2) | 31.6 (14.7) | 24.0 (12.1) | 2.12 b | 0.038 * |
All N = 66 | Girls N = 19 | Boys N = 47 | Test Statistic | p-Value | |
---|---|---|---|---|---|
Preliminary interview | |||||
Explosive outbursts | 31 (47.7%) | 5 (26.3%) | 26 (56.5%) | 4.92 c | 0.027 * |
Beck Youth Inventories | |||||
Anger | 12.4 (8.5) | 13.7 (9.3) | 11.9 (8.3) | 391 a | 0.506 |
Disruptive behaviours | 4.7 (4.3) | 4.1 (3.9) | 4.9 (4.5) | 386 a | 0.460 |
CONNERS | |||||
Oppositional | 7.9 (4.6) | 6.3 (4.5) | 8.5 (4.6) | 278 a | 0.080 |
Hyperactivity | 5.3 (3.9) | 3.7 (3.2) | 5.8 (3.9) | 252 a | 0.030 * |
Index DAH | 15.7 (8.6) | 14.1 (7.6) | 16.3 (8.9) | −0.872 b | 0.387 |
All N = 66 | Girls N = 19 | Boys N = 47 | Test Statistic | p-Value | |
---|---|---|---|---|---|
Beck Youth Inventories | |||||
Self-concept | 43.4 (7.9) | 40.1 (9.9) | 44.7 (6.6) | −2.12 b | 0.038 * |
Anxiety | 15.7 (8.5) | 17.7 (9.0) | 14.9 (8.2) | 329 a | 0.117 |
Depression | 11.0 (8.0) | 13.8 (10.1) | 9.8 (6.7) | 319 a | 0.087 |
CFSEI-II | |||||
General self-esteem | 1.8 (2.0) | 2.5 (3.3) | 1.5 (1.8) | 294 a | 0.118 |
Parental self-esteem | 0.41 (0.71) | 0.59 (0.87) | 0.35 (0.64) | 335 a | 0.284 |
Academic self-esteem | 0.62 (0.81) | 0.59 (0.87) | 0.63 (0.80) | 370 a | 0.709 |
Social self-esteem | 1.2 (0.98) | 1.7 (0.93) | 1.1 (0.96) | 247 a | 0.015 * |
Lie items | 1.2 (1.3) | 0.94 (1.2) | 1.3 (1.3) | 330 a | 0.318 |
Global self-esteem | 4.0 (3.7) | 5.3 (4.6) | 3.5 (3.3) | 298 a | 0.144 |
CONNERS | |||||
Cognitive/inattention problems | 7.5 (4.9) | 6.9 (5.0) | 7.8 (5.0) | 354 a | 0.566 |
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Gagnon, M.; Singer, I.; Morand-Beaulieu, S.; O’Connor, K.P.; Gauthier, B.; Woods, D.W.; Blanchet, P.; Lavoie, M.E.; Leclerc, J.B. Sex Differences in Youth with Chronic Tic Disorder and Tourette Syndrome: Evaluation of Tic Severity, Psychological Profiles, and Quality of Life. J. Clin. Med. 2024, 13, 2477. https://doi.org/10.3390/jcm13092477
Gagnon M, Singer I, Morand-Beaulieu S, O’Connor KP, Gauthier B, Woods DW, Blanchet P, Lavoie ME, Leclerc JB. Sex Differences in Youth with Chronic Tic Disorder and Tourette Syndrome: Evaluation of Tic Severity, Psychological Profiles, and Quality of Life. Journal of Clinical Medicine. 2024; 13(9):2477. https://doi.org/10.3390/jcm13092477
Chicago/Turabian StyleGagnon, Méliza, Ilana Singer, Simon Morand-Beaulieu, Kieron P. O’Connor, Bruno Gauthier, Douglas W. Woods, Pierre Blanchet, Marc E. Lavoie, and Julie B. Leclerc. 2024. "Sex Differences in Youth with Chronic Tic Disorder and Tourette Syndrome: Evaluation of Tic Severity, Psychological Profiles, and Quality of Life" Journal of Clinical Medicine 13, no. 9: 2477. https://doi.org/10.3390/jcm13092477
APA StyleGagnon, M., Singer, I., Morand-Beaulieu, S., O’Connor, K. P., Gauthier, B., Woods, D. W., Blanchet, P., Lavoie, M. E., & Leclerc, J. B. (2024). Sex Differences in Youth with Chronic Tic Disorder and Tourette Syndrome: Evaluation of Tic Severity, Psychological Profiles, and Quality of Life. Journal of Clinical Medicine, 13(9), 2477. https://doi.org/10.3390/jcm13092477