Open AccessImplementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions
Author(s) -
Jordan Garris,
David Huddleston,
Hannah S. Jackson,
Paul S. Horn,
Donald L. Gilbert
Publication year - 2020
Publication title -
journal of child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.661
H-Index - 105
eISSN - 1702-6075
pISSN - 0883-0738
DOI - 10.1177/0883073820967518
Subject(s) - tourette syndrome , comorbidity , tics , tic disorder , functional impairment , severity of illness , clinical psychology , psychology , attention deficit hyperactivity disorder , psychological intervention , psychiatry , correlation , medicine , geometry , mathematics
Functional impairment is an important factor in Tic Disorder treatment decisions. We evaluated the mini Child Tourette Syndrome Impairment Scale (mini-CTIM) for correlation with symptom severity and association with interventions. A total of 61 randomly selected tic encounters were retrospectively analyzed for mini-CTIM correlation with symptom severity scores and compared between patients who received treatment and those who did not. Regression models identified factors associated with treatment decisions. Mini-CTIM-tic scores correlated with tic severity and mini-CTIM-non-tic scores correlated with attention-deficit hyperactivity disorder (ADHD) severity. Tic treatment was associated with higher child, but not parent, mini-CTIM-tic scores. Regression models identified that comorbidity treatment was predicted by ADHD severity, obsessive compulsive disorder severity, and parent but not child mini-CTIM-non-tic scores. These findings suggest children have valuable insight into their tic-related impairment, but parent assessment is important for evaluating comorbidity-related impairment. The mini-CTIM may be a useful clinical tool for assessing tic-related impairment.