Abstract
The Tourette’s Disorder Scales (Shytle et al., 2003) are parent- (Tourette’s Disorder Scales–Parent Rated; TODS–PR) and clinician-rated (Tourette’s Disorder Scales–Clinician Rated; TODS–CR) measures that assess tics, obsessions, compulsions, inattention, hyperactivity, aggression, and emotional disturbances among children with tics. Although the TODS–PR/CR are being increasingly used in clinical trials, relatively little psychometric data have been reported. Subjects were 44 children and adolescents recruited in a university tic specialty clinic. Families were administered the TODS–CR and Yale Global Tic Severity Scale. Completion of the TODS–PR and Child Behavior Checklist were counterbalanced. Results indicated adequate to excellent internal consistency for the TODS–PR/CR scores. Excellent inter-rater agreement and convergent and divergent validity was found. These results provide further psychometric support for the TODS–PR and TODS–CR.
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References
Robertson MM (2003) Diagnosing tourette syndrome: Is it a common disorder? Psychosom Res 55:3–6
Robertson MM, Banerjee S, Eapen V, Fox-Hiley P (2002) Obsessive compulsive behavior and depressive symptoms in young people with Tourette syndrome: a controlled study. Eur Child Adolesc Psychiatry 11:261–265
Sukhodolsky DG, Scahill L, Zhang H, Peterson B, Kind RA, Lombroso PJ, Katsovich L, Findley D, Leckman JF (2003) Disruptive behavior in children with Tourette’s syndrome: Association with ADHD comorbidity, tic severity, and functional impairment. J Am Acad Child Adolesc Psychiatry 42:98–105
Hebebrand J, Klug B, Fimmers R, Seuchter SA, Wettke-Schaefer R, Deget F, Camps A, Lisch S, Hebebrand K, Von Gontard A, Lehmkuhl G, Poustka F, Schmidt M, Baur MP, Remschmidt H (1997) Rates for tic disorders and obsessive compulsive symptomatology in families of children and adolescents with Gilles de la Tourette syndrome. J Psychiatr 31:519–530
Pauls DL, Towbin KE, Leckman JF, Zahner GE, Cohen DJ (1986) Gilles de la Tourette’s syndrome and obsessive–compulsive disorder, evidence supporting a genetic relationship. Arch Gen Psychiatry 43:1180–1182
Budman CL, Bruun RD, Park KS, Lesser M, Olson M (2000) Explosive outbursts in children with Tourette’s disorder. J Am Acad Child Adolesc Psychiatry 39:1270–1276
Riddle MA, Hardin MT, Ort SI, Leckman JF, Cohen DJ (1988) Behavioral symptoms in Tourette’s syndrome. In: DJ Cohen RD Bruun JF Leckman (eds), Tourette’s Syndrome and Tic Disorders: Clinical Understanding and Treatment. John Wiley and Sons, New York, pp 151–162
Carter AS, O’Donnell DA, Schultz RT, Scahill L, Leckman JF, Pauls DL (2000) Social and emotional adjustment in children affected with Gilles de la Tourette’s Syndrome: Associations with ADHD and family functioning. J Child Psychol Psychiatry 41: 215–223
Coffey BJ, Biederman J, Smoller JW, Geller DA, Sarin P, Schwartz S, Kim GS 2000) Anxiety disorders and tic severity in juveniles with Tourette’s disorder. J Am Acad Child Adolesc Psychiatry 39:562–568
Coffey BJ, Park KS (1997) Behavioral and emotional aspects of Tourette syndrome. Neurology Clinics, 15:277–289
Comings DE, Comings BG (1990) A controlled family history study of Tourette’s syndrome. I. Attention deficit hyperactivity disorder and learning disorders. J Clin Psychiatry 51:275–280
Leckman JF, Riddle MA, Hardin MT, Ort SI, Swartz KL, Stevenson J, Cohen DJ (1989) The Yale Global Tic Severity Scale: Initial testing of a clinician-rated scale of tic severity. J Am Acad Child Adolesc Psychiatry 28: 566–573
Shapiro AK, Shapiro E (1984) Controlled study of pimozide versus placebo in Tourette syndrome. J Am Acad Child Psychiatry 23:161–173
Harcherik DF, Leckman JF, Detlor J, Cohen DJ (1984) A new instrument for clinical studies of Tourette’s Syndrome. J Am Acad Child Psychiatry 23: 153–160
Tanner CM, Goetz CG, Klawans HL (1982) Cholinergic mechanisms in Tourette syndrome. Neurology 32: 1315–1317
Shytle RD, Silver AA, Sheehan KH, Wilkinson BJ, Newman M, Sanberg PR, Sheehan D (2003) The Tourette’s Disorder Scale (TODS): Development, reliability and validity. Assessment 10: 273–287
Storch EA, Murphy TK., Geffken GR, Soto O, Sajid M, Allen P, Roberti JW, Killiany EM, Goodman WK (2004) Further psychometric properties of the Tourette’s Disorder Scale–Parent Rated Version (TODS-PR). Child Psychiatry Hum Dev 35: 107–120
Silver AA, Shytle RD, Sheehan KH, Sheehan D, Ramos A, Sanberg PR (2001) Multicenter, double-blind, placebo–controlled study of mecamylamine monotherapy for Tourette’s disorder. J Am Acad Child Adolesc Psychiatry 40: 1103–1110
Leckman JF, Sholomskas D, Thompson WD, Belanger A, Weissman MM (1982) Best estimate of lifetime psychiatric diagnosis: a methodological study. Arch Gen Psychiatry 39: 879–883
Storch EA, Murphy TK, Geffken GR, Sajid M, Allen P, Roberti JW, Goodman WK (2005) Reliability and validity of the Yale Global Tic Severity Scale. Psychol Assess 17: 486–491
Achenbach TM (1991) Manual for the Child Behavior Checklist / 4–18 and 1991 profile. Burlington, University of Vermont, Department of Psychiatry, VT
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Given that the primary distinction between Tourette’s syndrome and other tic disorders is the duration of diagnosis, all chronic tic disorders are hereafter referred to generically as ‘tic disorders.’
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Storch, E.A., Merlo, L.J., Lehmkuhl, H. et al. Further Psychometric Examination of the Tourette’s Disorder Scales. Child Psychiatry Hum Dev 38, 89–98 (2007). https://doi.org/10.1007/s10578-006-0043-4
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DOI: https://doi.org/10.1007/s10578-006-0043-4