Abstract
Tic disorders (TDs) are neurodevelopmental conditions characterized by repetitive movements and vocalizations. Although significant research has been devoted to causes and treatments, comparatively little attention has been devoted to the psychosocial experience associated with TDs. Indeed, TDs significantly impact a variety of psychosocial domains and are often associated with co-occurring behavioral and cognitive problems. Persons with TDs are also viewed negatively by others, which results in peer victimization and other social problems. In order to alleviate negative psychosocial outcomes associated with TDs, psychoeducational and psychotherapeutic efforts have been developed. However, more research is required in order to maximize the effectiveness of such interventions. This paper reviews research related to the psychosocial impact of TDs and intervention efforts designed to ameliorate this impact. Limitations in the current literature and future directions are discussed.
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References
Albin, R. L., & Mink, J. W. (2006). Recent advances in Tourette syndrome research. Trends in Neurosciences, 29(3), 175–182. doi:10.1016/j.tins.2006.01.001.
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed., ). Washington, D.C.: American Psychiatric Association.
Aron, A. R., Robbins, T. W., & Poldrack, R. A. (2004). Inhibition and the right inferior frontal cortex. Trends in Cognitive Sciences, 8(4), 170–177.
Bawden, H. N., Stokes, A., Camfield, C. S., Camfield, P. R., & Salisbury, S. (1998). Peer relationship problems in children with Tourette's disorder or diabetes mellitus. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 39(5), 663–668.
Beer, J. S., John, O. P., Scabini, D., & Knight, R. T. (2006). Orbitofrontal cortex and social behavior: integrating self-monitoring and emotion-cognition interactions. Journal of Cognitive Neuroscience, 18(6), 871–879. doi:10.1162/jocn.2006.18.6.871.
Bloch, M. H., & Leckman, J. F. (2009). Clinical course of Tourette syndrome. Journal of Psychosomatic Research, 67(6), 497–501. doi:10.1016/j.jpsychores.2009.09.002.
Boudjouk, P. J., Woods, D. W., Miltenberger, R. G., & Long, E. S. (2000). Negative Peer Evaluation in Adolescents: Effects of tic disorders and trichotillomania. Child & Family Behavior Therapy, 22(17), 17–28.
Budman, C. L., Bruun, R. D., Park, K. S., Lesser, M., & Olson, M. (2000). Explosive outbursts in children with Tourette's disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 39(10), 1270–1276. doi:10.1097/00004583–200010000-00014
Budman, C. L., Rockmore, L., Stokes, J., & Sossin, M. (2003). Clinical phenomenology of episodic rage in children with Tourette syndrome. Journal of Psychosomatic Research, 55(1), 59–65.
Capriotti, M. R., Espil, F. M., Conelea, C. A., & Woods, D. W. (2013). Environmental factors as potential determinants of premonitory urge severity in youth with Tourette syndrome. Journal of Obsessive-Compulsive and Related Disorders, 2(1), 37–42.
Cavanna, A. E., Robertson, M. M., & Critchley, H. D. (2007). Schizotypal personality traits in Gilles de la Tourette syndrome. Acta Neurologica Scandinavia, 116(6), 385–391.
Channon, S., Crawford, S., Vakili, K., & Robertson, M. M. (2003). Real-life-type problem solving in Tourette syndrome. Cognitive and Behavioral Neurology, 16(1), 3–15.
Channon, S., Sinclair, E., Waller, D., Healey, L., & Robertson, M. M. (2004). Social Cognition in Tourette’s Syndrome: Intact Theory of Mind and Impaired Inhibitory Functioning. Journal of Autism and Developmental Disorders, 34(6), 669–677.
Channon, S., Drury, H., Gafson, L., Stern, J., & Robertson, M. M. (2012). Judgements of social inappropriateness in adults with Tourette's syndrome. Cognitive Neuropsychiatry, 17(3), 246–261. doi:10.1080/13546805.2011.590689.
Coffey, B. J., Biederman, J., Smoller, J. W., Geller, D. A., Sarin, P., Schwartz, S., & Kim, G. S. (2000). Anxiety disorders and tic severity in juveniles with Tourette's disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 39(5), 562–568.
Conelea, C. A., & Woods, D. W. (2008). The influence of contextual factors on tic expression in Tourette's syndrome: a review. Journal of Psychosomatic Research, 65(5), 487–496. doi:10.1016/j.jpsychores.2008.04.010.
Conelea, C. A., Woods, D. W., Zinner, S. H., Budman, C., Murphy, T., Scahill, L. D., et al. (2011). Exploring the impact of chronic tic disorders on youth: results from the Tourette Syndrome Impact Survey. Child Psychiatry and Human Development, 42(2), 219–242. doi:10.1007/s10578-010-0211-4.
Conelea, C. A., Woods, D. W., Zinner, S. H., Budman, C. L., Murphy, T. K., Scahill, L. D., et al. (2013). The impact of Tourette Syndrome in adults: results from the Tourette Syndrome impact survey. Community Mental Health Journal, 49(1), 110–120. doi:10.1007/s10597-011-9465-y.
Conelea, C. A., Busch, A. M., Catanzaro, M. A., & Budman, C. L. (2014). Tic-related activity restriction as a predictor of emotional functioning and quality of life. Comprehensive Psychiatry, 55(1), 123–129. doi:10.1016/j.comppsych.2013.06.009.
Constantino, J. N., & Gruber, C. P. (2005). Social Responsiveness Scale (SRS). Los Angeles, CA: Western Psychological Services.
Cook, C. R., & Blacher, J. (2007). Evidence-based psychosocial treatments for tic disorders. Clinical Psychology Science and Practice, 14, 252–267.
Critchley, H. D., Tang, J., Glaser, D., & Butterworth, B. (2005). Anterior cingulate activity during error and autonomic response. Neuroimage, 27(4), 885–895.
Cutler, D., Murphy, T., Gilmour, J., & Heyman, I. (2009). The quality of life of young people with Tourette syndrome. Child: Care, Health and Development, 35(4), 496–504. doi:10.1111/j.1365–2214.2009.00983.x
Dooley, J. M., Brna, P. M., & Gordon, K. E. (1999). Parent perceptions of symptom severity in Tourette's syndrome. Archives of Disease in Childhood, 81(5), 440–441.
Eddy, C. M., & Cavanna, A. E. (2013a). On being your own worst enemy: an investigation of socially inappropriate symptoms in Tourette syndrome. Journal of Psychiatric Research, 47(9), 1259–1263. doi:10.1016/j.jpsychires.2013.05.019.
Eddy, C. M., & Cavanna, A. E. (2013b). Altered social cognition in Tourette syndrome: Nature and implications. Behavioural Neurology, 7, 15–22.
Eddy, C. M., Mitchell, I. J., Beck, S. R., Cavanna, A. E., & Rickards, H. E. (2010a). Altered Attribution of Intention in Tourette's Syndrome. The Journal of Neuropsychiatry and Clinical Neurosciences, 22(3), 348–351. doi:10.1176/appi.neuropsych.22.3.348.
Eddy, C. M., Mitchell, I. J., Beck, S. R., Cavanna, A. E., & Rickards, H. E. (2010b). Impaired comprehension of nonliteral language in Tourette syndrome. Cognitive and Behavioral Neurology, 23(3), 178–184. doi:10.1097/WNN.0b013e3181e61cb7.
Eddy, C. M., Mitchell, I. J., Beck, S. R., Cavanna, A. E., & Rickards, H. (2011a). Social reasoning in Tourette syndrome. Cognitive Neuropsychiatry, 16(4), 326–347.
Eddy, C. M., Cavanna, A. E., Gulisano, M., Agodi, A., Barchitta, M., Calì, P., et al. (2011b). Clinical correlates of quality of life in Tourette syndrome. Movement Disorders, 26(4), 735–738. doi:10.1002/mds.23434.
Eddy, C. M., Rizzo, R., Gulisano, M., Agodi, A., Barchitta, M., Calì, P., et al. (2011c). Quality of life in young people with Tourette syndrome: a controlled study. Journal of Neurology, 258(2), 291–301. doi:10.1007/s00415-010-5754-6.
Eddy, C. M., Cavanna, A. E., Gulisano, M., Cali, P., Robertson, M. M., & Rizzo, R. (2012). The effects of comorbid obsessive-compulsive disorder and attention-deficit hyperactivity disorder on quality of life in Tourette syndrome. The Journal of Neuropsychiatry and Clinical Neurosciences, 24(4), 458–462.
Elstner, K., Selai, C. E., Trimble, M. R., & Robertson, M. M. (2001). Quality of life (QOL) of patients with Gilles de la Tourette's syndrome. Acta Psychiatrica Scandinavica, 103(1), 52–59.
Friedrich, S., Morgan, S. B., & Devine, C. (1996). Children's attitudes and behavioral intentions toward a peer with Tourette syndrome. Journal of Pediatric Psychology, 21(3), 307–319.
Gadow, K. D., Nolan, E. E., Sprafkin, J., & Schwartz, J. (2007). Tics and psychiatric comorbidity in children and adolescents. Developmental Medicine & Child Neurology, 44(5), 330–338.
Geller, D. A., Biederman, J., Griffin, S., Jones, J., & Lefkowitz, T. R. (1996). Comorbidity of juvenile obsessive-compulsive disorder with disruptive behavior disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 35(12), 1637–1646.
Gini, G., & Pozzoli, T. (2009). Association between bullying and psychosomatic problems: A meta-analysis. Pediatrics, 123(3), 1059–1065.
Gini, G., & Pozzoli, T. (2013). Bullied children and psychosomatic problems: a meta-analysis. Pediatrics, 132(4), 720–729. doi:10.1542/peds.2013-0614.
Glew, G. M., Fan, M. Y., & Katon, W. (2005). Bullying, psychosocial adjustment, and academic performance in elementary school. Archives of Pediatrics & Adolescent Medicine, 159(11), 1026–1031.
Goldenberg, J. N., Brown, S. B., & Weiner, W. J. (1994). Coprolalia in younger patients with Gilles de la Tourette syndrome. Movement Disorders, 9(6), 622–625. doi:10.1002/mds.870090607.
Goldin, P. R., Manber, T., Hakimi, S., Canli, T., & Gross, J. J. (2009). Neural bases of social anxiety disorder: Emotional reactivity and cognitive regulation during social and physical threat. Archives of General Psychiatry, 66(2), 170–180.
Griffiths, K. M., Carron-Arthur, B., Parsons, A., & Reid, R. (2014). Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry, 13(2), 161–175. doi:10.1002/wps.20129
Hanks, C. E., McGuire, J. F., Lewin, A. B., Storch, E. A., & Murphy, T. K. (2015). Clinical correlates and mediators of self-concept in youth with chronic tic disorders. Child Psychiatry & Human Development, 1–11.
Himle, M. B., Capriotti, M. R., Hayes, L. P., Ramanujam, K., Scahill, L., Sukhodolsky, D. G., et al. (2014). Variables Associated With Tic Exacerbation in Children With Chronic Tic Disorders. Behavior Modification, 38(2), 163–183. doi:10.1177/0145445514531016.
Hirschtritt, M. E., Lee, P. C., Pauls, D. L., Dion, Y., Grados, M. A., Illmann, C., et al. (2015). Lifetime prevalence, age of risk, and genetic relationships of comorbid psychiatric disorders in tourette syndrome. JAMA Psychiatry, 72(4), 325–333. doi:10.1001/jamapsychiatry.2014.2650.
Hoekstra, P. J., Steenhus, M. P., Troost, P. W., Korf, J., Kallenberg, C. G. M., & Minderaa, R. B. (2004). Relative contribution of attention-deficit hyperactivity disorder, obsessive-compulsive disorder, and tic severity to social and behavioral problems in tic disorders. Journal of Developmental and Behavioral Pediatrics, 25(4), 272–279.
Hoffman, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive Behaviour Therapy, 36(4), 193–209.
Holtz, K. D., & Tessman, G. K. (2007). Evaluation of a peer-focused intervention designed to increase knowledge and foster positive attitudes toward children with Tourette syndrome. Journal of Developmental and Behavioral Disabilities, 19(6), 531–542.
Hornsey, H., Banerjee, S., Zeitlin, H., & Robertson, M. (2001). The prevalence of Tourette syndrome in 13–14-year-olds in mainstream schools. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 42(8), 1035–1039.
Hymel, S., & Swearer, S. M. (2015). Four decades of research on school bullying: An introduction. American Psychologist, 70(4), 293–299.
Jackson, S. R., Parkinson, A., Kim, S. Y., Schüermann, M., & Eickhoff, S. B. (2011). On the functional anatomy of the urge-for-action. Cognitive Neuroscience, 2(3–4), 227–243. doi:10.1080/17588928.2011.604717.
Jagger, J., Prusoff, B. A., Cohen, D. J., Kidd, K. K., Carbonari, C. M., & John, K. (1982). The epidemiology of Tourette's syndrome: a pilot study. Schizophrenia Bulletin, 8(2), 267–278.
Kano, Y., Kono, T., Matsuda, N., Nonaka, M., Kuwabara, H., Shimada, T., et al. (2015). The impact of tics, obsessive-compulsive symptoms, and impulsivity on global functioning in Tourette syndrome. Psychiatry Research, 226(1), 156–161. doi:10.1016/j.psychres.2014.12.041.
Khalifa, N., & Knorring, V. A. L. (2003). Prevalence of tic disorders and Tourette syndrome in a Swedish school population. Developmental Medicine & Child Neurology, 45(5), 315–319.
Klomek, A. B., Sourander, A., & Gould, M. (2010). The association of suicide and bullying in childhood to young adulthood: A review of cross-sectional and longitudinal research findings. Canadian Journal of Psychiatry, 55(5), 282–288.
Koenigs, M., & Tranel, D. (2007). Irrational economic decision-making after ventromedial prefrontal damage: evidence from the Ultimatum Game. The Journal of Neuroscience, 27(4), 951–956. doi:10.1523/JNEUROSCI.4606-06.2007.
Koutsoklenis, A., & Theodoridou, Z. (2012). Tourette syndrome: School-based interventions for tics and associated conditions. International Journal of Special Education, 27(3), 213–223.
Kraft, J. T., Dalsgaard, S., Obel, C., Thomsen, P. H., Henriksen, T. B., & Scahill, L. (2012). Prevalence and clinical correlates of tic disorders in a community sample of school-age children. European Child & Adolescent Psychiatry, 21(1), 5–13. doi:10.1007/s00787-011-0223-z.
Kumpulainen, K., Räsänen, E., & Henttonen, I. (1999). Children involved in bullying: psychological disturbance and the persistence of the involvement. Child Abuse & Neglect, 23(12), 1253–1262.
Kurlan, R., Daragjati, C., Como, P. G., McDermott, M. P., Trinidad, K. S., Roddy, S., et al. (1996). Non-obscene complex socially inappropriate behavior in Tourette's syndrome. The Journal of Neuropsychiatry and Clinical Neurosciences, 8(3), 311–317.
Lambert, S., & Christie, D. (1998). A social skills group for boys with Tourette's syndrome. Clinical Child Psychology and Psychiatry, 3(2), 1359–1045.
Levi, S. L. (1991). The Tourette Syndrome Association, Inc. Journal of Learning Disabilities, 24(1), 16.
Lin, H., Katsovich, L., Ghebremichael, M., Findley, D. B., Grantz, H., Lombroso, P. J., et al. (2007). Psychosocial stress predicts future symptom severities in children and adolescents with Tourette syndrome and/or obsessive-compulsive disorder. Journal of Child Psychology and Psychiatry, 48(2), 157–166. doi:10.1111/j.1469-7610.2006.01687.x.
Marcks, B. A., Berlin, K. S., Woods, D. W., & Davies, W. H. (2007). Impact of Tourette Syndrome: a preliminary investigation of the effects of disclosure on peer perceptions and social functioning. Psychiatry, 70(1), 59–67. doi:10.1521/psyc.2007.70.1.59.
McGuire, J. F., Hanks, C., Lewin, A. B., Storch, E. A., & Murphy, T. K. (2013a). Social deficits in children with chronic tic disorders: Phenomenology, clinical correlates and quality of life. Comprehensive Psychiatry, 54, 1023–1031.
McGuire, J. F., Nyirabahizi, E., Kircanski, K., Piacentini, J., Peterson, A. L., Woods, D. W., et al. (2013b). A cluster analysis of tics symptoms in children and adults with Tourette syndrome: Clinical correlates and treatment outcome. Psychiatry Research, 210(3), 1198–1204.
McGuire, J. F., Arnold, E., Park, J. M., Nadeau, J. M., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2015). Living with tics: reduced impairment and improved quality of life for youth with chronic tic disorders. Psychiatry Research, 225(3), 571–579. doi:10.1016/j.psychres.2014.11.045.
Miller, M. (1984). Social acceptability characteristics of learning disabled students. Journal of Learning Disabilities, 17(10), 619–621.
Müller-Vahl, K. R., Kaufmann, J., Grosskreutz, J., Dengler, R., Emrich, H. M., & Peschel, T. (2009). Prefrontal and anterior cingulate cortex abnormalities in Tourette Syndrome: evidence from voxel-based morphometry and magnetization transfer imaging. BMC Neuroscience, 10(1) 47. doi:10.1186/1471-2202-10-47
Murphy, T. M., & Heyman, I. (2007). Group work in young people with Tourette syndrome. Child and Adolescent Mental Health, 12(1), 46–48.
Nansel, T. R., Overpeck, M., Pilla, R. S., Ruan, W. J., Simons-Morton, B., & Scheidt, P. (2001). Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA, 285(16), 2094–2100.
Nolan, E. E., Sverd, J., Gadow, K. D., Sprafkin, J., & Ezor, S. N. (1996). Associated psychopathology in children with both ADHD and Chronic Tic Disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 35(12), 1622–1630.
Nussey, C., Pistrang, N., & Murphy, T. (2014). Does it help to talk about tics? An evaluation of a classroom presentation about Tourette syndrome. Child and Adolescent Mental Health, 19(1), 31–38.
Olufs, E. L., Himle, M. B., & Bradley, A. R. (2013). The Effect of Generic Versus Personally Delivered Education and Self-Disclosure on the Social Acceptability of Adults with Tourette Syndrome. Journal of Developmental and Physical Disabilities, 25(4), 395–403. doi:10.1007/s10882-012-9317-x.
Paschou, P. (2013). The genetic basis of Gilles de la Tourette Syndrome. Neuroscience & Biobehavioral Reviews, 37(6), 1026–1039. doi:10.1016/j.neubiorev.2013.01.016.
Pepler, D. J., Craig, W. J., Connolly, J. A., Yuile, A., McMaster, L., & Jiang, D. (2006). A developmental perspective on bullying. Aggressive Behavior, 32, 376–384.
Peterson, B. S., Choi, H. A., Hao, X., Amat, J. A., Zhu, H., Whiteman, R., et al. (2007). Morphologic features of the amygdala and hippocampus in children and adults with Tourette syndrome. Archives of General Psychiatry, 64(11), 1281–1291. doi:10.1001/archpsyc.64.11.1281.
Piacentini, J., Woods, D. W., Scahill, L., Wilhelm, S., Peterson, A. L., Chang, S., et al. (2010). Behavior therapy for children with Tourette disorder: A randomized controlled trial. JAMA Psychiatry, 303(19), 1929–1937.
Rizzo, R., Gulisano, M., Calì, P. V., & Curatolo, P. (2012). Long term clinical course of Tourette syndrome. Brain and Development, 34(8), 667–673. doi:10.1016/j.braindev.2011.11.006.
Robertson, M. M. (2008). The prevalence and epidemiology of Gilles de la Tourette syndrome. Part 1: the epidemiological and prevalence studies. Journal of Psychosomatic Research, 65(5), 461–472. doi:10.1016/j.jpsychores.2008.03.006.
Saver, J. L., & Damasio, A. R. (1991). Preserved access and processing of social knowledge in a patient with acquired sociopathy due to ventromedial frontal damage. Neuropsychologia, 29(12), 1241–1249.
Scahill, L., Erenberg, G., Berlin, C. M., Budman, C., Coffey, B. J., Jankovic, J., et al. (2006a). Contemporary assessment and pharmacotherapy of Tourette syndrome. NeuroRX, 3(2), 192–206. doi:10.1016/j.nurx.2006.01.009.
Scahill, L., Williams, S., Schwab-Stone, M., Applegate, J., & Leckman, J. F. (2006b). Disruptive behavior problems in a community sample of children with tic disorders. Advances in Neurology, 99, 184–190.
Scharf, J. M., Miller, L. L., Mathews, C. A., & Ben Shlomo, Y. (2012). Prevalence of Tourette syndrome and chronic tics in the population-based Avon longitudinal study of parents and children cohort. Journal of the American Academy of Child and Adolescent Psychiatry, 51(2), 192–201.e5. doi:10.1016/j.jaac.2011.11.004.
Seligman, M. (Executive Producer), and James Stanfield Film Associates (Producer). (1984). Stop it, I can't [videotape]. (Available from Tourette Syndrome Association, 42–40 Bell Boulevard, Bayside, New York 11361–2820).
Shady, G. A., Fulton, W. A., & Champion, L. M. (1988). Tourette syndrome and educational problems in Canada. Neuroscience & Biobehavioral Reviews, 12(3–4), 263–265.
Shady, G., Broder, R., Staley, D., Furer, P., & Brezden Papadopolos, R. (1995). Tourette syndrome and employment: Descriptors, predictors, and problems. Psychiatric Rehabilitation Journal, 19(1), 35–42.
Shamay-Tsoory, S. G., Tomer, R., Berger, B. D., & Aharon-Peretz, J. (2003). Characterization of empathy deficits following prefrontal brain damage: the role of the right ventromedial prefrontal cortex. Journal of Cognitive Neuroscience, 15(3), 324–337. doi:10.1162/089892903321593063.
Singer, C. (1997). Tourette syndrome. Coprolalia and other coprophenomena. Neurologic Clinics, 15(2), 299–308.
Specht, M. W., Woods, D. W., Piacentini, J., Scahill, L., Wilhelm, S., Peterson, A. L., et al. (2011). Clinical characteristics of children and adolescents with a primary tic disorder. Journal of Developmental and Physical Disabilities, 23(1), 15–31.
Stokes, A., Bawden, H. N., Camfield, P. R., Backman, J. E., & Dooley, J. M. (1991). Peer problems in Tourette's disorder. Pediatrics, 87(6), 936–942.
Stone, V. E., Baron-Cohen, S., & Knight, R. T. (1998). Frontal lobe contributions to theory of mind. Journal of Cognitive Neuroscience, 10(5), 640–656.
Stone, V. E., Baron-Cohen, S., Calder, A., Keane, J., & Young, A. (2003). Acquired theory of mind impairments in individuals with bilateral amygdala lesions. Neuropsychologia, 41(2), 209–220.
Storch, E. A., Lack, C. W., Simons, L. E., Goodman, W. K., Murphy, T. K., & Geffken, G. R. (2007a). A measure of functional impairment in youth with Tourette's syndrome. Journal of Pediatric Psychology, 32(8), 950–959. doi:10.1093/jpepsy/jsm034.
Storch, E. A., Merlo, L. J., Lack, C., Milsom, V. A., Geffken, G. R., Goodman, W. K., & Murphy, T. K. (2007b). Quality of life in youth with Tourette's syndrome and chronic tic disorder. Journal of Clinical Child and Adolescent Psychology, 36(2), 217–227. doi:10.1080/15374410701279545.
Storch, E. A., Murphy, T. K., Chase, R. M., Keeley, M., Goodman, W. K., Murray, M., & Geffken, G. R. (2007c). Peer victimization in youth with Tourette’s syndrome and chronic tic disorder: relations with tic severity and internalizing symptoms. Journal of Psychopathology and Behavioral Assessment, 29(4), 211–219. doi:10.1007/s10862-007-9050-4.
Storch, E. A., Jones, A. M., Lack, C. W., Ale, C. M., Sulkowski, M. E., Lewin, A. B., et al. (2012a). Rage attacks in pediatric obsessive-compulsive disorder: phenomenology and clinical correlates. Journal of the American Academy of Child and Adolescent Psychiatry, 51(6), 582–592.
Storch, E. A., Morgan, J. E., Caporino, N. E., Brauer, L., Lewin, A. B., Piacentini, J., & Murphy, T. K. (2012b). Psychosocial treatment to improve resilience and reduce impairment in youth with tics: an intervention case series of eight youth. Journal of Cognitive Psychotherapy, 26(1), 57–70. doi:10.1891/0889-8391.26.1.57.
Storch, E. A., Hanks, C. E., Mink, J. W., McGuire, J. F., Adams, H. R., Augustine, E. F., et al. (2015). Suicidal thoughts and behaviors in children and adolescents with chronic tic disorders. Depression and Anxiety, 00, 1–10.
Sukhodolsky, D. G., Scahill, L., Zhang, H., Peterson, B. S., King, R. A., Lombroso, P. J., et al. (2003). Disruptive behavior in children with Tourette's syndrome: association with ADHD comorbidity, tic severity, and functional impairment. Journal of the American Academy of Child & Adolescent Psychiatry, 42(1), 98–105. doi:10.1097/00004583-200301000-00016.
Sukhodolsky, D. G., Vitulano, L. A., Carroll, D. H., McGuire, J., Leckman, J. F., & Scahill, L. (2009). Randomized trial of anger control training for adolescents with Tourette's syndrome and disruptive behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 48(4), 413–421. doi:10.1097/CHI.0b013e3181985050.
Sulkowski, M. L., McGuire, J. F., & Tesoro, A. (2015). Treating tics and Tourette's disorder in school settings. Canadian Journal of School Psychology, 1-16.
Van Cleave, J., & Davis, M. M. (2006). Bullying and peer victimization among children with special health care needs. Pediatrics, 118(4), e1212–e1219. doi:10.1542/peds.2005-3034.
Werner, C. J., Stöcker, T., Kellermann, T., Wegener, H. P., Schneider, F., Shah, N. J., & Neuner, I. (2010). Altered amygdala functional connectivity in adult Tourette's syndrome. European Archives of Psychiatry and Clinical Neuroscience, 260(Suppl 2(S2)), S95–S99. doi:10.1007/s00406-010-0161-7.
Wilhelm, S., Peterson, A. L., Piacentini, J., Woods, D. W., Deckersbach, T., Sukhodolsky, D. G., et al. (2012). Randomized trial of behavior therapy for adults with Tourette syndrome. Archives of General Psychiatry, 69(8), 795–803.
Williams, K. D., & Jarvis, B. (2006). Cyberball: a program for use in research on interpersonal ostracism and acceptance. Behavior Research Methods, 38(1), 174–180.
Williams, L. M., Das, P., Harris, A. W. F., Liddell, B. B., Brammer, M. J., Olivieri, G., et al. (2004). Dysregulation of arousal and amygdala-prefrontal systems in paranoid schizophrenia. American Journal of Psychiatry, 161(3), 480–489.
Woods, D. W. (2002). The effect of video-based peer education on the social acceptability of adults with Tourette's syndrome. Journal of Developmental and Physical Disabilities, 14(1), 51–62. doi:10.1023/A:1013563713146.
Woods, D. W., & Marcks, B. A. (2005). Controlled evaluation of an educational intervention used to modify peer attitudes and behavior toward persons with Tourette's syndrome. Behavior Modification, 29(6), 900–912. doi:10.1177/0145445505279379.
Woods, D. W., Fuqua, R. W., & Outman, R. C. (1999). Evaluating the social acceptability of persons with habit disorders: the effects of topography, frequency, and gender manipulation. Journal of Psychopathology and Behavioral Assessment, 21(1), 1–18.
Woods, D. W., Koch, M., & Miltenberger, R. G. (2003). The impact of tic severity on the effects of peer education about Tourette's syndrome. Journal of Developmental and Physical Disabilities, 15(1), 67–78. doi:10.1023/A:1021456321200.
Woods, D. W., Piacentini, J. C., Scahill, L. W., Peterson, A. L., Wilhelm, S., Change, S., et al. (2011). Behavior therapy for tics in children: Acute and long-term effects on psychiatric and psychosocial functioning. Journal of Child Neurology, 26(7), 858–865.
Zinner, S. H., Conelea, C. A., Glew, G. M., Woods, D. W., & Budman, C. L. (2012). Peer victimization in youth with Tourette syndrome and other chronic tic disorders. Child Psychiatry and Human Development, 43(1), 124–136. doi:10.1007/s10578-011-0249-y.
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This article reviews studies with human participants performed by the authors. In those studies performed by the authors, all procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Several studies reviewed in the current manuscript were performed by the authors, and in those studies, informed consent for human participants was always obtained.
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Mr. Houghton declares that he has no conflict of interest. Ms. Alexander declares that she has no conflict of interest. Dr. Woods declares that he has no conflict of interest. This study was not externally funded.
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Houghton, D.C., Alexander, J.R. & Woods, D.W. The Psychosocial Impact of Tic Disorders: Nature and Intervention. J Dev Phys Disabil 28, 347–365 (2016). https://doi.org/10.1007/s10882-015-9467-8
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DOI: https://doi.org/10.1007/s10882-015-9467-8