Implementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions. (March 2021)

• Record Type: Journal Article
• Authors: Garris, Jordan F.; Huddleston, David A.; Jackson, Hannah S.; Horn, Paul S.; Gilbert, Donald L.
• Is Part Of: Journal of child neurology. Volume 36:Number 4(2021)
• Page Start: 288
• Page End: 295
• Publication Date: 2021-03
• Subjects: tics -- Tourette -- impairment -- treatment -- attention-deficit hyperactivity disorder (ADHD); Nervous system -- Diseases -- Periodicals; 618.928
• DOI: 10.1177/0883073820967518
• Languages: English
• ISSNs: 0883-0738

Abstract

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.