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J Pediatr Psychol. 2007 Sep;32(8):950-9. Epub 2007 May 23.

A measure of functional impairment in youth with Tourette's syndrome.

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  • 1Department of Psychiatry, University of Florida, Box 100234, Gainesville, FL 32610, USA. estorch@psychiatry.ufl.edu



Tourette's Syndrome (TS) during childhood is linked to varied behavioral and psychological difficulties and functional impairment. The current study was undertaken to examine both tic-related impairment and impairment from other psychological problems in 59 youth (mean age 11.4 years, 69% male) with TS.


Caretakers completed a checklist about the impact of tics and other psychological difficulties on family, school, and social functioning. In addition, a clinician administered a measure of tic severity to families.


Over half of the sample reported one significant problem area due to the presence of tics, with over a third reporting two or more problem areas. Problems were heterogeneous in nature, with no report of a particular problem area in more than 25% of the children. The rate of nontic-related impairment was very high, with 70% of parents reporting at least one problem area.


Treating both tic and nontic-related impairments concurrently may improve functioning more so than treating the symptoms separately.

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