Self-concept and self-esteem in patients with chronic tic disorders: A systematic literature review

Abstract

Chronic tic disorders are neurodevelopmental conditions characterized by the presence of motor and/or phonic tics and often accompanied by co-morbid behavioral problems. Chronic tic disorders can negatively affect the level of functioning of young patients across social and family domains, with possible repercussions on their self-perception. We conducted a systematic literature review to assess the clinical correlates of both components of self-perception (self-concept, i.e. what patients think about themselves, and self-esteem, i.e. how they feel about their self-concept) in patients with chronic tic disorders. Reported levels of self-perception varied widely across studies, partly due to the methodological heterogeneity of the reviewed literature. Poor self-concept and self-esteem appeared to be more strongly related to the presence of psychiatric co-morbidities (especially obsessive-compulsive disorder, attention-deficit and hyperactivity disorder, and anxiety disorders) than to tic severity. Poor peer relationship, social difficulties, as well as problems with parents' acceptance were identified as further risk factors for low self-perception. Finally, the reviewed studies highlighted a link between self-perception and quality of life in patients with chronic tic disorders, alongside the protective role of good social adjustment. This information can therefore assist treating clinicians in the choice of tailored therapeutic interventions for this patient population, including behavioral management techniques that can improve self-concept and self-esteem through increased self-efficacy.

Self- esteem Among Male and Female Nursing Students Enrolled in Maternity Curriculum- Assiut University

“…High levels of self-esteem are predictive of good outcomes in domains such as academic achievement, social life, physical and mental health, satisfaction with marriage and Job. But low level of self-esteem implies self-rejection, self-dissatisfaction, and self-contempt, as the individual lacks respect for the self (Silvestri, et al, 2018). Self-esteem is by no means an immutable characteristic of individuals.…”

Tourette syndrome research highlights from 2018

“…It would be interesting to replicate the same study in children and adolescents. A review also examines the concept of self-esteem in TS and CTD, drawing a similar conclusion: that poor self-esteem appears more strongly related to psychiatric comorbidities than to tic severity, and, unsurprisingly, affects quality of life ( Silvestri et al ., 2018).…”

Treating Tourette Together: An Agenda for Patient-Centered Research Focused on Comprehensive Behavior Therapy for Tics

“…Those studies that do evaluate these outcomes tend to be small or older studies, or include samples non-specific to TDs (e.g., students defined as having "special needs"; (Brook & Boaz, 2006)). In recently published literature reviews, there were inconsistent findings on self-perception in patients with TDs, with some studies showing a negative impact of TDs on self-concept and self esteem (Cox et al, 2019;Silvestri et al, 2018). The presence of psychiatric comorbidities (specifically OCD, ADHD, and anxiety disorders) was more likely than tic severity to be related to reported poor self-concept or poor self esteem .…”