Subjective versus objective measures of tic severity in Tourette syndrome – The influence of environment

Barnea, Meirav; Benaroya-Milshtein, Noa; Gilboa-Sechtman, Eva; Woods, Douglas W.; Piacentini, John; Fennig, Silvana; Apter, Alan; Steinberg, Tamar

doi:10.1016/j.psychres.2016.05.047

Cited by 45 publications

(32 citation statements)

References 30 publications

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“…Barnea and colleagues recorded video from 41 children age 6–18 with TS in each of five common, daily-life situations 6 . Their findings were illuminating.…”

Section: Resultsmentioning

confidence: 99%

Tourette syndrome research highlights from 2016

Black

2017

F1000Res

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“…Barnea and colleagues recorded video from 41 children age 6–18 with TS in each of five common, daily-life situations 6 . Their findings were illuminating.…”

Section: Resultsmentioning

confidence: 99%

Tourette syndrome research highlights from 2016

Black

2017

F1000Res

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“…This 7‐item investigator‐reported scale yields scores ranging from 1 (no tics) to 4 (severe) . The concise and operative TS‐CGI is widely used as an adjunctive instrument with which clinicians can measure both motor and non‐motor symptoms related to tic disorders . The Tourette Syndrome Global Scale (TSGS) is an investigator‐reported scale used to measure tics and social functioning in patients with TS .…”

Section: Behavioral Assessments Of Pmdsmentioning

confidence: 99%

“…The widely used 14‐item Parent Tic Questionnaire (PTQ) evaluates motor and vocal tics and provides information about both frequency (1: weekly, 2: daily, 3: hourly, 4: constantly) and intensity . The PTQ was found to validly and reliably assess tic severity . The TS Severity Scale (TSSS) is an older parent‐reported tool comprising 5 original scales with a focus on the social effects of tics, namely the degree to which the tics are noticeable, whether they elicit comments or curiosity, whether the patient is considered odd or bizarre, whether the tics interfere with functioning, and whether the tics lead to incapacitation or to the patient being homebound or hospitalized.…”

Section: Behavioral Assessments Of Pmdsmentioning

confidence: 99%

“…However, recent relevant studies have seldom used these tools, given the limitations of self‐reporting in children. Although some studies have used the Premonitory Urge for Tics Scale (PUTS) to evaluate tic‐related premonitory urges, this tool does not assess tics; rather, it is a 10‐item scale that assesses 10 somatic sensations related to tics. The scores from this scale range from 0 (never) to 4 (severe).…”

Section: Behavioral Assessments Of Pmdsmentioning

confidence: 99%

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Current behavioral assessments of movement disorders in children

et al. 2018

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Pediatric movement disorders (PMDs) are common and have recently received increasing attention. As these disorders have special clinical features, the selection of appropriate behavioral assessment tools that can clearly distinguish movement disorders from other diseases (eg, epilepsy and neuromuscular disorders) is crucial for achieving an accurate diagnosis and treatment. However, few studies have focused on behavioral assessments in children. The present report attempts to provide a critical review of the available subjective and objective assessment tests for common PMDs. We believe that the principles of objectification, multi-purpose use, and simplification are also applicable to the selection and development of satisfactory pediatric behavioral assessment tools. We expect that the development of wearable sensors, virtual reality, and augmented reality will lead to the establishment of more reliable and simple tests. In addition, more rigorous randomized controlled trials that have been specifically designed to evaluate behavioral testing in children are also expected in the future.

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“…The most common scenarios associated with overstimulation include watching TV and playing videogames (Silva et al, 1995; Caurin et al, 2014; Barnea et al, 2016). Interestingly, engaging in multitasking activity has also been linked to tic exacerbation (O’Connor et al, 1994); this phenomenon may be interpreted as a consequence of overstimulation, but also reflect the greater difficulties encountered by TS and TS+ADHD patients in executive functions (Channon et al, 2003).…”

Section: Contextual and Emotional Triggers As Exacerbating Factorsmentioning

confidence: 99%

What makes you tic? Translational approaches to study the role of stress and contextual triggers in Tourette syndrome

Godar¹,

Bortolato

2017

Neuroscience & Biobehavioral Reviews

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Tourette syndrome (TS) is a neurodevelopmental condition characterized by multiple, recurring motor and phonic tics. Rich empirical evidence shows that the severity of tics and associated manifestations is increased by several stressors and contextual triggers; however, the neurobiological mechanisms responsible for symptom exacerbation in TS remain poorly understood. This conceptual gap partially reflects the high phenotypic variability in tics, as well as the existing difficulties in operationalizing and standardizing stress and its effects in a clinical setting. Animal models of TS may be highly informative tools to overcome some of these limitations; these experimental preparations have already provided critical insights on key aspects of TS pathophysiology, and may prove useful to identify the neurochemical alterations induced by different stressful contingencies. In particular, emerging knowledge on the role of contextual triggers in animal models of TS may inform the development of novel pharmacological interventions to reduce tic fluctuations in this disorder.

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Subjective versus objective measures of tic severity in Tourette syndrome – The influence of environment

Cited by 45 publications

References 30 publications

Tourette syndrome research highlights from 2016

Tourette syndrome research highlights from 2016

Current behavioral assessments of movement disorders in children

What makes you tic? Translational approaches to study the role of stress and contextual triggers in Tourette syndrome

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