Influence of Stress and Psychiatric Symptoms on Children With Tourette Syndrome
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Tourette Syndrome in Adolescence
- Sponsor
- Vanderbilt University Medical Center
- Enrollment
- 66
- Locations
- 1
- Primary Endpoint
- Youth Quality of Life Research Version (YQOL-R)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Investigators propose a cross-sectional, observational pilot study to examine the contribution of stress, family dynamics, and peer relationships to quality of life (QOL) in adolescents with Tourette syndrome (TS). Investigators will recruit two groups of participants: 1) adolescents aged 13-17 years of age with TS and 2) adolescents aged 13-17 without any neurologic or psychiatric diagnoses. Participants and one of their parents/caregivers will complete a series of questionnaires screening for and quantifying the extent of stress and mental health symptoms, including anxiety, depression, obsessive compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD). Participants will also complete instruments characterizing family interactions and peer relationships. Adolescents with TS will also undergo a semi-structured interview assessing the severity of their tics.
Detailed Description
Tourette syndrome (TS) is a multi-faceted neurodevelopmental disorder with wide-ranging impact on adolescent quality of life (QOL). Comorbid psychiatric and psychological factors exert greater influence on QOL than tics in TS, but the specific role of stress, family dynamics, and peer relationships has been largely overlooked, despite the fact that these factors are known to impact QOL in those with chronic disease. Investigators propose a cross-sectional, observational pilot study to examine the contribution of stress, family dynamics, and peer relationships to QOL in adolescents with TS. The primary goal of this study is to collect sufficient data for hypothesis-generation and power analysis refinement in planning of a larger scale study. Investigators will recruit adolescents aged 13-17 years of age with TS presenting for regular care at the Vanderbilt Pediatric Neurology Clinic. Adolescents without any neurologic or psychiatric diagnoses will be recruited as a control population. Participants and one of their parents/caregivers will complete a series of questionnaires screening for and quantifying the extent of stress and mental health symptoms, including anxiety, depression, obsessive compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD). Participants will also complete instruments characterizing family interactions and peer relationships. The scale battery can be completed by the adolescent and caregiver in parallel and is anticipated to take 60-75 minutes total to complete. Adolescents with TS will also undergo a semi-structured interview assessing the severity of their tics. The study plans to enroll subjects over a 12-month time frame.
Investigators
David Isaacs
Assistant Professor of Neurology
Vanderbilt University Medical Center
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Youth Quality of Life Research Version (YQOL-R)
Time Frame: Baseline
Self-report quality of life scale comprised of 42 items with 10-point Likert scale (raw total score 0-420) and 15 additional items with open-ended and demographic questions. Higher scores indicate better overall quality of life.
Secondary Outcomes
- PedsQL - Family Impact Module(Baseline)
- Revised Children's Anxiety and Depression Scale (RCADS) - Parent Report(Baseline)
- Kearney's Daily Life Stressors Scale(Baseline)
- Cohen's Perceived Stress Scale(Baseline)
- Conners-3 Parent Short QuikScore Forms(Baseline)
- Yale Global Tic Severity Scale (YGTSS)(Baseline)
- School and Mental Health Services Inventory(Baseline)
- Rosenberg Self Esteem Scale(Baseline)
- McMaster Family Assessment Device(Baseline)
- PROMIS Peer Relationships Short Form 8a - Self Report(Baseline)
- PROMIS Peer Relationships Short Form 8a - Proxy-Report(Baseline)
- Revised Children's Anxiety and Depression Scale (RCADS) - Self-Report(Baseline)