Clinical Correlates and Predictors of Caregiver Strain in Children with Chronic Tic Disorders

Krishnapriya Ramanujam, Michael B. Himle, Loran P. Hayes, Douglas W. Woods, Lawrence Scahill, Denis G. Sukhodolsky, Sabine Wilhelm, Thilo Deckersbach, Alan L. Peterson, Matt Specht, John T. Walkup, Susanna W. Chang, John Piacentini

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Although tics are the defining feature of chronic tic disorders (CTD), many children experience comorbid internalizing and externalizing problems that contribute to impairment across several domains, including family functioning. The current study examined clinical correlates and predictors of caregiver strain in parents of children with CTD. Participants were 123 children and adolescents diagnosed with a CTD who participated in a randomized-controlled trial of behavior therapy for reducing tics. Results showed that a combination of disruptive behavior, inattention/hyperactivity, and tic intensity best explained objective strain, and a combination of inattention/hyperactivity and tic intensity were the best predictors of subjective caregiver strain. Implications of these findings for care providers are discussed.

Original languageEnglish (US)
Pages (from-to)249-263
Number of pages15
JournalChildren's Health Care
Issue number3
StatePublished - Jul 3 2015

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology


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