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Self-Esteem In Adults With Tourette Syndrome And Chronic Tic Disorders: The Roles Of Tic Severity, Treatment, And Comorbidity, Hilary Weingarden, Lawrence Scahill, Susanne Hoeppner, Alan L. Peterson, Douglas W. Woods, John T. Walkup, John Piacentini, Sabine Wilhelm
Self-Esteem In Adults With Tourette Syndrome And Chronic Tic Disorders: The Roles Of Tic Severity, Treatment, And Comorbidity, Hilary Weingarden, Lawrence Scahill, Susanne Hoeppner, Alan L. Peterson, Douglas W. Woods, John T. Walkup, John Piacentini, Sabine Wilhelm
Psychology Faculty Research and Publications
Background
Tourette syndrome (TS) and chronic tic disorders (CTD) are stigmatizing disorders that may significantly impact self-esteem. Alternatively, comorbid psychiatric illnesses may affect self-esteem more than tics themselves. Extant research on self-esteem in TS/CTD is limited, has inconsistently examined the effect of comorbidities on self-esteem, and yields mixed findings.
Method
This study aimed to clarify the roles of tics versus comorbid diagnoses on self-esteem in a large, carefully diagnosed sample of adults with TS/CTD (N = 122) receiving 10 weeks of Comprehensive Behavioral Intervention for Tics (CBIT) or Psychoeducation and Supportive Therapy (PST).
Results
Baseline self-esteem did not differ …
An Empirical Examination Of Symptom Substitution Associated With Behavior Therapy For Tourette's Disorder, Alan L. Peterson, Joseph F. Mcguire, Sabine Wilhelm, John Piacentini, Douglas W. Woods, John T. Walkup, John P. Hatch, Robert Villarreal, Lawrence Scahill
An Empirical Examination Of Symptom Substitution Associated With Behavior Therapy For Tourette's Disorder, Alan L. Peterson, Joseph F. Mcguire, Sabine Wilhelm, John Piacentini, Douglas W. Woods, John T. Walkup, John P. Hatch, Robert Villarreal, Lawrence Scahill
Psychology Faculty Research and Publications
Over the past six decades, behavior therapy has been a major contributor to the development of evidence-based psychotherapy treatments. However, a long-standing concern with behavior therapy among many nonbehavioral clinicians has been the potential risk for symptom substitution. Few studies have been conducted to evaluate symptom substitution in response to behavioral treatments, largely due to measurement and definitional challenges associated with treated psychiatric symptoms. Given the overt motor and vocal tics associated with Tourette’s disorder, it presents an excellent opportunity to empirically evaluate the potential risk for symptom substitution associated with behavior therapy. The present study examined the possible presence …