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Kids With Tourette Bullied

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  • Kids With Tourette Bullied

    Source:
    Tourettes Action Blog
    Dr. Jeremy Stern, Medical Director, Tourettes Action, U.K.
    Posted October 25, 2011

    Originally posted by Dr. Stern
    a study from well-known American colleagues on "peer victimisation", i.e. bullying in schools. Over 200 children were surveyed of which a quarter reported experiencing bullying. These unfortunate children tended to have worse tics, anxiety, and depression. more explosive outbursts and a tendency to internalise symptoms. It is suggested that further guidance, screening and anti-bullying measures could be helpful.

    1. Child Psychiatry Hum Dev. 2012 Feb;43(1):124-36. doi: 10.1007/s10578-011-0249-y.

    Peer victimization in youth with Tourette syndrome and other chronic tic
    disorders.


    Zinner SH, Conelea CA, Glew GM, Woods DW, Budman CL.

    Department of Pediatrics, University of Washington School of Medicine, CHDD,
    Seattle, WA 98195-7920, USA. szinner@uw.edu

    Chronic tic disorders including Tourette syndrome have negative impact across
    multiple functional domains. We explored associations between peer victimization
    status and tic subtypes, premonitory urges, internalizing symptoms, explosive
    outbursts, and quality of life among youth with chronic tic disorders, as part of
    the internet-based omnibus Tourette Syndrome Impact Survey. A mixed methods
    design combined child self-report and parental proxy-report (i.e., parent
    reporting on the child) demographic and quantitative data for affected youth ages
    10-17 years addressing gender, mean age, ethnicity and other socioeconomic
    features, and presence of tic disorders and co-occurring psychiatric disorders.
    Peer "Victim" versus "Non-victim" status was determined using a subset of four
    questions about being bullied. "Victim" status was identified for those youth who
    endorsed the frequency of the occurrence of being bullied in one or more of the
    four questions as "most of the time" or "all of the time". Data from 211 eligible
    youth respondents and their parents/guardians showed 26% reporting peer
    victimization. Victim status was associated with greater tic frequency,
    complexity and severity; explosive outbursts; internalizing symptoms; and lower
    quality of life. Peer victimization among youth with chronic tic disorders is
    common and appears associated with tic morbidity, anxiety, depression, explosive
    outbursts, and poorer psychosocial functioning. Anticipatory guidance, specific
    bullying screening and prevention, and further studies are indicated in this
    population.



    1. J Clin Child Adolesc Psychol. 2006 Sep;35(3):446-55.

    Peer victimization in children with obsessive-compulsive disorder: relations with
    symptoms of psychopathology.


    Storch EA, Ledley DR, Lewin AB, Murphy TK, Johns NB, Goodman WK, Geffken GR.

    Department of Psychiatry and Department of Pediatrics, University of Florida, Box
    100234, Gainesville, FL 32610, USA. estorch@psychiatry.ufl.edu

    This study examined the frequency of peer victimization and psychological symptom
    correlates among youth with obsessive-compulsive disorder (OCD). The Schwartz
    Peer Victimization Scale, Children's Depression Inventory, and Asher Loneliness
    Scale were administered to 52 children and adolescents diagnosed with OCD. The
    child's parent or guardian completed the Child Behavior Checklist, and a trained
    clinician administered the Children's Yale-Brown Obsessive-Compulsive Scale (CY-
    BOCS). Fifty-two healthy controls and 52 children with Type 1 diabetes (T1D) who
    were administered the Schwartz Peer Victimization Scale as part of another study
    were included for comparison purposes. Greater rates of peer victimization were
    reported in youth with OCD relative to healthy controls and children with Type 1
    diabetes (T1D). Peer victimization in the OCD sample was positively related to
    loneliness, child-reported depression, parent-reported internalizing and
    externalizing symptoms, and clinician-rated OCD severity. Peer victimization
    fully mediated the relation between OCD severity and both depression and parent
    reports of child externalizing behaviors and partially mediated the relation
    between OCD severity and loneliness. Recognition of the magnitude of the problem
    and contribution problematic peer relations may play in comorbid psychological
    conditions is important for clinicians who see children with OCD.
    Steve

    Dum spiro spero....While I breathe, I hope

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