Social context is a cue for tic reduction in clinical settings.
Assessment and diagnosis of Tourette Syndrome and other tic disorders relies on clinical observation and self-reported history. However, tics are highly susceptible to contextual influences, including clinical interactions. We used video-based observation to quantify the contextual impact of clinici...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 35; no. 1; pp. 205 - 214 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191657810&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191657810 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Jan2026 vid: 35 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191657810 187133248 191657810 191657810 10.1007/s00787-025-02818-2 191657810 ppf: 205 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Social context is a cue for tic reduction in clinical settings. aug: au: Wellen, Brianna C. M. Bacon, Grace Schneck, David Wilton, Emily Pryor, Alison Khang, IaOom Lim, Kelvin Black, Kevin J. Cui, Erjia Fiecas, Mark B. Conelea, Christine A. affil: https://ror.org/017zqws13 Department of Psychiatry, University of Minnesota Medical School, 2025 E River Parkway, 55414, Minneapolis, MN, USA sug: subj: Tourette Syndrome Therapy Tourette Syndrome Therapy Behavior Therapy Tic Physician-Patient Relations Severity of Illness Task Performance and Analysis Human Male Female Child Adolescence Young Adult United States Randomized Controlled Trials Random Assignment Pretest-Posttest Control Group Design Videorecording Comparative Studies Structured Interview Funding Source Multiple Linear Regression Post Hoc Analysis Interrater Reliability Descriptive Statistics Data Analysis Software Confidence Intervals Electromyography Scales Child Behavior Checklist kappa Statistic Child: 6-12 years Adolescent: 13-18 years Male Female ab: Assessment and diagnosis of Tourette Syndrome and other tic disorders relies on clinical observation and self-reported history. However, tics are highly susceptible to contextual influences, including clinical interactions. We used video-based observation to quantify the contextual impact of clinician presence on tics and evaluate the potential for these methods to improve tic detection. Youth ages 12–21 (N = 39) participated in a clinical trial with video-recorded pre- and post-treatment assessments. Established methods for precision video-based behavioral coding were used to quantify tic frequency and type across assessment contexts (clinician presence and instruction to suppress tics). Participants had significantly more tics when alone and ticcing naturally (mean tics per minute [tpm] = 25.03) and when alone with suppression instructions (mean tpm = 9.48) than in the clinician's presence (mean tpm = 3.29), all ps <.001. Further, mixed model results showed a significant decrease in tpm across treatment when alone ((β = -21.85; 95% CI: [-33.99, -9.70]), and with a clinician (β = -20.31; 95% CI: [-35.08, -5.55]), but significantly greater decrease in the alone context (β = -6.01; 95% CI: [-9.74, -2.29]). Tics occurred less frequently in clinician presence than alone (even when specifically asked to suppress tics alone), suggesting that the social context of clinician presence may facilitate tic suppression that is automatic and/or learned. Additionally, results establish objective video-based measurement as a valuable tool to detect tics and tic change not visible to the clinician. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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