Evidence map›Paper›PMID 36229120›Full record

Trial reportBehavior therapy2022

Childhood Predictors of Long-Term Tic Severity and Tic Impairment in Tourette's Disorder.

Emily J Ricketts, Douglas W Woods, Flint M Espil, Joseph F McGuire, Jordan T Stiede, Jennifer Schild, Mina Yadegar, Shannon M Bennett, Matthew W Specht, Susanna Chang and 5 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behavior therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Childhood cognitive control as a predictor of long-term clinical and functional outcomes in Tourette syndrome.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Trial
  4. Tourette syndrome.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Article
  7. Evidence-Based Behavior Therapy for Tourette Syndrome.The Psychiatric clinics of North America · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 1 country.

Emily J RickettsUniversity of California, Los Angeles. Electronic address: ericketts@mednet.ucla.edu.
Douglas W WoodsMarquette University.
Flint M EspilStanford University.
Joseph F McGuireJohns Hopkins University School of Medicine.
Jordan T StiedeMarquette University.
Jennifer SchildWeill Cornell Medicine; Suffolk University.
Mina YadegarRogers Behavioral Health.
Shannon M BennettWeill Cornell Medicine.
Matthew W SpechtWeill Cornell Medicine.
Susanna ChangUniversity of California, Los Angeles.
Lawrence ScahillMarcus Autism Center, Emory University School of Medicine.
Sabine WilhelmMassachusetts General Hospital/Harvard Medical School.
Alan L PetersonUniversity of Texas Health Science Center at San Antonio.
John T WalkupAnn and Robert H. Lurie Children's Hospital of Chicago; Northwestern University Feinberg School of Medicine.
John PiacentiniUniversity of California, Los Angeles.
Cornell University · USUniversity of California, Los Angeles · USMarquette University · USEmory University · USHarvard University · USJohns Hopkins University · USLurie Children's Hospital · USRogers Behavioral Health · USStanford University · USThe University of Texas Health Science Center at San Antonio · US

Funding

TRAINING THE SCIENCE OF CHILD MENTAL HEALTH TREATMENTT32MH073517 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMA JACOB, John C. Piacentini · 2006 to 2026
$5.2M
Behavior Therapy for Children with Chronic Tic DisordersR01MH070802 · NIMH · TOURETTE SYNDROME ASSOCIATION, INC · PI PIACENTINI, JOHN C. · 2004 to 2007
$2.9M
Investigating Circadian Rhythms in Youth with Persistent Tic DisordersK23MH113884 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RICKETTS, EMILY JULIA · 2017 to 2022
$992k
NIMH NIH HHS K23 MH113884NIMH NIH HHS R01 MH070802NIMH NIH HHS T32 MH073517
6 · The paper itself

Abstract

Tics peak in late childhood and decline during adolescence. Yet, for some with Tourette's disorder, tics persist into adulthood. We evaluated childhood predictors of adult tic severity and tic impairment, and change over time. Eighty adolescents/adults were evaluated 11 years following a randomized-controlled trial of behavior therapy. An independent evaluator rated tic severity and tic impairment at baseline, posttreatment, and long-term follow-up. At baseline, parents completed demographics/medical history, and youth tic, internalizing, and externalizing symptom ratings. Youth rated premonitory urge severity and family functioning. After controlling for prior tic treatment effects, female sex and higher tic severity predicted higher tic severity in adulthood; and female sex, no stimulant medication use, higher tic severity, and poorer family functioning predicted higher tic impairment. Higher tic severity and premonitory urge severity predicted smaller reductions in tic severity, whereas higher externalizing symptoms predicted greater reduction in tic severity. Female sex predicted smaller reduction in tic impairment, and externalizing symptoms predicted greater reduction in tic impairment. Female sex and childhood tic severity are important predictors of tic severity and tic impairment in adulthood. Family functioning, premonitory urge severity, and tic severity are important modifiable targets for early or targeted intervention to improve long-term outcomes.

Indexed as

Tic DisordersTicsTourette SyndromeAdolescentAdultBehavior TherapyChildFemaleHumansSeverity of Illness Indexcourseexternalizinggenderlongitudinaltics

Identifiers

PMID36229120
PMCPMC9872160
OpenAlexW4285605643

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.