Fakhro, Summer; (2018) Adaptive Functioning and Time Processing in Children with Tourette Syndrome. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

Overview This thesis focuses on behavioural outcomes in children with Tourette syndrome (TS). Part I is a systematic review of the literature on aggression in TS. The aim of the review is to better understand aggression in TS and specifically to determine the impact of ADHD symptoms on aggressive behaviour in TS. The impact of these findings will support families and clinicians in knowing the risk factors, and potentially best treatment approaches, for behaviours that challenge in TS. In Part II, adaptive functioning, or the ability to apply one’s cognitive abilities to achieve day-to-day tasks, is examined in children with TS. Time processing, or the ability to process time intervals, is increasingly becoming known as one of the brains most important basic functions and has been shown to be impaired in multiple neurodevelopmental conditions. An experimental time measure is used in this study to investigate the impact of time processing on adaptive functioning outcome in TS. This was a joint project with DClinPsy Trainee, LH. In the final portion of this thesis, Part III, the research process is critically appraised, and challenges that arose in the process are highlighted. This includes a reflection on broader themes relating to working with children with TS, application of the study findings, and future directions for research.

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