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Dissertation
A path analysis of the role of symptom severity and health care and educational resources in the psychosocial functioning of adults with Tourette Syndrome
Doctor of Philosophy (Ph.D.), Drexel University
May 2003
DOI:
https://doi.org/10.17918/etd-181
Abstract
Ninety-five individuals with Tourette Syndrome (TS) registered with the Pennsylvania-Tourette Syndrome Association (mean age=37.0) participated in a study to determine if the severity of TS symptoms and the goodness-of-fit of health care and educational resources received in childhood have an impact on a variety of psychosocial variables through adulthood. Participants completed questionnaires containing measures of TS symptom severity in childhood, the goodness-of-fit of resources received in childhood, the quality of parental relationships in childhood, the quality of peer relationships in adolescence, the level of daily stress in adulthood, the level of social support satisfaction in adulthood, the level of employment satisfaction in adulthood, the amount of drug and alcohol use in adulthood, and the level of psychological distress in adulthood. Three pathways were added to the hypothesized model to reach an acceptable fit ·([chi]²=13.521, p=.562). Fourteen of the model's 20 pathways were found to be significant. The goodness-of-fit of resources had an indirect effect on psychological distress in adulthood through the quality of peer relationships in adolescence and daily stress level in adulthood. TS symptom severity had both a direct effect on level of psychological distress in adulthood and an indirect effect on the level of psychological distress through the quality of parental relationship in childhood and daily stress levels in adulthood. TS symptom severity in childhood and social support satisfaction in adulthood had direct effects on drug and alcohol use in adulthood. Social support satisfaction in adulthood significantly predicted employment satisfaction in adulthood.
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Details
- Title
- A path analysis of the role of symptom severity and health care and educational resources in the psychosocial functioning of adults with Tourette Syndrome
- Creators
- Amy J. Keefer - DU
- Contributors
- Christine M. Nezu (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Arts and Sciences; Drexel University
- Other Identifier
- 181; 991014632551204721