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  1. Article ; Online: Parent-child couples display shared neural fingerprints while listening to stories.

    Habouba, Nir / Talmon, Ronen / Kraus, Dror / Farah, Rola / Apter, Alan / Steinberg, Tamar / Radhakrishnan, Rupa / Barazany, Daniel / Horowitz-Kraus, Tzipi

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 2883

    Abstract: Neural fingerprinting is a method to identify individuals from a group of people. Here, we established a new connectome-based identification model and used diffusion maps to show that biological parent-child couples share functional connectivity patterns ...

    Abstract Neural fingerprinting is a method to identify individuals from a group of people. Here, we established a new connectome-based identification model and used diffusion maps to show that biological parent-child couples share functional connectivity patterns while listening to stories. These shared fingerprints enabled the identification of children and their biological parents from a group of parents and children. Functional patterns were evident in both cognitive and sensory brain networks. Defining "typical" shared biological parent-child brain patterns may enable predicting or even preventing impaired parent-child connections that develop due to genetic or environmental causes. Finally, we argue that the proposed framework opens new opportunities to link similarities in connectivity patterns to behavioral, psychological, and medical phenomena among other populations. To our knowledge, this is the first study to reveal the neural fingerprint that represents distinct biological parent-child couples.
    MeSH term(s) Humans ; Magnetic Resonance Imaging/methods ; Brain ; Connectome/methods ; Parents ; Parent-Child Relations
    Language English
    Publishing date 2024-02-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-53518-x
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  2. Article ; Online: Impact of movie and video game elements on tic manifestation in children.

    Raz, Gal / Davidovitch, Shiri / Halevi, Mor / Zuckerman, Maya / Ben-Haim, Yael / Koryto, Yuval / Steinberg, Tamar / Leitner, Yael / Rotstein, Michael S

    European journal of neurology

    2023  Volume 31, Issue 2, Page(s) e16120

    Abstract: Background and purpose: Children in developed countries spend a significant portion of their waking hours engaging with audiovisual content and video games. The impact of media consumption on children's health and well-being has been widely studied, ... ...

    Abstract Background and purpose: Children in developed countries spend a significant portion of their waking hours engaging with audiovisual content and video games. The impact of media consumption on children's health and well-being has been widely studied, including its effects on tic disorders. Previous studies have shown that tic frequency can both increase and decrease during activities like gaming and television watching, resulting in mixed findings.
    Methods: To better understand the impact of audiovisual media on tics, we conducted a fine-grained tic manifestation analysis. We focused on the effects of the impact of a movie scene with suspensful elements and a video game designed to heighten anticipation, thought to stimulate phasic and striatal dopamine release. We closely monitored tic frequency throuhghout these experiences based on moment-to-moment tic annotation. The study included 20 participants (19 males aged 7-16) diagnosed with tic disorders (Yale Global Tic Severity Scale≥8), and we tested the replicability of our findings with an independent group of 36 children (15 females, aged 7-15) with tic disorders.
    Results: During film viewing, we observed significant synchronization in the temporal tic patterns of various individuals despite diversity in their tic profiles. Furthermore, employing a video game developed for our study, we found that tic frequency increases during anticipation of a pending reward. This finding was replicated in a second experiment with an independent cohort.
    Conclusions: Our results indicate that tic frequency is affected by media elements in the short-term, and call for further investigation of the long-term impacts of exposure to such tic triggers.
    MeSH term(s) Male ; Child ; Female ; Humans ; Tics ; Motion Pictures ; Tic Disorders ; Video Games/adverse effects ; Corpus Striatum ; Tourette Syndrome
    Language English
    Publishing date 2023-11-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 1280785-0
    ISSN 1468-1331 ; 1351-5101 ; 1471-0552
    ISSN (online) 1468-1331
    ISSN 1351-5101 ; 1471-0552
    DOI 10.1111/ene.16120
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  3. Article ; Online: Moderating Role of Depression on the Association of Tic Severity With Functional Impairment in Children.

    Sadeh, Dana Feldman / Frenk, Mira Levis / Simha, Tomer / Horesh, Danny / Steinberg, Tamar / Geva, Nofar / Nahon, Matan / Dietrich, Andrea / Hoekstra, Pieter J / Ruhrman, Daphna / Apter, Alan / Fennig, Silvana / Benaroya-Milshtein, Noa

    Pediatric neurology

    2023  Volume 144, Page(s) 90–96

    Abstract: Background: Chronic tic disorders (CTDs) commonly co-occur with other psychiatric disorders. CTDs have been linked to functional impairment and reduction in quality of life. Insufficient research is available on depressive symptoms in patients with CTD, ...

    Abstract Background: Chronic tic disorders (CTDs) commonly co-occur with other psychiatric disorders. CTDs have been linked to functional impairment and reduction in quality of life. Insufficient research is available on depressive symptoms in patients with CTD, especially children and adolescents, yielding conflicting findings. To investigate the presence of depressive symptoms in a cohort of children and young adolescents with CTD and to test whether they moderate the link between tic severity and functional impairment.
    Methods: The sample consisted of 85 children and adolescents (six to 18 years) with a CTD who were treated in a large referral center. Participants were evaluated using gold-standard self- and clinician-reporting instruments to measure tic symptom severity and tic-related functional impairment (Yale Global Tic Severity Scale), depression (Child Depression Inventory), and obsessive-compulsive symptoms (Children Yale Brown Obsessive Compulsive Scale).
    Results: Depressive symptoms (mild to severe) were exhibited by 21% of our sample. Study participants with CTD and comorbid obsessive-compulsive disorder (OCD) and/or attention-deficit/hyperactivity disorder had higher rates of depressive symptoms compared with those without comorbidities. Significant correlations were found within and among all tic-related and OCD-related measures, yet depressive symptoms only correlated to tic-related functional impairment. Depression significantly and positively moderated the correlation between tic severity and tic-related functional impairment.
    Conclusions: Findings suggest that depression plays an important part as a moderator in the link between tic severity and functional impairment in children and adolescents. Our study highlights the importance of screening for and treating depression in patients with CTD.
    MeSH term(s) Adolescent ; Humans ; Child ; Tourette Syndrome/epidemiology ; Tics ; Depression/epidemiology ; Quality of Life/psychology ; Obsessive-Compulsive Disorder/complications ; Obsessive-Compulsive Disorder/epidemiology ; Severity of Illness Index ; Tic Disorders/complications ; Tic Disorders/epidemiology ; Tic Disorders/psychology ; Attention Deficit Disorder with Hyperactivity/epidemiology ; Comorbidity
    Language English
    Publishing date 2023-04-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639164-3
    ISSN 1873-5150 ; 0887-8994
    ISSN (online) 1873-5150
    ISSN 0887-8994
    DOI 10.1016/j.pediatrneurol.2023.04.013
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  4. Article ; Online: Aggressive symptoms in children with tic disorders.

    Benaroya-Milshtein, Noa / Shmuel-Baruch, Sharona / Apter, Alan / Valevski, Avi / Fenig, Silvana / Steinberg, Tamar

    European child & adolescent psychiatry

    2019  Volume 29, Issue 5, Page(s) 617–624

    Abstract: Episodes of explosive anger and aggression are reported in patients with tic disorders and probably contribute to psychosocial stress and low quality of life. The source of these symptoms is controversial. The objective of the study was to study the ... ...

    Abstract Episodes of explosive anger and aggression are reported in patients with tic disorders and probably contribute to psychosocial stress and low quality of life. The source of these symptoms is controversial. The objective of the study was to study the relationship between tic disorders, their associated comorbidities, and aggressive behavior. The cohort included 47 children and adolescents (age 7-17 years) with Tourette syndrome or other chronic tic disorders attending a tertiary pediatric Tourette clinic. Associated psychopathology was assessed with the Yale Global Tic Severity Scale, Yale Brown Obsessive Compulsive Scale, Conners ADHD Rating Scale, Screen for Child Anxiety-Related Emotional Disorders, and Child Depression Inventory. Aggression was assessed with the Overt Aggression Scale and scores were compared with a group of 32 healthy age- and sex-matched children. There were no significant differences in aggression scores between the children with tic disorders and controls. Verbal aggression was the most prevalent type of aggression, found in 70% of the patients with tic disorders. The level of aggression was not correlated to tic severity. Comorbid attention-deficit hyperactivity disorder and obsessive-compulsive disorder increased the probability of aggressive behavior in patients with tic disorders. On regression analysis, the only significant predictor of aggression was the severity of attention-deficit hyperactivity disorder. This study suggests that there is no difference in aggressive behavior between children with tics without comorbidities and healthy children. It is possible that aggressive behavior in children with tic disorders is predominantly associated with comorbid attention-deficit hyperactivity disorder.
    MeSH term(s) Adolescent ; Aggression/psychology ; Child ; Female ; Humans ; Male ; Quality of Life/psychology ; Severity of Illness Index ; Tic Disorders/complications ; Tic Disorders/psychology
    Language English
    Publishing date 2019-08-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1118299-4
    ISSN 1435-165X ; 1018-8827 ; 1433-5719
    ISSN (online) 1435-165X
    ISSN 1018-8827 ; 1433-5719
    DOI 10.1007/s00787-019-01386-6
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  5. Article ; Online: A study of sensory dysregulation in children with tic disorders.

    Weisman, Hana / Parush, Shula / Apter, Alan / Fennig, Silvana / Benaroya-Milshtein, Noa / Steinberg, Tamar

    Journal of neural transmission (Vienna, Austria : 1996)

    2018  Volume 125, Issue 7, Page(s) 1077–1085

    Abstract: Disrupted somatosensory processing characterized by over- or under- responsiveness to environmental stimuli plays an important, yet often overlooked, role in typical development and is aberrant in various neurodevelopmental disorders. These dysfunctional ...

    Abstract Disrupted somatosensory processing characterized by over- or under- responsiveness to environmental stimuli plays an important, yet often overlooked, role in typical development and is aberrant in various neurodevelopmental disorders. These dysfunctional somatosensory processes have been conceptualized as an entity termed somatosensory dysregulation (SMD). Since Tourette syndrome (TS) is a prototypical example of developmental psychopathological disorder, we hypothesised that SMD would be a feature found in children suffering from the disorder. Ninety-two subjects representing consecutive admissions to a tertiary paediatric Tourette syndrome clinic were admitted to the study. Comorbid conditions included ADHD, depression, anxiety disorder, and OCD. For purposes of the study, patients completed a battery of self-, caregiver-, and clinician-rated psychological instruments measuring TS core symptoms and comorbidities and quality of life. Sensory modulation was measured by self-report and by objective measures such as stimulation with Von Frey filaments. Almost 50% of the cohort had no SMD. Of the remainder, 14 (15%) had suspected SMD and 32 (34.8%) had SMD. SMD was significantly more common and severe when there were comorbidities. The presence of SMD was associated with more severe impairments in quality of life and less participation in daily activities. The SMD, as measured by subjective measures but not by objective, is probably more associated with central processing rather than peripheral perception.
    MeSH term(s) Adolescent ; Child ; Female ; Humans ; Male ; Quality of Life ; Sensation Disorders/etiology ; Sensation Disorders/physiopathology ; Tic Disorders/complications ; Tic Disorders/physiopathology
    Language English
    Publishing date 2018-02-23
    Publishing country Austria
    Document type Journal Article
    ZDB-ID 184163-4
    ISSN 1435-1463 ; 0300-9564
    ISSN (online) 1435-1463
    ISSN 0300-9564
    DOI 10.1007/s00702-018-1858-4
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  6. Article ; Online: Specific executive control impairments in Tourette syndrome: The role of response inhibition.

    Yaniv, Asaf / Benaroya-Milshtein, Noa / Steinberg, Tamar / Ruhrrman, Dafna / Apter, Alan / Lavidor, Michal

    Research in developmental disabilities

    2017  Volume 61, Page(s) 1–10

    Abstract: Background: Tourette syndrome (TS) is a childhood-onset disorder characterized by motor and vocal tics. While cognitive features of common comorbid conditions such as attention deficit hyperactive disorder and obsessive compulsive disorder have been ... ...

    Abstract Background: Tourette syndrome (TS) is a childhood-onset disorder characterized by motor and vocal tics. While cognitive features of common comorbid conditions such as attention deficit hyperactive disorder and obsessive compulsive disorder have been widely investigated, the cognitive profile of TS patients remains to be precisely defined. In this regard, the executive functions system (EF) is of especial interest.
    Aims: The aim of the study was to delineate the various components of executive processes in adult TS patients.
    Methods: A sample of 19 adults diagnosed with TS and 19 age-matched control subjects underwent computerized battery of executive tasks, as well as block design and memory tests. All patients received a thorough clinical assessment with an emphasis on illness severity.
    Results: There was a marked impairment in response inhibition ability regardless of comorbid conditions, In addition, there was decreased accuracy in set shifting, but not in response time. These results imply that impaired response inhibition in the EF system is the primary cognitive impairment in TS and that many of the previously reported impaired executive functions in TS are secondary to this impairment.
    Conclusions: This finding of impaired response inhibition in TS may imply that rehabilitation of this inhibition component could prove to be an important therapeutic strategy in adults with TS.
    MeSH term(s) Adult ; Case-Control Studies ; Executive Function ; Female ; Humans ; Inhibition (Psychology) ; Male ; Neuropsychological Tests ; Reaction Time ; Severity of Illness Index ; Task Performance and Analysis ; Tourette Syndrome/physiopathology ; Tourette Syndrome/psychology ; Young Adult
    Language English
    Publishing date 2017-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639175-8
    ISSN 1873-3379 ; 0891-4222
    ISSN (online) 1873-3379
    ISSN 0891-4222
    DOI 10.1016/j.ridd.2016.12.007
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  7. Article ; Online: Executive control development in Tourette syndrome and its role in tic reduction.

    Yaniv, Asaf / Benaroya-Milshtein, Noa / Steinberg, Tamar / Ruhrman, Daphna / Apter, Alan / Lavidor, Michal

    Psychiatry research

    2017  Volume 262, Page(s) 527–535

    Abstract: Tourette syndrome (TS) is a childhood-onset disorder characterized by motor and vocal tics. Recent findings point to a possible role of executive functions system development in the tic reduction observed with age. The goal of the present work was to ... ...

    Abstract Tourette syndrome (TS) is a childhood-onset disorder characterized by motor and vocal tics. Recent findings point to a possible role of executive functions system development in the tic reduction observed with age. The goal of the present work was to track the development of executive functions system measured by well-established cognitive tasks and its correlation with diminished tic severity over time in order to understand the role of executive functions in the remission process observed in most adults. The first study followed 25 young TS patients, measuring their executive functions and clinical condition at three time- points. In the second study we compared executive functions performance of 19 adult TS patients with 19 healthy controls and 12 remitted TS patients. The first study showed that tic reduction is related to the development of the executive functions components associated with response inhibition. The second study similarly showed impaired inhibition ability in TS patients but not in controls or the remitted TS patients. The remitted group performed at normal or even higher levels on certain measures. We conclude that inhibition, an important executive function, is impaired in subjects suffering from TS and that intact executive function development is related to remission processes.
    MeSH term(s) Adolescent ; Adult ; Child ; Executive Function/physiology ; Female ; Human Development/physiology ; Humans ; Inhibition (Psychology) ; Longitudinal Studies ; Male ; Tourette Syndrome/physiopathology ; Tourette Syndrome/therapy ; Young Adult
    Language English
    Publishing date 2017-09-18
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.psychres.2017.09.038
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    Zs.A 1541: Show issues Location:
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  8. Article ; Online: Seizures induced by the combination treatment of methylphenidate and sertraline.

    Schertz, Mitchell / Steinberg, Tamar

    Journal of child and adolescent psychopharmacology

    2008  Volume 18, Issue 3, Page(s) 301–303

    MeSH term(s) Child ; Drug Therapy, Combination ; Female ; Humans ; Methylphenidate/administration & dosage ; Methylphenidate/adverse effects ; Seizures/chemically induced ; Seizures/diagnosis ; Sertraline/administration & dosage ; Sertraline/adverse effects
    Chemical Substances Methylphenidate (207ZZ9QZ49) ; Sertraline (QUC7NX6WMB)
    Language English
    Publishing date 2008-06
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 1055410-5
    ISSN 1557-8992 ; 1044-5463
    ISSN (online) 1557-8992
    ISSN 1044-5463
    DOI 10.1089/cap.2007.0141
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  9. Article ; Online: Life events and Tourette syndrome.

    Steinberg, Tamar / Shmuel-Baruch, Sharona / Horesh, Netta / Apter, Alan

    Comprehensive psychiatry

    2013  Volume 54, Issue 5, Page(s) 467–473

    Abstract: Introduction: Tourette syndrome (TS) is a neuropsychiatric developmental disorder characterized by the presence of multiple motor tics and one or more vocal tics. Although TS is primarily biological in origin, stress-diatheses interactions most probably ...

    Abstract Introduction: Tourette syndrome (TS) is a neuropsychiatric developmental disorder characterized by the presence of multiple motor tics and one or more vocal tics. Although TS is primarily biological in origin, stress-diatheses interactions most probably play a role in the course of the illness. The precise influence of the environment on this basically biological disorder is difficult to ascertain, particularly when TS is complicated by comorbidities. Among the many questions that remain unresolved are the differential impact of positive and negative events and specific subtypes of events, and the importance of major crucial events relative to minor daily ones to tic severity.
    Objectives: To examine the relationships between life events, tic severity and comorbid disorders in Tourette Syndrome (TS), including OCD, ADHD, anxiety, depression and rage attacks. Life events were classified by quantity, quality (positive or negative) and classification types of events (family, friends etc.).
    Subjects: Sixty patients aged 7-17 years with Tourette syndrome or a chronic tic disorder were recruited from Psychological Medicine Clinic in Schneider Children's Medical Center of Israel.
    Instruments: Yale Global Tic Severity Scale; Children's Yale Brown Obsessive Compulsive Scale; Life Experiences Survey; Brief Adolescent Life Events Scale; Screen for Child Anxiety Related Emotional Disorders; Child Depression Inventory/Beck Depression Inventory; ADHD Rating Scale IV; Overt Aggression Scale.
    Results: Regarding tics and minor life events, there was a weak but significant correlation between severity of motor tics and the quantity of negative events. No significant correlation was found between tic severity and quantity of positive events. Analysis of the BALES categories yielded a significant direct correlation between severity of vocal tics and quantity of negative events involving friends. Regarding comorbidities and minor life events, highly significant correlations were found with depression and anxiety. Regarding tics and major life events, significant correlation was found between the quantity of major life events and the severity of motor tics, but not vocal tics. Regarding comorbidities and major life events, significant correlation was found between the severity of compulsions, ADHD, and aggression and the subjects' personal evaluation of the effect of negative major life events on their lives.
    Conclusions: Minor life events appear to be correlated with tic severity and comorbidities in children and adolescents with Tourette syndrome. The lack of an association between major life events and tic severity further emphasizes the salient impact of minor life events that occur in temporal proximity to the assessment of tic severity. Clinically, the results match our impression from patient narratives wherein they "blamed" the exacerbations in tics on social interactions. The high correlation between negative life events and depression, anxiety and compulsions symptoms, were reported also in previous studies. In conclusion, These findings may have clinical implications for planning supportive psychotherapy or cognitive behavioral therapy for this patient population.
    MeSH term(s) Adolescent ; Anxiety/complications ; Anxiety/psychology ; Attention Deficit Disorder with Hyperactivity/complications ; Attention Deficit Disorder with Hyperactivity/psychology ; Child ; Depression/complications ; Depression/psychology ; Female ; Humans ; Life Change Events ; Male ; Obsessive-Compulsive Disorder/complications ; Obsessive-Compulsive Disorder/psychology ; Psychiatric Status Rating Scales ; Severity of Illness Index ; Tourette Syndrome/complications ; Tourette Syndrome/psychology
    Language English
    Publishing date 2013-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 127556-2
    ISSN 1532-8384 ; 0010-440X
    ISSN (online) 1532-8384
    ISSN 0010-440X
    DOI 10.1016/j.comppsych.2012.10.015
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  10. Article: Editorial: developmental psychopathology.

    Gothelf, Doron / Steinberg, Tamar / Golan, Ofer / Apter, Alan

    The Israel journal of psychiatry and related sciences

    2010  Volume 47, Issue 2, Page(s) 93–94

    MeSH term(s) Adolescent ; Adult ; Child ; Child Development ; Child, Preschool ; Developmental Disabilities/diagnosis ; Developmental Disabilities/etiology ; Developmental Disabilities/genetics ; Diagnostic and Statistical Manual of Mental Disorders ; Humans ; Mental Disorders/diagnosis ; Mental Disorders/etiology ; Mental Disorders/genetics ; Psychopathology
    Language English
    Publishing date 2010
    Publishing country Israel
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 604431-1
    ISSN 0333-7308
    ISSN 0333-7308
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