Tourette's Syndrome and Psychopathology in a Child Psychiatry Setting

Wodrich, David L.; Benjamin, Eric; Lachar, David

doi:10.1097/00004583-199711000-00027

Cited by 11 publications

(11 citation statements)

References 21 publications

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“…This study evaluated the psychopathology of adolescents with TS. Although similar studies have been reported, 8,20 this study reports the results of the largest Chinese sample to date that was well characterized by diagnosis and tic severity. This study found several similarities and differences in clinical characteristics reported from other regions and cultures of the world.…”

Section: Discussionsupporting

confidence: 58%

Tourette's syndrome: Psychopathology in adolescents

Chang

Wang

2004

Psychiatry Clin Neurosci

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The aim of this study is to foster an understanding of the clinical characteristics, in terms of general psychopathology, of Tourette syndrome (TS), as it manifests in adolescent patients, and to compare these results with those of previous studies conducted in Western countries. In total, 38 male and 5 female adolescent patients who visited a pediatric neurological specialty clinic for TS between 1 January and 1 March 2003, and who met the World Health Organisation criteria for TS, were studied. These patients were clinically interviewed and assessed with the Symptom-Checklist-90-R, Family APGAR and Tic Symptoms questionnaire, a self-report questionnaire based on DSM-IV TS diagnostic criteria. Among this population, the mean age of onset of motor tics was 9.65 ± 3.7 years, and motor tics of the head and eyes were usually the first symptoms to manifest; coprolalia occurred in 44.1% ( n = 19) of our patients. Many of our findings were similar to those reported in trials conducted in other regions of the world. TS symptoms showed stronger correlation with emotional distress in older patients.

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Section: Discussionsupporting

confidence: 58%

Tourette's syndrome: Psychopathology in adolescents

Chang

Wang

2004

Psychiatry Clin Neurosci

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“…Studies of psychiatric comorbidity in children and adolescents with chronic tic disorder have focused almost exclusively on children referred to tic disorder clinics (Cohen et al 1988, Shapiro et al 1988, Comings 1990, Chase et al 1992, Kurlan 1992, Freeman et al 2000 or to psychiatry clinics (Sverd et al 1988, Nolan et al 1996, Coffey et al 1997, Wodrich et al 1997). The few community-based studies of tics in children (Shapiro et al 1988, Zahner et al 1988) are generally based on parent reports using broadly-based screening instruments of child psychopathology that include a somewhat poorly defined item about motor tics (and, sometimes, habit behaviors).…”

mentioning

confidence: 99%

Tics and psychiatric comorbidity in children and adolescents

Gadow

Nolan

Sprafkin

et al. 2002

Dev Med Child Neurol

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This study examined comorbid psychiatric symptoms in a large, community-based sample of children and adolescents. The study sample comprised a total of 3006 school children: 413 preschool (3 to 5 years; 237 males, 176 females; mean age 4 years 2 months, SD 8 months), 1520 elementary school (5 to 12 years; 787 males, 733 females; mean age 8 years 2 months, SD 1 year 11 months), and 1073 secondary school children (12 to 18 years; 573 males, 500 females; mean age 14 years 4 months, SD 1 year 10 months), all of whom were attending regular education programs. Children were evaluated with a teacher-completed DSM-IV-referenced rating scale. The sample was divided into four groups: attention-deficit-hyperactivity disorder with tics (ADHD+tics), ADHD without tics (ADHD), tics without ADHD (T), and a comparison group i.e. neither ADHD nor tics (Non). The percentage of children with tic behaviors varied with age: preschool children (22.3%), elementary school children (7.8%), and adolescents (3.4%). Tic behaviors were more common in males than females, regardless of comorbid ADHD symptoms. For many psychiatric symptoms, screening prevalence rates were highest for the ADHD groups (ADHD+tics>ADHD>T>Non). However, obsessive-compulsive and simple and social phobia symptoms were more common in the groups with tic behavior. Findings for a community-based sample show many similarities with studies of clinically referred samples suggesting that teacher-completed ratings of DSM-IV symptoms may be a useful methodology for investigating the phenomenology of tic disorders.

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“…Using standardized measures, 13 controlled investigations have found both young people and adults with GTS (n=741) to be significantly more depressed than agematched and gender-matched healthy control subjects [25,26,[45][46][47][48][49][50][51][52][53][54][55]. Only one study obtained differing results.…”

Section: Comorbidity and Psychopathologymentioning

confidence: 99%