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Journals / Türk Psikiyatri Dergisi / 2002 / Cilt: 13 - Sayı: 3

Tourette disorder in children and adolescents: Sociodemographic, clinical features and comorbidity

Çocuk ve ergenlerde tourette bozukluğu: Sosyodemografik, klinik özellikler ve eştanılar

Fevziye TOROS
Şenal TOT
Ayşe AVCI
Pages
187–196
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusions: The results of the study suggest that there are several common pathologies in the etiology of TD, OCD, ADHD because of the high comorbidity present between these disorders

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study was to evaluate the sociodemographic and clinical features of children and adolescents with Tourette Disorder (TD) according to DSM-IV who are applied to our outpatient clinic and to determine clinical significancy of relationship between the sociodemographic features and the severity of vocal, motor tics, and also to determine frequency of comorbid conditions and diagnosis acording to DSM-IV.
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Key Findings & Data:Method: Twenty eight children and adolescents (23 boys, 5 girls) were included in this study.
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Conclusion & Impact:Conclusions: The results of the study suggest that there are several common pathologies in the etiology of TD, OCD, ADHD because of the high comorbidity present between these disorders
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Hiperaktiviteyle beraber dikkat eksikliği bozukluğu · Çocuk · Ergenlik

Abstract

Objective: The aim of this study was to evaluate the sociodemographic and clinical features of children and adolescents with Tourette Disorder (TD) according to DSM-IV who are applied to our outpatient clinic and to determine clinical significancy of relationship between the sociodemographic features and the severity of vocal, motor tics, and also to determine frequency of comorbid conditions and diagnosis acording to DSM-IV. Method: Twenty eight children and adolescents (23 boys, 5 girls) were included in this study. Sociodemographic features of cases were recorded and Beck Children Depression Inventory (CDI), Maudsley Obsessive Compulsive Questionnaire (MOCQ), Goetz Tics Evaluation Scale were administered to all children. Clinical features of TD and the comorbid diagnosis were assessed in detail thorugh psychiatric interview according to DSM-IV. Results: The mean age of the cases at the time of referral was 124±32 months. Twenty one of the cases (75%) had obsessive compulsive disorder, 4 of them (14,2%) had attention deficit hyperactivity disorder (ADHD), 4 of them (14.2%) had major depression as a comorbid disorder. The most common motor tic was eye blinking and vocal tic was throat cleaning. Coprolali was present in 32,1% of the cases was found to appear in older children. Besides, no significant causal relationship between prenatal, natal, and postnatal conditions of the cases and TD. Conclusions: The results of the study suggest that there are several common pathologies in the etiology of TD, OCD, ADHD because of the high comorbidity present between these disorders

Özet

Amaç: Bu çalışmada polikliniğimize başvuran çocuk ve ergenlerden Tourette Bozukluğu (TB) olanların sosyodemografik özelliklerini belirlemek, sosyodemografik özellikler ile motor ve vokal tiklerin şiddeti arasındaki ilişkiyi saptamak ve DSM-IV'e göre TB'ndaki eştanı sıklığını ve eştanıları belirlemek amaçlanmıştır. Yöntem: Bu çalışmaya DSM-IV'e göre TB tanısı alan 28 çocuk ve ergen hasta (23 erkek, 5 kız) alındı. Hastaların sosyodemografik özellikleri kaydedildi ve Beck Çocuk Depresyon Ölçeği (ÇDÖ), Maudsley Obsesif Kompulsif Soru Listesi (MOKSL) ve Goetz Tik Derecelendirme Ölçeği uygulandı. Hastalar ile yapılan psikiyatrik görüşmeler sırasında hastalık belirtileri, eştanılar ayrıntılı olarak değerlendirildi. Bulgular: Olguların başvurduklarında ortalama yaşları 124±32 aydı. Olguların 21'inde (%75) obsesif-kompulsif bozukluk (OKB), 4'ünde (%14.2) dikkat eksikliği hiperaktivite bozukluğu (DEHB), 4'ünde major depresyon eştanı olarak bulunmaktaydı. En yaygın motor tik göz kırpma, en yaygın vokal tik boğaz temizlemeydi. Olguların %32.1'inde koprolali vardı ve koprolali daha sık olarak ileri yaşlardaki çocuklarda görülmekteydi. Olguların prenatal, natal ve post-natal durumu ile TB arasında anlamlı nedensel bir risk faktörü saptanmadı. Sonuç: TB'nun sosyodemografik özelliklerini incelediğimiz bu çalışmada, olguların büyük kısmında birlikte obsesif kompulsif belirtilerin, OKB ve/veya DEHB'nun bulunması bu hastalıkların etyolojisinde ortak noktalar bulunduğunu düşündürmektedir.

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Cite This Article

TOROS, F., TOT, Ş., AVCI, A. (2002). Tourette disorder in children and adolescents: Sociodemographic, clinical features and comorbidity. Türk Psikiyatri Dergisi, Cilt: 13 - Sayı: 3, 187–196. https://ajindex.com/articles/90923

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References (19)

  1. Apter A, Pauls DL, Bleich A ve ark. (1993) An epidemiologic study of Gilles de la Tourette’s Syndrome in Israel. Arch Gen Psychiatry, 50:734-738.
  2. Arzimanoglou AA (1998) Gilles de la Tourette syndrome. J Neurol, 245:761-765.
  3. Barry D, Garfinkel MD (1990)
  4. Tics and other stereotyped movements, Psychiatric Disorders in Children and Adolescents. 9.baskı, Wonsiewicz M, Carper J (Ed.), Baltimore. W.B. Saunders, s. 306-324.
  5. Beck AT (1961) An inventory for measuring depression. Arch Gen Psychiatry, 4:561-571.
  6. Burd L, Severud R, Klug MG ve ark. (1999) Prenatal and perinatal risk factors for Tourette disorder. J Perinat Med, 4:295-302.
  7. Carter AS, Pauls DL, Leckman JF ve ark (1994) A progresive longitudinal study of Gilles de la Tourette’s Syndrome. J Am Acad Child Adolesc Psychiatry, 33:377-385.
  8. Casey MB, Cohen M, Schuerholz LJ ve ark. (2000) Language- based cognitive functioning in parents of offspring with ADHD comorbid for Tourette syndrome or learning disabilities. Dev Neuropsychol, 17:85-110.
  9. Comings DE, Comings BG (1985) Tourette syndrome: clinical and psychological aspects of 250 cases. Am J Hum Genet, 37:435-450.
  10. Conners CK (1969) A teacher rating scale for use in drug studies with children. Am J Psychiatry, 126:884-888.
  11. Doğan O, Çelik G, Kaya B ve ark. (1996) Tourette bozukluğu olan bir aile. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 3:88-91.
  12. Drake ME, Hietter S, Padamadan H ve ark. (1991) Computerized EEG frequency analysis in Gilles de la Tourette Syndrome. Clin Electroencephalog, 22:250-253.
  13. Eapen V, Pauls DL, Robertson MM (1993) Evidence for autosomal dominant transmission in Tourette’s Syndrome. J Neurol Neurosurg Psychiatry, 162:593-596.
  14. Erden C, Ceylan A (1990) Gilles de la Tourette Sendromu. Türk Psikiyatri Dergisi, 1:181-186.
  15. Erol N, Savaşır I (1988) Maudsley Obsesif Kompulsif Soru Listesi. XXIV. Ulusal Psikiyatri ve Nörolojik Bilimler Kongresi, GATA, Ankara.
  16. George MS, Trimble MR, Ring HA ve ark. (1993) Obsessions in obsessive-compulsive disorder with and without Gilles de la Tourette’s Syndrome. Am J Psychiatry, 150:93-97.
  17. Goetz CG, Tanner CM, Wilson RS ve ark. (1987) A rating scale for Gilles de la Tourett’es Syndrome: Description, reliability, and validity data. Neurology, 37:1542-1544.
  18. Goyette CH, Conners CK, Ulrich RF (1978) Normative data on revised Conners’ parent and teacher rating scales. J Abnorm Child Psychol, 6:221-236.
  19. Gökler B (1995) Gilles de la Tourette Sendromu ve birlikte bulunan bozukluklar. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 2:35