TY - JOUR
T1 - Clinical Characteristics of Children and Adolescents with a Primary Tic Disorder
AU - Specht, Matt W.
AU - Woods, Douglas W.
AU - Piacentini, John
AU - Scahill, Lawrence
AU - Wilhelm, Sabine
AU - Peterson, Alan L.
AU - Chang, Susanna
AU - Kepley, Hayden
AU - Deckersbach, Thilo
AU - Flessner, Christopher
AU - Buzzella, Brian A.
AU - McGuire, Joseph F.
AU - Levi-Pearl, Sue
AU - Walkup, John T.
N1 - Funding Information:
This work was supported by grant R01MH070802 (clinicaltrials.gov Identifier: NCT00218777) from the National Institute of Mental Health to Dr. Piacentini, with subcontracts to Drs. Woods, Scahill, Wilhelm, Peterson, and Walkup. Dr. Scahill received support from the Yale University Clinical and Translational Sciences Award grant UL1 RR024139 from the National Center for Research Resources, NIH. We would like to express our appreciation to the children and their families who made this study possible. M.W.Specht(*).H.Kepley.J.T.Walkup Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 600 North Wolfe Street/CMSC 314, Baltimore, MD 21287-3325, USA e-mail: [email protected]
PY - 2011/2
Y1 - 2011/2
N2 - The clinical characteristics and rates of co-occurring psychiatric conditions in youth seeking treatment for a chronic tic disorder (CTD) were examined. Children and adolescents (N=126) with a primary CTD diagnosis were recruited for a randomized controlled treatment trial. An expert clinician established diagnostic status via semi-structured interview. Participants were male (78.6%), Caucasians (84.9%), mean age 11.7 years (SD = 2.3) with moderate-to-severe tics who met criteria for Tourette's disorder (93.7%). Common co-occurring conditions included attention-deficit/hyperactivity disorder (ADHD; 26%), social phobia (21%), generalized anxiety disorder (20%), and obsessive-compulsive disorder (OCD; 19%). Motor and vocal tics with greater intensity, complexity, and interference were associated with increased impairment. Youth with a CTD seeking treatment for tics should be evaluated for non-OCD anxiety disorders in addition to ADHD and OCD. Despite the presence of co-occurring conditions, children with more forceful, complex, and/or directly interfering tics may seek treatment to reduce tic severity.
AB - The clinical characteristics and rates of co-occurring psychiatric conditions in youth seeking treatment for a chronic tic disorder (CTD) were examined. Children and adolescents (N=126) with a primary CTD diagnosis were recruited for a randomized controlled treatment trial. An expert clinician established diagnostic status via semi-structured interview. Participants were male (78.6%), Caucasians (84.9%), mean age 11.7 years (SD = 2.3) with moderate-to-severe tics who met criteria for Tourette's disorder (93.7%). Common co-occurring conditions included attention-deficit/hyperactivity disorder (ADHD; 26%), social phobia (21%), generalized anxiety disorder (20%), and obsessive-compulsive disorder (OCD; 19%). Motor and vocal tics with greater intensity, complexity, and interference were associated with increased impairment. Youth with a CTD seeking treatment for tics should be evaluated for non-OCD anxiety disorders in addition to ADHD and OCD. Despite the presence of co-occurring conditions, children with more forceful, complex, and/or directly interfering tics may seek treatment to reduce tic severity.
KW - Anxiety
KW - Comorbid
KW - Impairment
KW - Tics
KW - Tourette's disorder
UR - https://www.scopus.com/pages/publications/79951514513
UR - https://www.scopus.com/pages/publications/79951514513#tab=citedBy
U2 - 10.1007/s10882-010-9223-z
DO - 10.1007/s10882-010-9223-z
M3 - Article
AN - SCOPUS:79951514513
SN - 1056-263X
VL - 23
SP - 15
EP - 31
JO - Journal of Developmental and Physical Disabilities
JF - Journal of Developmental and Physical Disabilities
IS - 1
ER -