[Prevalence of anxiety disturbs in patients with Tourette syndrome and tic disturb]

Riv Psichiatr. 2014 Sep-Oct;49(5):243-50. doi: 10.1708/1668.18268.
[Article in Italian]

Abstract

Aim: Tourette syndrome (TS) is characterized by a wide phenotypic polymorphism and this heterogeneity is due partly to the association with several neuropsychiatry disorders. These comorbidities are showed in the 90% of TS cases. The aim of this transversal study is to analyze the presence and prevalence of different psychopathological conditions that could be expressed with tic disorder (TD) and specifically in TS.

Methods: We examined a sample of 102 patients, between 7 and 17.6 years old, with a diagnosis DSM-IV-TR of TD, using the self-report SAFA.

Results: Different correlations between these comorbidities and clinical variables are also analyzed. Our data underlined most of all a prevalence of anxiety disorders in the 31.4% of our patients with TD, of depression in the 27.44%, and of somatization symptoms in the 22.54%.

Discussion: Anxiety disorders seem to be linked with the variables of patients'age, duration of disease, gender, pharmacological treatment and presence of comorbidity for obsessive-compulsion disorder (OCD).

Conclusions: This study suggests the important prevalence of non-OCD anxiety disorders in TD patients and shows they have a central role in their psychopathological profile. However, the basilar question if these disturbs are primary or secondary to the TD is still to be clarify.

MeSH terms

  • Adolescent
  • Anxiety Disorders / epidemiology*
  • Anxiety Disorders / psychology
  • Causality
  • Child
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • Humans
  • Interview, Psychological
  • Male
  • Obsessive-Compulsive Disorder / epidemiology
  • Personality
  • Prevalence
  • Psychology, Adolescent
  • Psychology, Child
  • Psychometrics
  • Psychotropic Drugs / therapeutic use
  • Self Report
  • Severity of Illness Index
  • Tic Disorders / drug therapy
  • Tic Disorders / epidemiology*
  • Tic Disorders / psychology
  • Tourette Syndrome / drug therapy
  • Tourette Syndrome / epidemiology
  • Tourette Syndrome / psychology

Substances

  • Psychotropic Drugs