Document Detail


Tourette's syndrome: what are the influences of gender and comorbid obsessive-compulsive disorder?
MedLine Citation:
PMID:  8083136     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To explore the influence of gender and comorbid obsessive-compulsive disorder (OCD) on the phenomenology of Tourette's syndrome (TS). METHOD: TS proband groups defined by gender and comorbid OCD status were compared on a variety of sociodemographic variables, clinical characteristics, and perinatal complications. RESULTS: Compared to females, males more often onset with rage and had ever experienced any form of simple tics. Females onset with compulsive tics more often than males. Probands with comorbid OCD were more likely than those without OCD to onset with complex tics. Delivery complications, especially forceps deliveries, were associated with being male and with having OCD. Fetal exposure to relatively high levels of coffee, cigarettes, or alcohol predicted OCD in TS probands. Diagnosis of TS occurred at later ages among females than among males. Males and females displayed different age distributions. CONCLUSIONS: Males and females tend to experience different kinds of symptoms at onset. However, the overall experience of TS appears to be similar for both groups. Perinatal brain injury is implicated in the etiology of TS in some boys. Early brain injury may cause or exacerbate the development of OCD in some TS sufferers.
Authors:
S L Santangelo; D L Pauls; J M Goldstein; S V Faraone; M T Tsuang; J F Leckman
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Academy of Child and Adolescent Psychiatry     Volume:  33     ISSN:  0890-8567     ISO Abbreviation:  J Am Acad Child Adolesc Psychiatry     Publication Date:    1994 Jul-Aug
Date Detail:
Created Date:  1994-10-11     Completed Date:  1994-10-11     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8704565     Medline TA:  J Am Acad Child Adolesc Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  795-804     Citation Subset:  IM    
Affiliation:
Department of Epidemiology, Harvard Program in Psychiatric Epidemiology and Biostatistics, Harvard School of Public Health, Boston, MA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Age of Onset
Brain Injuries / complications
Child
Female
Humans
Male
Middle Aged
Obsessive-Compulsive Disorder / complications*,  etiology
Obstetric Labor Complications
Pregnancy
Prenatal Exposure Delayed Effects
Psychiatric Status Rating Scales
Sex Factors
Tic Disorders
Tourette Syndrome / complications*,  diagnosis,  etiology
Grant Support
ID/Acronym/Agency:
MH 17119-10/MH/NIMH NIH HHS; MH00508/MH/NIMH NIH HHS; MH49351/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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