Articles

Children and Their Parent's Perceptions of Symptom Severity and Treatment Preference for Tourette Syndrome

Abstract

Objective: This study surveys children and their parent's perceptions, and their treatment preference of significant/bothersome symptoms in children with Tourette syndrome.
Methods:
Thirty five children and adolescents who referred to an out-patient clinic of a Child Psychiatry Clinic were selected as subjects for this study. The children and their parents were interviewed about their perception of significant/bothersome symptoms of motor tics, vocal tics, learning difficulties, attention deficit disorder, hyperactivity, obsessions, compulsions, and rage attacks.
Results:
About two thirds of the subjects had symptom of rage. Inattentiveness and hyperactivity were observed in more than half of the children. There was a statistically significant difference between parents and their children in frequency of motor tics and rage attacks. Children reported the necessity for controlling and management of these symptoms less than their parents.
Discussion:
The rates of motor, vocal tics and rage attacks in the Iranian sample are similar to other studies. Rage attack is one of the most common significant/bothersome symptoms reported that should be treated. While motor tics were not rated among the most common features that should be treated in a study in Canada, it was the most common significant/bothersome symptom in Iran. Parents perceive motor tics and rage attacks as more significant/bothersome symptoms compared to children.

Hornsey H, Banerjee S, Zeitlin H, Robertson M. The prevalence of Tourette syndrome in 13-14-year-olds in mainstream schools. J Child Psychol Psychiatry 2001; 42: 1035-1039.

Dooley JM. Tic disorders in childhood. Semin Pediatr Neurol 2006; 13: 231-242.

Janik P, Kalbarczyk A, Sitek M. Clinical analysis of Gilles de la Tourette syndrome based on 126 cases. Neurol Neurochir Pol 2007; 41: 381-387.

Stephens RJ, Sandor P. Aggressive behaviour in children with Tourette syndrome and comorbid attention-deficit hyperactivity disorder and obsessive-compulsive disorder. Can J Psychiatry 1999; 44: 1036-1042.

Comings DE,Comings BG. A controlled family history study of Tourette's syndrome, I: Attention-deficit hyperactivity disorder and learning disorders. J Clin Psychiatry 1990; 51: 275-280.

Budman CL, Bruun RD, Park KS, Olson ME. Rage attacks in children and adolescents with Tourette’s disorder: a pilot study. J Clin Psychiatry 1998; 59: 576-580.

Robertson MM, Orth M. Behavioral and affective disorders in Tourette syndrome. Adv Neurol 2006; 99: 39-60.

Zhu Y, Leung KM, Liu PZ, Zhou M, Su LY. Comorbid behavioural problems in Tourette's syndrome are positively correlated with the severity of tic symptoms. Aust N Z J Psychiatry 2006; 40: 67-73.

Leckman JF. Phenomenology of tics and natural history of tic disorders. Brain Dev 2003; 25: S24-28.

Budman CL, Bruun RD, Park KS, Lesser M, Olson M. Explosive outbursts in children with Tourette's disorder. J Am Acad Child Adolesc Psychiatry 2000; 39: 1270-1276.

Abwender DA, Como PG, Kurlan R, Parry K, Fett KA, Cui L, et al. School problems in Tourette's syndrome. Arch Neurol 1996; 53: 509-511.

Lee MY, Chen YC, Wang HS, Chen DR. Parenting stress and related factors in parents of children with Tourette syndrome. J Nurs Res 2007; 15: 165-174.

Dooley JM, Brna PM, Gordon KE. Parent perceptions of symptom severity in Tourette's syndrome. Arch Dis Child 1999; 81: 440-441.

Lindback T, Strand G. [Tourette syndrome in children. An analysis of everyday problems--neurology or emotional conflicts?]. Tidsskr Nor Laegeforen 1994; 114: 2248-2251.

Rizzo R, Curatolo P, Gulisano M, Virzi M, Arpino C, Robertson MM. Disentangling the effects of Tourette syndrome and attention deficit hyperactivity disorder on cognitive and behavioral phenotypes. Brain Dev 2007; 29: 413-420.

Ghanizadeh A, Mosallaei S. Psychiatric disorders and behavioral problems in children and adolescents with Tourette syndrome. Brain Dev 2009; 31: 15-19.

Ghanizadeh A, Mohammadi MR,Yazdanshenas A. Psychometric properties of the Farsi translation of the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version. BMC Psychiatry 2006; 6:10.

Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36: 980-988.

Banaschewski T, Woerner W, Rothenberger A. Premonitory sensory phenomena and suppressibility of tics in Tourette syndrome: developmental aspects in children and adolescents. Dev Med Child Neurol 2003; 45: 700-703.

Prado HS, Rosario MC, Lee J, Hounie AG, Shavitt RG, Miguel EC. Sensory phenomena in obsessive-compulsive disorder and tic disorders: a review of the literature. CNS Spectr 2008; 13: 425-432.

Burd L, Freeman RD, Klug MG, Kerbeshian J. Tourette Syndrome and learning disabilities. BMC Pediatr 2005; 5: 34.

Bruun RD, Budman CL. Paroxetine treatment of episodic rages associated with Tourette’s disorder. J Clin Psychiatry 1998; 59: 581-584.

Ghanizadeh A. Association of nail biting and psychiatric disorders in children and their parents in a psychiatrically referred sample of children. Child Adolesc Psychiatry Ment Health 2008; 2: 13.

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IssueVol 5 No 3 (2010) QRcode
SectionArticles
Keywords
Attitude Child Iran Parent Tourette syndrome

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How to Cite
1.
Ghanizadeh A, Mohammadi M-R, Dehbozorgi GR. Children and Their Parent’s Perceptions of Symptom Severity and Treatment Preference for Tourette Syndrome. Iran J Psychiatry. 1;5(3):93-96.