Journal ArticleDOI
Social and Emotional Adjustment in Children Affected with Gilles de la Tourette's Syndrome: Associations with ADHD and Family Functioning
Alice S. Carter,Deborah A. O'Donnell,Robert T. Schultz,Lawrence Scahill,James F. Leckman,David L. Pauls +5 more
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TLDR
It is demonstrated that much of the social and behavioral dysfunction in children with TS is ADHD-specific andChildren with TS alone have a very different social-emotional profile than do those with TS plus ADHD.Abstract:
This study examined social-emotional functioning in children with Gilles de la Tourette's syndrome (TS) alone and children with TS and Attention Deficit Hyperactivity Disorder (ADHD). In addition, the contribution of family functioning to social competence was examined. Children with a clinical diagnosis of TS were recruited from the Yale Child Study Center TS specialty clinic. Unaffected control children were recruited through newspaper advertisements and announcements within the university and at area schools. The final sample consisted of 72 children (45 boys and 27 girls) between the ages of 8 and 14. Sixteen children met DMS-III-R criteria for TS, 33 children met criteria for TS and ADHD, and 23 children had no psychiatric diagnoses. Children with TS and ADHD evidenced more externalizing and internalizing behavior problems and poorer social adaptation than children with TS only or unaffected controls. Children with TS only were not significantly different from unaffected controls on most measures of externalizing behaviors and social adaptation but did exhibit more internalizing symptoms. Tic symptom severity was not associated with social, behavioral, or emotional functioning among children with TS, even after stratifying by medication status. However, ADHD diagnosis, obsessional symptom severity, and family functioning were significantly associated with social and emotional adjustment among TS children. Moreover, family functioning was associated with social and emotional adjustment even after controlling for TS and ADHD diagnostic status. These findings demonstrate that much of the social and behavioral dysfunction in children with TS is ADHD-specific and children with TS alone have a very different social-emotional profile than do those with TS plus ADHD. Finally, social-emotional adjustment in children with TS is best understood within the family context.read more
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Journal ArticleDOI
Tourette's syndrome.
TL;DR: A new perspective is offered on the understanding of the pathogenesis of Tourette's syndrome and on principles for treatment of patients with this disorder.
Journal ArticleDOI
Co-existing disorders in ADHD -- implications for diagnosis and intervention.
Christopher Gillberg,I. C. Gillberg,Peder Rasmussen,Björn Kadesjö,Henrik Soderstrom,Maria Råstam,Mats Johnson,Aribert Rothenberger,Lena Niklasson +8 more
TL;DR: It would not be appropriate to develop ADHD–services where clinicians would only have expertise in ADHD as such, and anyone working with children, adolescents and adults with ADHD would need to have training in general neuropsychiatry.
Journal ArticleDOI
The prevalence and epidemiology of Gilles de la Tourette syndrome: Part 1: The epidemiological and prevalence studies
TL;DR: It is suggested that a figure of 1% would be appropriate for the overall international GTS prevalence figure, given that GTS does seem to be substantially rarer in African-American people and has been reported only very rarely in sub-Saharan black African people.
Journal ArticleDOI
Disruptive behavior in children with Tourette's syndrome: association with ADHD comorbidity, tic severity, and functional impairment.
Denis G. Sukhodolsky,Lawrence Scahill,Heping Zhang,Bradley S. Peterson,Robert A. King,Paul J. Lombroso,Lily Katsovich,Diane B. Findley,James F. Leckman +8 more
TL;DR: Comorbid ADHD is highly associated with disruptive behavior and functional impairment in children with TS and when disruptive behavior problems are present, there is an additional burden on children's social and family functioning.
Journal ArticleDOI
Tic disorders and ADHD: answers from a world-wide clinical dataset on Tourette syndrome
TL;DR: Clinically the findings confirm other research indicating the importance of ADHD in understanding the behavioural problems often associated with the diagnosis of TS, and additional ADHD comorbidity should be taken into account in diagnosis, management, and training.