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Evidence-Based Mental Health 2003;6:10; doi:10.1136/ebmh.6.1.10
Copyright © 2003 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.
Evidence-Based Mental Health 2003; 6:10
© 2003 BMJ Publishing Group, Royal College of Psychiatrists, & British Psychological Society

Prevalence

22% of preschool children, 8% of primary school students and 3% of adolescents have tics

Gadow K, Nolan E, Sprafkin J et al. Tics and psychiatric comorbidity in children and adolescents. Developmental Medicine and Child Neurology 2002 May; 44: 330–8.[CrossRef][Medline]

QUESTION: What is the prevalence of tics in a community sample of children? What is the relationship between tics and psychiatric symptoms?

Key Words: tics

The first 150 words of the full text of this article appear below.

Design

Cross sectional study.

Setting

12 preschools and 16 public elementary and secondary schools in Missouri, Wisconsin and New York, USA.

Participants

3006 school children; 413 aged 3–5 years, 1520 aged 5–12 years and 1073 aged 12–18 years.

Main outcome measures

A teacher-rated DSM-IV referenced scale was used to assess tics and other psychiatric symptoms. Children were classified into 4 groups: 1) attention deficit hyperactivity disorder (ADHD) with tics; 2) ADHD without tics; 3) tics without ADHD, and 4) neither ADHD nor tics.

Main results

22% of preschool children, 8% of 5–12 year olds and 3% of adolescents had tics (table). Tics were more common in males, regardless of comorbid ADHD symptoms (p<0.05). Obsessive-compulsive, simple and social phobia symptoms were more common in children with tics (all p<0.05).

Conclusions

Studies of the prevalence and psychiatric comorbidity of chronic tic disorder have been conducted largely with children referred to tic disorder clinics. This study found similar prevalence and comorbidity rates . . . [Full text of this article]

David E Comings, MD, Director, Department of Medical Genetics

City of Hope Medical Center
Duarte, USA


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