Abstract
OBJECTIVE
Comorbidity between Tourette's syndrome (TS) and attention deficit hyperactivity disorder (ADHD) is high. In children, those with both TS+ADHD fare less well than those with TS-only on measures of both psychopathology and behaviour. The objective of this study was to document such measures in adult patients.
METHOD
Eighty adults with TS-only were compared to 64 with TS+ADHD using a clinical interview and standardised measures of depression, anxiety and obsessionality.
RESULTS
The two groups were no different on measures of TS severity. TS+ADHD patients had significantly more depression, anxiety, obsessive-compulsive behaviour and maladaptive behaviours than patients with TS-only. There were also significant differences in the incidence of copro- and echo-phenomena and family history of ADHD.
CONCLUSION
The finding of increased overall behavioural difficulties and psychopathology in adult patients with TS+ADHD when compared with TS-only is in agreement with previous findings in children with TS. Appropriate treatment of ADHD in TS patients during childhood may prevent many behavioural problems in adulthood.
TY - JOUR
T1 - Adults with Tourette's syndrome with and without attention deficit hyperactivity disorder.
AU - Haddad,A D M,
AU - Umoh,G,
AU - Bhatia,V,
AU - Robertson,M M,
Y1 - 2009/04/15/
PY - 2009/6/3/entrez
PY - 2009/6/3/pubmed
PY - 2010/2/13/medline
SP - 299
EP - 307
JF - Acta psychiatrica Scandinavica
JO - Acta Psychiatr Scand
VL - 120
IS - 4
N2 - OBJECTIVE: Comorbidity between Tourette's syndrome (TS) and attention deficit hyperactivity disorder (ADHD) is high. In children, those with both TS+ADHD fare less well than those with TS-only on measures of both psychopathology and behaviour. The objective of this study was to document such measures in adult patients. METHOD: Eighty adults with TS-only were compared to 64 with TS+ADHD using a clinical interview and standardised measures of depression, anxiety and obsessionality. RESULTS: The two groups were no different on measures of TS severity. TS+ADHD patients had significantly more depression, anxiety, obsessive-compulsive behaviour and maladaptive behaviours than patients with TS-only. There were also significant differences in the incidence of copro- and echo-phenomena and family history of ADHD. CONCLUSION: The finding of increased overall behavioural difficulties and psychopathology in adult patients with TS+ADHD when compared with TS-only is in agreement with previous findings in children with TS. Appropriate treatment of ADHD in TS patients during childhood may prevent many behavioural problems in adulthood.
SN - 1600-0447
UR - https://www.unboundmedicine.com/medline/citation/19486328/Adults_with_Tourette's_syndrome_with_and_without_attention_deficit_hyperactivity_disorder_
L2 - https://doi.org/10.1111/j.1600-0447.2009.01398.x
DB - PRIME
DP - Unbound Medicine
ER -