Zinna, S;
Luxton, R;
Papachristou, E;
Dima, D;
Kyriakopoulos, M;
(2021)
Comorbid chronic tic disorder and tourette syndrome in children requiring inpatient mental health treatment.
Clinical Child Psychology and Psychiatry
, 26
(3)
pp. 894-905.
10.1177/13591045211007918.
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Abstract
Objective: Children needing admission to an inpatient mental health unit often present with severe neuropsychiatric disorders characterised by complex psychopathology. We aimed to examine all admitted children with comorbid chronic tic disorder (CTD) and Tourette syndrome (TS) over a 10-year period and determine the clinical significance of these diagnoses. Method: A retrospective, naturalistic study was conducted, comparing children with and without CTD/TS in terms of co-morbid diagnoses, medication use, access to education, aggression contributing to the admission, duration of admission, functional outcomes and satisfaction with treatment. Data were analysed using Chi-square/Fisher’s exact test and t-test for categorical and continuous variables, respectively, and subsequently with unadjusted and adjusted linear and logistic regression analyses. Results: A relatively high proportion of children had co-morbid CTD/TS (19.7%). There was a significant association with co-morbid obsessive-compulsive disorder, intellectual disability and autism spectrum disorder but not attention deficit hyperactivity disorder. CTD/TS were associated with longer admissions even after adjustments for confounding but did not seem to be independently associated with other examined clinical characteristics. Conclusions: The prevalence of CTD/TS in children needing inpatient treatment is significant. In our sample, comorbid CTD/TS seem to represent a marker of overall symptom severity as evidenced by longer admissions.
| Type: | Article |
|---|---|
| Title: | Comorbid chronic tic disorder and tourette syndrome in children requiring inpatient mental health treatment |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/13591045211007918 |
| Publisher version: | http://dx.doi.org/10.1177/13591045211007918 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Tourette, tics, children, inpatient admission, mental health, DEFICIT HYPERACTIVITY DISORDER, QUALITY-OF-LIFE, PSYCHIATRIC-DISORDERS, NATURAL-HISTORY, FOLLOW-UP, PREVALENCE, SCALE, ADOLESCENTS, SEVERITY |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10131496 |
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