چکیده:
Objectives:Tourette syndrome is a disease with vocal and motor tics. This disorder is co-morbid with many psychiatric disorders, among which obsessive-compulsive disorder is the most common. Method:During a one-year period, 30 patients with Tourette disorder were studied at an adolescent psychiatry referral clinic. It was an analytical-descriptive study. Subjects were selected by convenience sampling. The control group was selected from students in Tehran schools similar to the first group in terms of age and gender. K-SADS questionnaire was used to examine the existence of obsessive-compulsive disorder in both groups. The results were analyzed with SPSS software. Results:The apparent co-morbidity of obsessive-compulsive disorder and Tourette syndrome was seen in this study, such that 53% of patients affected with it had obsessive-compulsive disorder. Statistics obtained was higher compared to earlier data. Although this co-morbidity was somewhat different in the two genders, it was not considered statistically significant (80% girls and 48% boys). Conclusion:More focus should be laid upon the co-morbidity between Tourette and OCD. It is recommended to study patients with Tourette syndromemore extensively in terms of co-morbidity with other psychiatric disorders, especially the obsessive-compulsive disorder.
خلاصه ماشینی:
Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran-Iran Masoud Gharib Mazandran University of Medical sciences, Sari, Iran Objectives: Tourette syndrome is a disease with vocal and motor tics.
Method: During a one-year period, 30 patients with Tourette disorder were studied at an adolescent psychiatry referral clinic.
Results: The apparent co-morbidity of obsessive-compulsive disorder and Tourette syndrome was seen in this study, such that 53% of patients affected with it had obsessive-compulsive disorder.
It is recommended to study patients with Tourette syndrome more extensively in terms of co-morbidity with other psychiatric disorders, especially the obsessive-compulsive disorder.
After interviews, the K-SADS-PL (Kiddie-Schedule for Affective Disorders and Schizophrenia for School- Age Children – Present and Lifetime Version) questionnaire was used for both groups to determine the existence of obsessive-compulsive disorder.
Results Thirty children with Tourette disorder, including 5 girls and 25 boys, were studied.
While 80% of girls with Tourette had obsessive-compulsive disorder, this co-morbidity was observed in 48% of boys.
7 30 100 The average age of patients with Tourette and co- morbid obsessive-compulsive disorder was slightly lower than of patients with Tourette syndrome alone, which was not statistically significant.
Because of co- morbidity with other psychiatric disorders, all patients with Tourette syndrome must be evaluated for psychiatric co-morbidities, especially obsessive- compulsive disorder, using a structured or semi- structured psychiatry interview.
The existence of a referral clinic may have been one reason for the increased rate of co-morbidity of obsessive-compulsive disorder and Tourette syndrome, which should be considered and should be made more specific with other studies, especially in other medical centers.