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The clinical features of Tourette's disorder with obsessive‐compulsive symptoms
Author(s) -
IIDA JUNZO,
SAKIYAMA SHINOBU,
IWASAKA HIDEMI,
HIRAO FUMIO,
HASHINO KENICHI,
KAWABATA YOKO,
IKAWA GENRO
Publication year - 1996
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1996.tb02740.x
Subject(s) - tics , tourette syndrome , incidence (geometry) , tic disorder , psychiatry , psychology , obsessive compulsive , pediatrics , central nervous system disease , neurological disorder , medicine , neuroscience , physics , optics
Twenty‐three patients with Tourette's disorder (13 with obsessive‐compulsive symptoms [OCS] and 10 without) were comparatively investigated. In contrast to OCS‐free Tourette's disorder patients, those with OCS were found to be characterized by (i) a higher incidence of volatile temper, (ii) a higher incidence of compulsive tics, (iii) a higher incidence of perinatal disorders and brain wave abnormalities, (iv) a higher severity as rated using the Seventy Scale, and (v) a higher prevalence of complications, especially of developmental disorders. Of the subjects with OCS‐accompanied Tourette's disorder, approximately half had developed OCS by the onset of tics. These findings suggest the likelihood that OCS‐accompanied Tourette's disorder is more strongly associated with organic cerebral disorders, independently of sites of tic disorders, than is OCS‐free Tourette's disorder.