The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional study
Abstract Background Many children 4 to 6 years old exhibit compulsive-like behavior, often with comorbid Tourette symptoms, making this age group critical for investigating the effects of having comorbid Tourette symptoms with compulsive-like behavior. However, these effects have not yet been elucid...
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | Child and Adolescent Psychiatry and Mental Health |
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| Online Access: | http://link.springer.com/article/10.1186/s13034-019-0290-3 |
| _version_ | 1818205016888967168 |
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| author | Ryunosuke Goto Miyuki Fujio Natsumi Matsuda Mayu Fujiwara Marina Nobuyoshi Maiko Nonaka Toshiaki Kono Masaki Kojima Norbert Skokauskas Yukiko Kano |
| author_facet | Ryunosuke Goto Miyuki Fujio Natsumi Matsuda Mayu Fujiwara Marina Nobuyoshi Maiko Nonaka Toshiaki Kono Masaki Kojima Norbert Skokauskas Yukiko Kano |
| author_sort | Ryunosuke Goto |
| collection | DOAJ |
| description | Abstract Background Many children 4 to 6 years old exhibit compulsive-like behavior, often with comorbid Tourette symptoms, making this age group critical for investigating the effects of having comorbid Tourette symptoms with compulsive-like behavior. However, these effects have not yet been elucidated: it is unclear whether having comorbid tics with compulsive-like behavior leads to lower quality of life. This cross-sectional study aims to investigate the effect of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children. Methods Self-administered questionnaires were distributed to guardians of children aged 4 to 6 attending any of the 59 public preschools in a certain ward in Tokyo, Japan. The questionnaire contained questions on the presence of Tourette symptoms, the presence of specific motor and vocal tics, frequency/intensity of compulsive-like behavior, and the distress caused by compulsive-like behavior, which was rated on a scale of 1 to 5. Additionally, questions on autism spectrum disorder (ASD) traits, attention-deficit/hyperactivity disorder (ADHD) traits, internalizing behavior traits, and externalizing behavior traits were included in the questionnaire as possible confounders of distress caused by compulsive-like behavior. Wilcoxon rank-sum tests were conducted to compare the distress caused by compulsive-like behavior and frequency/intensity of compulsive-like behavior between children in the Tourette symptoms group and the non-Tourette symptoms group. Furthermore, a stepwise regression analysis was performed to assess the effects of the independent variables on distress caused by compulsive-like behavior. Another stepwise regression analysis was performed to assess the relationship between distress caused by compulsive-like behavior and the presence of five specific motor and vocal tics. Results Of the 675 eligible participants, distress due to compulsive-like behavior was significantly higher in children in the Tourette symptoms group compared to the non-Tourette symptoms group (2.00 vs 1.00, P < 0.001). Stepwise regression analysis showed that frequency/intensity of compulsive-like behavior, being in the Tourette symptoms group, ASD traits, and internalizing behavior traits were predictors of distress due to compulsive-like behavior. Two specific tics, repetitive noises and sounds and repetitive neck, shoulder, or trunk movements, were significant predictors of distress due to compulsive-like behavior. Conclusions Comorbid Tourette symptoms may worsen distress caused by compulsive-like behavior in children 4 to 6 years old, and specific motor and vocal tics may lead to greater distress. |
| first_indexed | 2024-12-12T03:50:26Z |
| format | Article |
| id | doaj.art-723a09933dfe4178ade6d6364df41645 |
| institution | Directory Open Access Journal |
| issn | 1753-2000 |
| language | English |
| last_indexed | 2024-12-12T03:50:26Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
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| series | Child and Adolescent Psychiatry and Mental Health |
| spelling | doaj.art-723a09933dfe4178ade6d6364df416452022-12-22T00:39:25ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002019-06-011311710.1186/s13034-019-0290-3The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional studyRyunosuke Goto0Miyuki Fujio1Natsumi Matsuda2Mayu Fujiwara3Marina Nobuyoshi4Maiko Nonaka5Toshiaki Kono6Masaki Kojima7Norbert Skokauskas8Yukiko Kano9The University of Tokyo HospitalGraduate School of Education, The University of TokyoDepartment of Child Neuropsychiatry, Graduate School of Medicine, The University of TokyoDepartment of Child Psychiatry, The University of Tokyo HospitalGraduate School of Education, The University of TokyoGraduate School of Education, The University of TokyoDepartment of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Child Psychiatry, The University of Tokyo HospitalRegional Centre for Children and Youth Mental Health and Child Welfare-Central Norway, Norwegian University of Science and Technology, RKBU Midt-Norge, NTNUDepartment of Child Neuropsychiatry, Graduate School of Medicine, The University of TokyoAbstract Background Many children 4 to 6 years old exhibit compulsive-like behavior, often with comorbid Tourette symptoms, making this age group critical for investigating the effects of having comorbid Tourette symptoms with compulsive-like behavior. However, these effects have not yet been elucidated: it is unclear whether having comorbid tics with compulsive-like behavior leads to lower quality of life. This cross-sectional study aims to investigate the effect of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children. Methods Self-administered questionnaires were distributed to guardians of children aged 4 to 6 attending any of the 59 public preschools in a certain ward in Tokyo, Japan. The questionnaire contained questions on the presence of Tourette symptoms, the presence of specific motor and vocal tics, frequency/intensity of compulsive-like behavior, and the distress caused by compulsive-like behavior, which was rated on a scale of 1 to 5. Additionally, questions on autism spectrum disorder (ASD) traits, attention-deficit/hyperactivity disorder (ADHD) traits, internalizing behavior traits, and externalizing behavior traits were included in the questionnaire as possible confounders of distress caused by compulsive-like behavior. Wilcoxon rank-sum tests were conducted to compare the distress caused by compulsive-like behavior and frequency/intensity of compulsive-like behavior between children in the Tourette symptoms group and the non-Tourette symptoms group. Furthermore, a stepwise regression analysis was performed to assess the effects of the independent variables on distress caused by compulsive-like behavior. Another stepwise regression analysis was performed to assess the relationship between distress caused by compulsive-like behavior and the presence of five specific motor and vocal tics. Results Of the 675 eligible participants, distress due to compulsive-like behavior was significantly higher in children in the Tourette symptoms group compared to the non-Tourette symptoms group (2.00 vs 1.00, P < 0.001). Stepwise regression analysis showed that frequency/intensity of compulsive-like behavior, being in the Tourette symptoms group, ASD traits, and internalizing behavior traits were predictors of distress due to compulsive-like behavior. Two specific tics, repetitive noises and sounds and repetitive neck, shoulder, or trunk movements, were significant predictors of distress due to compulsive-like behavior. Conclusions Comorbid Tourette symptoms may worsen distress caused by compulsive-like behavior in children 4 to 6 years old, and specific motor and vocal tics may lead to greater distress.http://link.springer.com/article/10.1186/s13034-019-0290-3Preschool childrenTourette’s disorderCompulsive-like behaviorDistressComorbidityTics |
| spellingShingle | Ryunosuke Goto Miyuki Fujio Natsumi Matsuda Mayu Fujiwara Marina Nobuyoshi Maiko Nonaka Toshiaki Kono Masaki Kojima Norbert Skokauskas Yukiko Kano The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional study Child and Adolescent Psychiatry and Mental Health Preschool children Tourette’s disorder Compulsive-like behavior Distress Comorbidity Tics |
| title | The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional study |
| title_full | The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional study |
| title_fullStr | The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional study |
| title_full_unstemmed | The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional study |
| title_short | The effects of comorbid Tourette symptoms on distress caused by compulsive-like behavior in very young children: a cross-sectional study |
| title_sort | effects of comorbid tourette symptoms on distress caused by compulsive like behavior in very young children a cross sectional study |
| topic | Preschool children Tourette’s disorder Compulsive-like behavior Distress Comorbidity Tics |
| url | http://link.springer.com/article/10.1186/s13034-019-0290-3 |
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