The symptomatology of tic disorders and concomitant sleep habits in children

J Młodzikowska-Albrecht1, M Zarowski, B Steinborn

  • 1Chair and Department of Developmental Neurology, Poznan University of Medical Sciences, Poland. albrecht@amp.edu.pl

Insights

Children with tic disorders (TG) exhibit distinct sleep patterns compared to healthy peers. These sleep differences, alongside frequent co-occurring ADHD and OCD symptoms, highlight the complex nature of tic disorders.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Sleep Medicine

Background:

  • Tic disorders (TG) are neurological conditions affecting children.
  • Understanding the clinical symptoms and sleep habits associated with TG is crucial for effective management.
  • This study compares sleep habits in children with TG to a healthy control group (CG).

Purpose of the Study:

  • To analyze the clinical symptoms of tic disorders in children.
  • To investigate and compare sleep habits between children with tic disorders and a control group.
  • To identify potential correlations between tic disorder symptoms and sleep disturbances.

Main Methods:

  • Study included 84 children diagnosed with tic disorders (TG) based on DSM-IVR criteria.
  • A control group (CG) comprised 156 healthy children.
  • Parents completed a questionnaire detailing tic symptomatology, sleep habits, and behavioral symptoms (ADHD, OCD).

Main Results:

  • Tic disorders were more prevalent in males (78.6%) in the TG group.
  • Common symptoms included simple motor tics (98.8%), complex motor tics (39.3%), vocal tics (64.3%), and sensory tics (20.2%).
  • Children with TG showed significant differences in sleep habits, including co-sleeping (23.8% vs 58.1% in CG) and less calm sleep (33.3% vs 75.6% in CG).

Conclusions:

  • Tic disorders frequently co-occur with other behavioral symptoms, notably ADHD (73.8%) and OCD (35.7%).
  • Children with tic disorders exhibit significantly different sleep habits compared to healthy children.
  • These findings underscore the importance of assessing sleep patterns and co-occurring conditions in the comprehensive management of tic disorders.
Abstract

Related Concept Videos

Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
Oppositional Defiant Disorder01:30

Oppositional Defiant Disorder

A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...