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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.
Introduction:
The aim of study was to analyze the clinical symptoms of tic disorders (TG) and sleep habits in children. The sleep habits were compared with those of a control group (CG).
Materials And Methods:
The study included 84 children with TG. The diagnoses were verified according to DSM-IVR criterion. CG included 156 healthy children. The parents filled in a questionnaire developed by the authors--TG's parents filled in a part concerning the symptomatology of tic disorders and sleep habits, CG's parents only the second part.
Results:
There were 78.6% of male and 21.4% of female in TG respectively, and 53.8% and 46.2% in CG. The simple and complex motor tics were observed in 98.8% and 39.3% of patients, vocal tics--64.3%, sensory tics--20.2%. ADHD and OCD symptoms were noticed respectively in 73.8% and 35.7% of children. The most common simple and complex motor tics were respectively: blinking--9.0%, jumping and touching--20.2% of patients. Vocal tics were presented in 64.3%. 23.8% of TG slept together with another person in bed, and 69% of them in one room with other members of family; in CG it was respectively 58.1% and 19.2%. 33.3% of TG fell asleep and woke up in the same position in bed, in the CG 75.6% of children slept calmly. The bed-time stories were seldom read by the parents in TG--3.6% vs CG--31.4%.
Conclusions:
Quote frequently TG are connected with other behavioral symptoms, in particular ADHD and OCD. Sleep habits are different in TG than in CG.
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