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[Tics in childhood].
1Psychiatrická klinika FNsP, Olomouc.
Ceskoslovenska Psychiatrie
|October 1, 1990
Summary
Childhood tics, often linked to Attention Deficit Disorder with Hyperactivity (ADDH), can persist into adulthood. While many children experience remission, a significant portion requires ongoing treatment for persistent tic disorders.
Area of Science:
- Pediatric Neurology
- Child Psychiatry
- Hyperkinetic Disorders
Context:
- Tics are common hyperkinetic disorders in childhood, with prevalence ranging from 4-28%.
- Despite accepted organic etiology, tics are often classified under child neuroses.
- Tics represent a spectrum from transient childhood tics to Tourette's syndrome.
Purpose:
- To conduct a catamnestic investigation of 131 children with tics hospitalized between 1968-1988.
- To evaluate the long-term prognosis of childhood tics in a cohort followed up to adulthood (15-29 years).
Summary:
- The study followed 131 children diagnosed with tics, with symptom onset around age 7.
- A high percentage (58.9%) had co-occurring Attention Deficit Disorder with Hyperactivity (ADDH), showing an increasing trend in recent years.
- Treatment evaluation revealed frequent use of neuroleptics due to symptom progression and psychosocial impact, with many patients discontinuing ambulatory treatment prematurely (ages 10-15) without symptom resolution.
Impact:
- Prognostic evaluation indicated complete recovery in 38% of patients by follow-up.
- 62% experienced occasional relapses, and 14% had persistent tic manifestations into adulthood.
- Some individuals necessitate long-term pharmacotherapy into adulthood, highlighting the chronic nature of severe tic disorders.