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Environmental circumstances influencing tic expression in children
Belén Caurín1, Mercedes Serrano2, Emilio Fernández-Alvarez1
1Department of Child Neurology, Hospital Sant Joan de Déu, Universitat de Barcelona, Spain.
Summary
Environmental factors significantly impact tic severity in children with tic disorders. Stressful situations and screen time can worsen tics, while creative activities and sports may reduce them, informing management strategies.
Area of Science:
- Pediatric Neurology
- Neurodevelopmental Disorders
- Clinical Psychology
Background:
- Tic disorders affect children, with varying clinical presentations and severity.
- Environmental factors are suspected to influence tic expression but require further investigation.
Purpose of the Study:
- To evaluate clinical features and tic severity in children with tic disorders.
- To identify environmental factors and daily activities that influence tic expression.
Main Methods:
- Cross-sectional study of 92 children and adolescents with tic disorders.
- Tic severity assessed using the Yale Global Tic Severity Scale (YGTSS).
- Environmental factors and daily activities evaluated via questionnaire for children >5 years.
Main Results:
- Tics worsened with stress, school activities, video games, and TV.
- Tics reduced during artistic activities, sports, and outdoor play.
- Tourette syndrome (TS) patients had higher YGTSS scores and poorer school performance, associated with ADHD.
Conclusions:
- Daily activities significantly modify tic severity, offering potential management targets.
- TS in children is linked to significant morbidity and academic challenges.
- Developing tailored school programs and recommendations is crucial for managing TS.
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