[Clinical features and risk factors of co-morbid tic disorder in children with attention deficit hyperactivity

Ke-Ying Zhou1, Zhi-Hui Xiao, Yan-Zhao Chen

  • 1Department of Pediatrics, Shenzhen People's Hospital, Second Medical College of Jinan University, Shenzhen, Guangdong, 518020, China. zhoukeying@163.com.

Insights

In children with attention deficit hyperactivity disorder (ADHD), 13.5% also had tic disorder (TD). Improper family education and infection were identified as key risk factors for this comorbidity.

Area of Science:

  • Neurodevelopmental disorders
  • Child and adolescent psychiatry
  • Clinical psychology

Context:

  • Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children.
  • Tic disorders (TD) frequently co-occur with ADHD, impacting clinical presentation and management.
  • Understanding the risk factors for comorbid TD in ADHD is crucial for effective intervention.

Purpose:

  • To investigate the clinical features and identify risk factors associated with comorbid tic disorder (TD) in children diagnosed with attention deficit hyperactivity disorder (ADHD).

Summary:

  • This study involved 312 children with ADHD, finding a 13.5% comorbidity rate with TD.
  • The combined subtype of ADHD showed a significantly higher TD comorbidity rate (24.1%).
  • Independent risk factors identified were improper family education (OR=7.000) and infection (OR=2.564).

Impact:

  • Findings highlight the significant prevalence of TD in ADHD and identify key modifiable and non-modifiable risk factors.
  • Results underscore the need for early intervention strategies targeting identified risk factors to improve outcomes for children with ADHD and comorbid TD.
  • This research contributes to a better understanding of the complex interplay between ADHD and TD, informing clinical practice and future research directions.
Abstract

Related Concept Videos

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....
1.4K
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;...
1.0K
Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
1.9K
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...
1.5K
Obsessive-Compulsive Disorder01:28

Obsessive-Compulsive Disorder

Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
1.0K
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
796