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Clinical Characteristics of Children With Tourette Syndrome With and Without Sleep Disorder

Emily J Ricketts1, Sara Beth Wolicki2, Joseph R Holbrook2

  • 1Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, California.

Pediatric Neurology
|February 3, 2023
PubMed

Insights

Children with Tourette Syndrome (TS) and sleep disorders often face greater challenges. These include more severe tics, ADHD symptoms, and socioeconomic difficulties, highlighting the need for comprehensive care.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Child Psychiatry

Background:

  • Sleep problems are prevalent in children with Tourette Syndrome (TS).
  • Limited research exists on the demographic and clinical profiles of these children.
  • Understanding these profiles is crucial for effective management.

Purpose of the Study:

  • To examine the demographic and clinical characteristics of children with TS and sleep disorders.
  • To compare children with TS who have sleep disorders versus those who do not.
  • To identify factors associated with sleep disorders in this population.

Main Methods:

  • A study of 114 children aged 5-17 years with a lifetime TS diagnosis.
  • Comparison between children with (n=32) and without (n=82) sleep disorders.
  • Data collected via parent report from the 2014 National Survey of ADHD and Tourette Syndrome.

Main Results:

  • Children with TS and sleep disorders had lower parental education and higher poverty rates.
  • They were more likely to have co-occurring diagnoses, including OCD, ODD/CD, ADHD, and autism.
  • Severe TS symptoms, tic-related impairment, and severe ADHD symptoms were more common in children with sleep disorders.

Conclusions:

  • Children with TS and sleep disorders experience greater functional impairment and tic-related interference.
  • Monitoring TS exacerbations, comorbidities, and medication use is essential.
  • Socioeconomic factors should be considered in managing and preventing sleep disorders in children with TS.
Abstract

Keywords:
ComorbidityImpairmentSleep disorderTicsTourette syndrome

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