Provisional Tic Disorder is not so transient
| Autor: | Haley K. Acevedo, Deanna J. Greene, Kevin J. Black, Emily C. Bihun, Jacqueline M. Hampton, Bradley L. Schlaggar, Soyoung Kim, Angela M. Reiersen, Jonathan M. Koller |
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| Rok vydání: | 2019 |
| Předmět: |
Male
0301 basic medicine Pediatrics Time Factors Autism Remission Spontaneous Video Recording lcsh:Medicine Neuropsychological Tests Neurodegenerative Severity of Illness Index 0302 clinical medicine lcsh:Science Child Clinical teaching Pediatric Multidisciplinary Brain Serious Mental Illness Magnetic Resonance Imaging Mental Health Female Anxiety disorder congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Tics Remission Intellectual and Developmental Disabilities (IDD) Neuroimaging Article 03 medical and health sciences mental disorders Severity of illness medicine Humans Vocal tics Recent onset business.industry Spontaneous lcsh:R Provisional tic disorder medicine.disease Brain Disorders nervous system diseases body regions 030104 developmental biology Tic Disorders lcsh:Q business human activities 030217 neurology & neurosurgery Tourette Syndrome |
| Zdroj: | Scientific reports, vol 9, iss 1 Scientific Reports Scientific Reports, Vol 9, Iss 1, Pp 1-11 (2019) |
| ISSN: | 2045-2322 |
| DOI: | 10.1038/s41598-019-40133-4 |
| Popis: | Motor and vocal tics are common in childhood. The received wisdom among clinicians is that for most children the tics are temporary, disappearing within a few months. However, that common clinical teaching is based largely on biased and incomplete data. The present study was designed to prospectively assess outcome of children with what the current nomenclature calls Provisional Tic Disorder. We identified 43 children with recent onset tics (mean 3.3 months since tic onset) and re-examined 39 of them on the 12-month anniversary of their first tic. Tic symptoms improved on a group level at the 12-month follow-up, and only two children had more than minimal impairment due to tics. Remarkably, however, tics were present in all children at follow-up, although in several cases tics were apparent only when the child was observed remotely by video. Our results suggest that remission of Provisional Tic Disorder is the exception rather than the rule. We also identified several clinical features present at the first examination that predict one-year outcome; these include baseline tic severity, subsyndromal autism spectrum symptoms, and the presence of an anxiety disorder. |
| Databáze: | OpenAIRE |
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