Adults with Tourette's syndrome with and without attention deficit hyperactivity disorder

作者：Haddad A D M; Umoh G; Bhatia V; Robertson M M^*

来源：Acta Psychiatrica Scandinavica, 2009, 120(4): 299-307.

DOI：10.1111/j.1600-0447.2009.01398.x

• Tourette's syndrome
• attention deficit hyperactivity disorder
• behaviour
• psychopathology

Objective:
Comorbidity between Tourette's syndrome (TS) and attention deficit hyperactivity disorder (ADHD) is high. In children, those with both TS ADHD fare less well than those with TS-only on measures of both psychopathology and behaviour. The objective of this study was to document such measures in adult patients.
Method:
Eighty adults with TS-only were compared to 64 with TS ADHD using a clinical interview and standardised measures of depression, anxiety and obsessionality.
Results:
The two groups were no different on measures of TS severity. TS ADHD patients had significantly more depression, anxiety, obsessive-compulsive behaviour and maladaptive behaviours than patients with TS-only. There were also significant differences in the incidence of copro- and echo-phenomena and family history of ADHD.
Conclusion:
The finding of increased overall behavioural difficulties and psychopathology in adult patients with TS ADHD when compared with TS-only is in agreement with previous findings in children with TS. Appropriate treatment of ADHD in TS patients during childhood may prevent many behavioural problems in adulthood.

• 出版日期2009-10