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Obsessive-Compulsive Symptom Dimensions in Japanese Tourette Syndrome Subjects

Published online by Cambridge University Press:  07 November 2014

Yukiko Kano ,
Toshiaki Kono ,
Kurie Shishikura ,
Chizue Konno ,
Hitoshi Kuwabara ,
Masataka Ohta  and
Maria Conceiçäo do Rosario
Yukiko Kano*
Affiliation:
University ofTokyo Hospital
Toshiaki Kono
Affiliation:
University of Tokyo Hospital
Kurie Shishikura
Affiliation:
Kitasato University
Chizue Konno
Affiliation:
Kitasato University
Hitoshi Kuwabara
Affiliation:
University of Tokyo Hospital
Masataka Ohta
Affiliation:
Institute for Development of Mind and Behavior
Maria Conceiçäo do Rosario
Affiliation:
Federal University of São Paulo
*
Yukiko Kano, MD, PhD, Department of Child Psychiatry, The University of Tokyo Hospital, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; Tel/Fax:, 81-3-5800-8664; E-mail:, kano-tky@umin.ac.jp.
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Abstract

Objectives: To investigate the current and lifetime frequency and severity of obsessive-compulsive (OC) symptom dimensions in Tourette syndrome (TS) patients, and how these dimensions affect clinical characteristics.

Methods: Forty TS outpatients (29 males, 11 females) were interviewed with the Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS), the Yale Global Tic Severity Scale (YGTSS), the Shapiro Tourette Syndrome Severity Scale, and the Global Assessment of Functioning (GAF).

Results: OC symptoms were present in 80% of the total sample. The miscellaneous and the symmetry dimensions were the most frequent at the “current” and “lifetime” surveys, respectively. The aggression dimension had the smallest difference between “worst ever” and current ratings among the all OC symptom dimensions. TS patients with the aggression dimension (n=7) had significantly lower scores in the GAF scale and higher frequencies of coprolalia. There were significant correlations between the YGTSS severity scores and specific DY-BOCS dimensions.

Conclusion: OC symptoms are frequent in TS subjects and there were differences in the frequency, severity, and course of the OC symptom dimensions. These results emphasize the need for future longitudinal studies using a dimensional approach for the evaluation of OC symptoms in tic disorders.

Type
Original Research
Information
CNS Spectrums , Volume 15 , Issue 5 , May 2010 , pp. 296 - 303
Copyright
Copyright © Cambridge University Press 2010

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