Ontology highlight
ABSTRACT: Objective
Tourette's disorder (TD) and autism spectrum disorder (ASD) share clinical features and possibly an overlapping etiology. The aims of this study were to examine ASD symptom rates in participants with TD, and to characterize the relationships between ASD symptom patterns and TD, obsessive-compulsive disorder (OCD), and attention-deficit/hyperactivity disorder (ADHD).Method
Participants with TD (n = 535) and their family members (n =234) recruited for genetic studies reported TD, OCD, and ADHD symptoms and completed the Social Responsiveness Scale Second Edition (SRS), which was used to characterize ASD symptoms.Results
SRS scores in participants with TD were similar to those observed in other clinical samples but lower than in ASD samples (mean SRS total raw score = 51; SD = 32.4). More children with TD met cut-off criteria for ASD (22.8%) than adults with TD (8.7%). The elevated rate in children was primarily due to high scores on the SRS Repetitive and Restricted Behaviors (RRB) subscale. Total SRS scores were correlated with TD (r = 0.27), OCD (r = 0.37), and ADHD (r = 0.44) and were higher among individuals with OCD symptom-based phenotypes than for those with tics alone.Conclusion
Higher observed rates of ASD among children affected by TD may in part be due to difficulty in discriminating complex tics and OCD symptoms from ASD symptoms. Careful examination of ASD-specific symptom patterns (social communication vs. repetitive behaviors) is essential. Independent of ASD, the SRS may be a useful tool for identifying patients with TD with impairments in social communication that potentially place them at risk for bullying and other negative sequelae.
SUBMITTER: Darrow SM
PROVIDER: S-EPMC5648014 | biostudies-literature | 2017 Jul
REPOSITORIES: biostudies-literature
Darrow Sabrina M SM Grados Marco M Sandor Paul P Hirschtritt Matthew E ME Illmann Cornelia C Osiecki Lisa L Dion Yves Y King Robert R Pauls David D Budman Cathy L CL Cath Danielle C DC Greenberg Erica E Lyon Gholson J GJ McMahon William M WM Lee Paul C PC Delucchi Kevin L KL Scharf Jeremiah M JM Mathews Carol A CA
Journal of the American Academy of Child and Adolescent Psychiatry 20170511 7
<h4>Objective</h4>Tourette's disorder (TD) and autism spectrum disorder (ASD) share clinical features and possibly an overlapping etiology. The aims of this study were to examine ASD symptom rates in participants with TD, and to characterize the relationships between ASD symptom patterns and TD, obsessive-compulsive disorder (OCD), and attention-deficit/hyperactivity disorder (ADHD).<h4>Method</h4>Participants with TD (n = 535) and their family members (n =234) recruited for genetic studies repo ...[more]