What are the Key Phenomenological Clues to Diagnose Functional Tic-Like Behaviors in the Pandemic Era?
Mov Disord Clin Pract
; 11(4): 398-402, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-38269641
ABSTRACT
BACKGROUND:
Functional tic-like behaviors (FTLBs) can be difficult to distinguish from tics.OBJECTIVES:
To describe the phenomenology of FTLBs in youth and assess the movements and vocalizations most suggestive of the diagnosis.METHODS:
We compared the phenomenology of tics between youth (<20 yr) with FTLBs and with primary tics from our Registry in Calgary, Canada.RESULTS:
Two hundred and thirty-six youths were included 195 with primary tics (75% males; mean age 10.8 yr) and 41 with FTLBs (98% females; 16.1 yr). In the bivariate models, FTLBs were most associated with copropraxia (OR = 15.5), saying words (OR = 14.5), coprolalia (OR = 13.1), popping (OR = 11.0), whistling (OR = 9.8), simple head movements (OR = 8.6), and self-injurious behaviors (OR = 6.9). In the multivariable model, FTLBs were still associated with saying words (OR = 13.5) and simple head movements (OR = 6.3). Only 12.2% of youth with FTLBs had throat clearing tics (OR = 0.2).CONCLUSIONS:
This study shall help physicians diagnose youth with FTLBs according to the presence/association of specific movements and vocalizations.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos de Tic
/
Conducta Autodestructiva
/
Tics
Tipo de estudio:
Diagnostic_studies
/
Qualitative_research
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Mov Disord Clin Pract
Año:
2024
Tipo del documento:
Article
País de afiliación:
Canadá