Repetitive Behaviours in Patients with Gilles de la Tourette Syndrome: Tics, Compulsions, or Both?
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{"title"=>"Repetitive behaviours in patients with Gilles de la Tourette syndrome: Tics, compulsions, or both?", "type"=>"journal", "authors"=>[{"first_name"=>"Yulia", "last_name"=>"Worbe", "scopus_author_id"=>"15123403200"}, {"first_name"=>"Luc", "last_name"=>"Mallet", "scopus_author_id"=>"7006918694"}, {"first_name"=>"Jean Louis", "last_name"=>"Golmard", "scopus_author_id"=>"7003275668"}, {"first_name"=>"Cécile", "last_name"=>"Béhar", "scopus_author_id"=>"14036761500"}, {"first_name"=>"Franck", "last_name"=>"Durif", "scopus_author_id"=>"46062004500"}, {"first_name"=>"Isabelle", "last_name"=>"Jalenques", "scopus_author_id"=>"7006620341"}, {"first_name"=>"Philippe", "last_name"=>"Damier", "scopus_author_id"=>"35373634300"}, {"first_name"=>"Pascal", "last_name"=>"Derkinderen", "scopus_author_id"=>"6701338529"}, {"first_name"=>"Pierre", "last_name"=>"Pollak", "scopus_author_id"=>"7102066918"}, {"first_name"=>"Mathieu", "last_name"=>"Anheim", "scopus_author_id"=>"23033017900"}, {"first_name"=>"Emannuel", "last_name"=>"Broussolle", "scopus_author_id"=>"55411183700"}, {"first_name"=>"Jing", "last_name"=>"Xie", "scopus_author_id"=>"57199944735"}, {"first_name"=>"Valérie", "last_name"=>"Mesnage", "scopus_author_id"=>"6602857506"}, {"first_name"=>"Karl", "last_name"=>"Mondon", "scopus_author_id"=>"15765888800"}, {"first_name"=>"François", "last_name"=>"Viallet", "scopus_author_id"=>"7004591567"}, {"first_name"=>"Pierre", "last_name"=>"Jedynak", "scopus_author_id"=>"6603579248"}, {"first_name"=>"Mouna Ben", "last_name"=>"Djebara", "scopus_author_id"=>"24172618700"}, {"first_name"=>"Michael", "last_name"=>"Schüpbach", "scopus_author_id"=>"24345470800"}, {"first_name"=>"Antoine", "last_name"=>"Pelissolo", "scopus_author_id"=>"7004174344"}, {"first_name"=>"Marie", "last_name"=>"Vidailhet", "scopus_author_id"=>"7101610435"}, {"first_name"=>"Yves", "last_name"=>"Agid", "scopus_author_id"=>"56279119100"}, {"first_name"=>"Jean Luc", "last_name"=>"Houeto", "scopus_author_id"=>"6701364607"}, {"first_name"=>"Andreas", "last_name"=>"Hartmann", "scopus_author_id"=>"7402942221"}], "year"=>2010, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-77958597560", "sgr"=>"77958597560", "pui"=>"359839181", "isbn"=>"1932-6203", "pmid"=>"20885982", "doi"=>"10.1371/journal.pone.0012959"}, "id"=>"dbe0f24b-fadf-3363-b8c8-7293630f6b7e", "abstract"=>"BACKGROUND: Repetitive behaviours (RB) in patients with Gilles de la Tourette syndrome (GTS) are frequent. However, a controversy persists whether they are manifestations of obsessive-compulsive disorder (OCD) or correspond to complex tics. METHODS: 166 consecutive patients with GTS aged 15-68 years were recruited and submitted to extensive neurological, psychiatric and psychological evaluations. RB were evaluated by the YBOCS symptom checklist and Mini International Neuropsychiatric Interview (M.I.N.I), and classified on the basis of a semi-directive psychiatric interview as compulsions or tics. RESULTS: RB were present in 64.4% of patients with GTS (107/166) and categorised into 3 major groups: a 'tic-like' group (24.3%-40/166) characterised by RB such as touching, counting, 'just right' and symmetry searching; an 'OCD-like' group (20.5%-34/166) with washing and checking rituals; and a 'mixed' group (13.2%-22/166) with both 'tics-like' and 'OCD-like' types of RB present in the same patient. In 6.3% of patients, RB could not be classified into any of these groups and were thus considered 'undetermined'. CONCLUSIONS: The results confirm the phenomenological heterogeneity of RB in GTS patients and allows to distinguish two types: tic-like behaviours which are very likely an integral part of GTS; and OCD-like behaviours, which can be considered as a comorbid condition of GTS and were correlated with higher score of complex tics, neuroleptic and SSRIs treatment frequency and less successful socio-professional adaptation. We suggest that a meticulous semiological analysis of RB in GTS patients will help to tailor treatment and allow to better classify patients for future pathophysiologic studies. TRIAL REGISTRATION: ClinicalTrials.gov NCT00169351.", "link"=>"http://www.mendeley.com/research/repetitive-behaviours-patients-gilles-la-tourette-syndrome-tics-compulsions-both", "reader_count"=>68, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>3, "Student > Doctoral Student"=>7, "Researcher"=>16, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>5, "Student > Master"=>5, "Other"=>5, "Student > Bachelor"=>9, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>3, "Student > Doctoral Student"=>7, "Researcher"=>16, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>5, "Student > Master"=>5, "Other"=>5, "Student > Bachelor"=>9, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>9, "Engineering"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>15, "Agricultural and Biological Sciences"=>8, "Neuroscience"=>4, "Philosophy"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>28}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>15}, "Neuroscience"=>{"Neuroscience"=>4}, "Psychology"=>{"Psychology"=>28}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>8}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Unspecified"=>{"Unspecified"=>9}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"Colombia"=>1, "Denmark"=>1, "Brazil"=>1, "United Kingdom"=>2, "France"=>1, "Switzerland"=>1, "Germany"=>1, "Spain"=>1}, "group_count"=>3}

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  • {"files"=>["https://ndownloader.figshare.com/files/827521"], "description"=>"<p>Red columns: ‘OCD-like’ RB; blue columns: ‘tic-like’ RB. * p<0.0001.</p>", "links"=>[], "tags"=>["types", "repetitive", "behaviours", "gts", "patients"], "article_id"=>497856, "categories"=>["Mental Health", "Neuroscience"], "users"=>["Yulia Worbe", "Luc Mallet", "Jean-Louis Golmard", "Cécile Béhar", "Franck Durif", "Isabelle Jalenques", "Philippe Damier", "Pascal Derkinderen", "Pierre Pollak", "Mathieu Anheim", "Emannuel Broussolle", "Jing Xie", "Valérie Mesnage", "Karl Mondon", "François Viallet", "Pierre Jedynak", "Mouna Ben Djebara", "Michael Schüpbach", "Antoine Pelissolo", "Marie Vidailhet", "Yves Agid", "Jean-Luc Houeto", "Andreas Hartmann"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0012959.g001", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Percentage_of_different_types_of_repetitive_behaviours_in_our_GTS_patients_sample_/497856", "title"=>"Percentage of different types of repetitive behaviours in our GTS patients sample.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2010-09-24 02:10:56"}
  • {"files"=>["https://ndownloader.figshare.com/files/412347", "https://ndownloader.figshare.com/files/412362", "https://ndownloader.figshare.com/files/412374", "https://ndownloader.figshare.com/files/412390"], "description"=>"<div><h3>Background</h3><p>Repetitive behaviours (RB) in patients with Gilles de la Tourette syndrome (GTS) are frequent. However, a controversy persists whether they are manifestations of obssessive-compulsive disorder (OCD) or correspond to complex tics.</p><h3>Methods</h3><p>166 consecutive patients with GTS aged 15–68 years were recruited and submitted to extensive neurological, psychiatric and psychological evaluations. RB were evaluated by the YBOCS symptom checklist and Mini International Neuropsychiatric Interview (M.I.N.I), and classified on the basis of a semi-directive psychiatric interview as compulsions or tics.</p><h3>Results</h3><p>RB were present in 64.4% of patients with GTS (107/166) and categorised into 3 major groups: a ‘tic-like’ group (24.3%–40/166) characterised by RB such as touching, counting, ‘just right’ and symmetry searching; an ‘OCD-like’ group (20.5%–34/166) with washing and checking rituals; and a ‘mixed’ group (13.2%–22/166) with both ‘tics-like’ and ‘OCD-like’ types of RB present in the same patient. In 6.3% of patients, RB could not be classified into any of these groups and were thus considered ‘undetermined’.</p><h3>Conclusions</h3><p>The results confirm the phenomenological heterogeneity of RB in GTS patients and allows to distinguish two types: tic-like behaviours which are very likely an integral part of GTS; and OCD-like behaviours, which can be considered as a comorbid condition of GTS and were correlated with higher score of complex tics, neuroleptic and SSRIs treatment frequency and less successful socio-professional adaptation. We suggest that a meticulous semiological analysis of RB in GTS patients will help to tailor treatment and allow to better classify patients for future pathophysiologic studies.</p><h3>Trial Registration</h3><p>ClinicalTrials.gov <a href=\"http://clinicaltrials.gov/ct2/show/NCT00169351\">NCT00169351</a></p></div>", "links"=>[], "tags"=>["repetitive", "behaviours", "patients", "gilles", "de", "la", "tourette"], "article_id"=>141446, "categories"=>["Mental Health", "Neuroscience"], "users"=>["Yulia Worbe", "Luc Mallet", "Jean-Louis Golmard", "Cécile Béhar", "Franck Durif", "Isabelle Jalenques", "Philippe Damier", "Pascal Derkinderen", "Pierre Pollak", "Mathieu Anheim", "Emannuel Broussolle", "Jing Xie", "Valérie Mesnage", "Karl Mondon", "François Viallet", "Pierre Jedynak", "Mouna Ben Djebara", "Michael Schüpbach", "Antoine Pelissolo", "Marie Vidailhet", "Yves Agid", "Jean-Luc Houeto", "Andreas Hartmann"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0012959.s001", "https://dx.doi.org/10.1371/journal.pone.0012959.s002", "https://dx.doi.org/10.1371/journal.pone.0012959.s003", "https://dx.doi.org/10.1371/journal.pone.0012959.s004"], "stats"=>{"downloads"=>4, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Repetitive_Behaviours_in_Patients_with_Gilles_de_la_Tourette_Syndrome_Tics_Compulsions_or_Both_/141446", "title"=>"Repetitive Behaviours in Patients with Gilles de la Tourette Syndrome: Tics, Compulsions, or Both?", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2010-09-24 00:24:06"}

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