ODD irritability is associated with obsessive-compulsive behavior and not ADHD in chronic tic disorders

Marie-Claude G Thériault; Paul Lespérance; André Achim; Geneviève Tellier; Sabrina Diab; Guy A Rouleau; Sylvain Chouinard; Francois Richer

doi:10.1016/j.psychres.2014.07.039

ODD irritability is associated with obsessive-compulsive behavior and not ADHD in chronic tic disorders

Psychiatry Res. 2014 Dec 15;220(1-2):447-52. doi: 10.1016/j.psychres.2014.07.039. Epub 2014 Jul 28.

Authors

Marie-Claude G Thériault¹, Paul Lespérance², André Achim³, Geneviève Tellier⁴, Sabrina Diab⁵, Guy A Rouleau⁶, Sylvain Chouinard⁷, Francois Richer⁸

Affiliations

¹ Department of Psychology, Université du Québec à Montréal, C.P. 8888, Montreal, QC, Canada, H3C 3P8; CHU Sainte-Justine Research Center, Montreal, QC, Canada.
² Department of Psychiatry, Université de Montréal, Montreal, QC, Canada.
³ Department of Psychology, Université du Québec à Montréal, C.P. 8888, Montreal, QC, Canada, H3C 3P8.
⁴ CHU Sainte-Justine Research Center, Montreal, QC, Canada; Department of Psychiatry, Université de Montréal, Montreal, QC, Canada; Centre Hospitalier de l׳Université de Montréal, Montreal, QC, Canada.
⁵ Department of Psychology, Université du Québec à Montréal, C.P. 8888, Montreal, QC, Canada, H3C 3P8; Centre Hospitalier de l׳Université de Montréal, Montreal, QC, Canada.
⁶ Montreal Neurological Institute, McGill University, Montreal, QC, Canada.
⁷ Centre Hospitalier de l׳Université de Montréal, Montreal, QC, Canada.
⁸ Department of Psychology, Université du Québec à Montréal, C.P. 8888, Montreal, QC, Canada, H3C 3P8; CHU Sainte-Justine Research Center, Montreal, QC, Canada; Department of Psychiatry, Université de Montréal, Montreal, QC, Canada. Electronic address: Francois.Richer@uqam.ca.

PMID: 25108592
DOI: 10.1016/j.psychres.2014.07.039

Abstract

Gilles de la Tourette syndrome (TS) and chronic tic disorder (CT) are often associated with a variety of behavioral comorbidities including attention-deficit hyperactivity disorder (ADHD), obsessive-compulsive behavior (OCB), oppositional-defiant disorder (ODD) and temper outbursts. ODD is often associated with ADHD but its links to other symptoms of TS/CT is not as clear. This study examined whether the various symptoms of ODD were differentially linked to the various comorbidities in TS. A clinical sample of 135 children diagnosed with TS was evaluated through parent questionnaires and semi-structured interviews. Regressions and structural equation modeling confirmed that ODD is multidimensional in a TS/CT sample and showed that OCB was associated with the irritability symptoms of ODD whereas ADHD was associated with the Headstrong symptoms of ODD. Results suggest that increased attention to the different facets of ODD may help improve our understanding of emotional symptoms in TS/CT.

Keywords: Disruptive behavior; Hyperactivity; Obsessions; Opposition.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Attention Deficit Disorder with Hyperactivity / diagnosis
Attention Deficit Disorder with Hyperactivity / epidemiology
Attention Deficit Disorder with Hyperactivity / psychology
Attention Deficit and Disruptive Behavior Disorders / diagnosis*
Attention Deficit and Disruptive Behavior Disorders / epidemiology*
Attention Deficit and Disruptive Behavior Disorders / psychology
Child
Chronic Disease
Female
Humans
Male
Obsessive-Compulsive Disorder / diagnosis*
Obsessive-Compulsive Disorder / epidemiology*
Obsessive-Compulsive Disorder / psychology
Parents / psychology
Surveys and Questionnaires
Tourette Syndrome / diagnosis*
Tourette Syndrome / epidemiology*
Tourette Syndrome / psychology