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Clinical Significance of Tics and Attention-Deficit Hyperactivity Disorder (ADHD) in Children With Pervasive Developmental Disorder

Carla J. DeVincent, PhD

The goal of this study was to examine the clinical significance of co-occurring tics and attention-deficit hyperactivity disorder (ADHD) as indicators of a more complex symptomatology in children with and without pervasive developmental disorder. Parents and teachers completed a Diagnostic and Statistical Manual of Mental Disorders-IV -referenced rating scale for 3- to 5- (n = 182/135) and 6- to 12- (n = 301/191) year-old children with pervasive developmental disorder and clinic controls, respectively. The percentage of children with tic behaviors varied with age: preschoolers (25%, 44%) versus elementary schoolchildren (60%, 66%) (parent and teacher ratings, respectively). For many psychiatric symptoms, screening prevalence rates were highest for the ADHD + tics group and lowest for the group with symptoms of neither, but the pattern of group differences varied by age group and informant. In general, there were few differences between the ADHD only and tics only groups. The pattern of ADHD/tic group differences was similar for both children with and without pervasive developmental disorder. We concluded that these findings support the notion that the co-occurrence of ADHD and tics is an indicator of a more complex psychiatric symptomatology in children with pervasive developmental disorder. (J Child Neurol 2005;20:481-488).

Journal of Child Neurology, Vol. 20, No. 6, 481-488 (2005)
DOI: 10.1177/088307380502000603


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This article has been cited by other articles:

				K. D. Gadow, C. J. DeVincent, and J. Schneider Comparative Study of Children With ADHD Only, Autism Spectrum Disorder + ADHD, and Chronic Multiple Tic Disorder + ADHD J Atten Disord, March 1, 2009; 12(5): 474 - 485. [Abstract] [PDF]

				C. J. DeVincent, K. D. Gadow, D. Delosh, and L. Geller Sleep Disturbance and its Relation to DSM-IV Psychiatric Symptoms in Preschool-Age Children with Pervasive Developmental Disorder and Community Controls J Child Neurol, February 1, 2007; 22(2): 161 - 169. [Abstract] [PDF]

				K. D. Gadow, C. J. Devincent, J. Pomeroy, and A. Azizian Comparison of DSM-IV symptoms in elementary school-age children with PDD versus clinic and community samples Autism, October 1, 2005; 9(4): 392 - 415. [Abstract] [PDF]