Journal of the Korean Ophthalmological Society 2002;43(2):327-331.
Published online February 1, 2002.
Tic Disorders in Children with Frequent Eye-blinking.
Hee Yeon Jung, Sun Ju Chung, Jeong Min Hwang
1Department of Psychiatry, Seoul National University College of Medicine, Seoul Municipal Boramae Hospital, Korea. hyjung@brm.co.kr
2Department of Psychiatry, Gachon Mecical school, Gil Medical Center, Korea.
3Department of Ophthalmology, Seoul National University College of Medicine, Seoul Municipal Boramae Hospital, Korea.
눈깜박임을 주소로 내원한 아동에서의 틱 장애
정희연 ( Hee Yeon Jung ) , 정선주 ( Sun Ju Chung ) , 황정민 ( Jeong Min Hwang )
Abstract
PURPOSE
We evaluated tic symptoms in children with frequent eye-blinking and examined the differences in mothering behavior and childhood behavioral problems between the tic and normal children, and the clinical factors correlated with tics. METHODS: Fifty children with frequent eye-blinking were evaluated by an experienced psychiatrist and the severity of tic symptoms was assessed with the Korean version of Yale Global Tic Severity Scale. The Korean version of Mothering Behavior Rating Instrument and Child Behavior Checklist were accomplished by the mothers of the tic and normal children. RESULTS: Forty three (86%) children were diagnosed as tic disorders. The diagnostic subtypes were as follows : 39 transient tic disorders, two chronic tic disorders, and two Tourette's disorders. Twenty-nine had a simple motor tic, 10 had complex motor tics, and 4 had motor tics with vocal tics. Medication was needed for two children with Tourette's disorders and the other two who revisited with aggravated symptoms after six months. There was no difference in mothering behavior and childhood behavior problems between tic and normal children. The severity of tic was significantly correlated with the somatic symptoms and attentional problems in child behavior problems, and duration of symptoms CONCLUSIONS: Transient tic disorder was the most common diagnosis. Four children with chronic tic and Tourette's disorder needed psychiatric medications. Compared with normal children, there was no difference in mothering and childhood behavior problem in tic children. It is suggested that tics may become more severe with the longer duration of symptom and may influence the somatic symptoms and attention.
Key Words: Eye-blinking;Tic disorder;Child behavior checklist;Mothering behavior


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