Article1999

Prenatal and perinatal risk factors for Tourette disorder

Larry Burd · Robin Severud · Marilyn G. Klug · Jacob Kerbeshian

74 citations0/0 files storedJournal of Perinatal Medicine

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Obsessive-Compulsive Spectrum Disorders Psychoanalysis and Psychopathology Research Maternal Mental Health During Pregnancy and Postpartum

Abstract

AIMS: To identify pre- and perinatal risk factors for Tourette disorder. METHODS: Case control study. We matched names of patients who met DSM criteria for Tourette disorder with their birth certificates. For each case five controls were selected. The controls were matched by sex, year and month of birth. RESULTS: Univariate analysis of the 92 cases and the 460 matched controls identified 4 risk factors; one categorical variable--trimester prenatal care begun and 3 continuous variables--apgar score at 5 minutes, month prenatal began and number of prenatal visits. Logistic modeling to control for confounding produced a three variable model (apgar score at 5 minutes (OR = 1.31), number of prenatal visits (OR = .904) and fathers age (OR = .909). The model parameters were: chi 2 = 19.76; df = 3; p < .001. CONCLUSIONS: This is an inexpensive methodology to identify potential risk factors of patients with Tourette disorder and other mental illness.

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References

1998Course of Tic Severity in Tourette Syndrome: The First Two Decades 1986The Inheritance of Gilles de la Tourette's Syndrome and Associated Behaviors 1985A Twin Study of Tourette Syndrome 1992Relationship of birth weight to the phenotypic expression of Gilles de la Tourette's syndrome in monozygotic twins 1998Antibodies against human putamen in children with Tourette syndrome 1990Perinatal Factors in the Expression of Tourette's Syndrome: An Exploratory Study 1994Tourette's Syndrome: What Are the Influences of Gender and Comorbid Obsessive-Compulsive Disorder?1998Tourette's syndrome and ‘PANDAS’ Will the relation bear out?

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2003PANDAS 2000Current issues in Tourette syndrome 2006Tic Symptom Profiles in Subjects with Tourette Syndrome from two Genetically Isolated Populations

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