Impact of Tourette Syndrome on School Measures in a Nationally Representative Sample

Introduction

The purpose of the study was to determine the impact of Tourettte Syndrome and co-occurring conditions on school methods.

Methodology

Data was taken from information reported by parents from the Natioanal Survey of Children’s Health. Children with Tourette Syndrome were compared with those who never had Tourette Syndrome on school  measures

Findings

  • Tourette Syndrome severity and co-occurring conditions are associated with school challenges and educational service needs.
  • Awareness among health care providers, teachers and parents of the potential challenges related to both Tourette Syndrome and co-occurring conditions would help to support the child’s education.

Reference

Claussen, A.H.; Bitsko, R.H.; Holbrook, J.R.; Bloomfield, J.; Giordano, K.; (2018). Impact of Tourette Syndrome on School Measures in a Nationally Representative Sample. Journal of Developmental and Behavioral Pediatrics. 39(9) 335-342.

What is Tourette Syndrome?

According to the Tourette Association of America, tics are involuntary, repetitive movement and vocalizations. They are the defining feature of a group of childhood-onset, neurodevelopmental conditions known collectively as Tic disorders and individually as Tourette Syndrome.

Tics are common in childhood. The estimated prevalence of Tourette Syndrome disorder range from 3 to 8 per, 1,000 in school-aged children. Males are more commonly affected than females. Some people may have tic-free periods of weeks to months.

There are three types:
  1. Motor tics cause a movement including eye blinking, facial grimacing, jaw movements, and head bobbing
  2. Vocal/phonic tics produce a sound including throat clearing, grunting, hooting, and shouting
  3. Provisional tic disorders involve a person who experiences involuntary motor and/or verbal tics for one year.
Signs and Symptoms:

Tic Disorders:

  • eye blinking
  • coughing
  • throat clearing
  • sniffing
  • facial movement
  • shoulder shrugging

Vocal Tics:

  • barking or yelping
  • grunting
  • repeating what someone else says
  • shouting
  • sniffing
  • swearing
Co-Occurring Disorders Include:
  • Attention Deficit/Hyperactivity Disorder (ADHD)
  • Obsessive -Compulsive Disorder
  • Learning difficulties
  • Behavior problems
  • Anxiety
  • Mood problems
  • Sleeping issues
  • Social skills and deficits

 

Tourette Syndrome-It's not what you think it is » Movement ...

Risk Factors
  • Temperamental- it is worsened by anxiety, excitement and exhaustion.
  • Environmental- observing a gesture or sound in another person my result in an individual with a tic disorder making a similar sound.
  • Genetic- genetics and environmental factor influences tic symptoms.

Fragile X Syndrome Fact Sheet

Download Here: Fact Sheet_ fragile x syndrome

Anxiety On The Spectrum

Anxiety is one of the co-occurring  disorders that affect autistic children. A study published by the Journal of Child and Family Studies found that autistic children had higher anxiety levels compared to neurotypical children. It is estimated that 40% of autistic teens display signs and symptoms of anxiety.

Why Autism and Anxiety?

There are many reasons anxiety affects autistic children in large numbers. Bill Nason, moderator of the Facebook page, Autism Discussion Page and psychologist, explains that daily experiences that impact their nervous system including sensory, cognitive, social, and emotional vulnerabilities leave autistic children and teens with daily high levels of stress. He explains what comes naturally for neurotypicals, is hard work for them placing their nervous system on high alert even during its resting state. High levels of anxiety make take the form of mood swings, rigid and inflexible thinking and obsessive compulsive behavior.

What are the signs of anxiety?
Physical Signs

Complains about feeling sick

Complains about headaches

Difficulty sleeping

Fidgets and spins

Worrying

Worries about making a mistake

Difficulty in performing in exams

Is afraid of being placed in a new situation

Social

Apprehensive of meeting new people

Displays difficulty in joining new groups

Avoids interacting with peers

Worried about being laughed at.

Types of Anxieties

Anxiety of uncertainty- fear of anything new and unfamiliar
Social anxiety- difficulty interacting with others during social events
Sensory overload- Becomes anxious in settings that present strong sensory stimulation
Generalized  anxiety- non-specific ongoing pervasive anxiety

Strategies for Reducing Anxiety
  1. Rest
  2. Exercise or physical activity
  3. Allow time to participate in a favorite activity
  4. Self-stimulation can be used for calming purpose
  5. Relaxation techniques such as mindfulness and meditation
  6. Build structure into daily routines
  7. Review the day including what is expected of them
Additional Resources

5 ways to help reduce anxiety in children with autism

10 tips to help calm anxiety in kids with autism

Adults with autism feel frequent, lingering anxiety

Anxiety in autistic adults

Classroom ideas to reduce anxiety

Managing anxiety in children with autism

Unmasking anxiety in autism

The essential guide to anxiety and autism

What anxiety treatment works for people with Autism?

What triggers anxiety for an individual with ASD?

 

Updated on October 13, 2018