Obsessive compulsive tic disorder

Appropriate diagnosis and treatment as key elements to improve health and rationalize use of resources

Luciana Scalone, Lucia Sara D’Angiolella, Lorenzo Giovanni Mantovani, Roberta Galentino, Domenico Servello, Bernardo Dell’Osso, Carlotta Zanaboni Dina, Mauro Porta

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Obsessive Compulsive Tic Disorder (OCTD) has been described recently as an early onset and highly disabling endophenotype of Tic Disorder and Obsessive Compulsive Disorder. OCTD has a relevant but largely unknown clinical, social and economic burden for patients and their families. Our paper aimed to explore relevant aspects of the burden of OCTD, such as the etiological, clinical and epidemiological aspects of the condition, and implication of diagnosis and treatment on patients’ health and socio-economic impact. Methods: We conducted a literature review and a pilot study using retrospective demographic, clinical and economic data of patients with OCTD accessing the Galeazzi Hospital in Milan Result: The literature review shows the absence of information on OCTD. From the pilot study we analysed data of 30 patients (80.0% male, 36.7% aged from 7 to 13 years, 63.3% aged from 15 to 48 years), 83.0% declared that obsessions and/or compulsions were the most important factors determining their social impairment. Adult patients refractory to drug treatment underwent Deep Brain Stimulation plus drugs. The mean clinical scores at the time of diagnosis indicated a severe condition for both tics and obsessive compulsive components. The mean time elapsed from symptoms onset to diagnosis of OCTD was 5.6 years, reaching up to 11 years in one case. Before reaching the correct diagnosis, different specialists visited the patients several times, 93.3% underwent diagnostic examinations and 86.7% took 2 or 3 different drugs. Ten patients were hospitalised and 8 had received psychotherapy. Discussion: Albeit preliminary, these results show that attention is mandatory for establishing correct diagnosis and treatment guidelines to improve health and rationally spend resources for OCTD.

Original languageEnglish
Pages (from-to)e12661-1-e12661-10
JournalEpidemiology Biostatistics and Public Health
Volume14
Issue number4
DOIs
Publication statusPublished - Jan 1 2017

Fingerprint

Tic Disorders
Obsessive-Compulsive Disorder
Health
Economics
Therapeutics
Pharmaceutical Preparations
Endophenotypes
Obsessive Behavior
Tics
Deep Brain Stimulation
Psychotherapy
Demography
Guidelines

Keywords

  • Costs
  • Obsessive Compulsive Disorder (OCD)
  • Obsessive Compulsive Tic Disorder (OCTD)
  • Social impairment
  • Tic Disorder (TD)

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Cite this

Obsessive compulsive tic disorder : Appropriate diagnosis and treatment as key elements to improve health and rationalize use of resources. / Scalone, Luciana; D’Angiolella, Lucia Sara; Mantovani, Lorenzo Giovanni; Galentino, Roberta; Servello, Domenico; Dell’Osso, Bernardo; Zanaboni Dina, Carlotta; Porta, Mauro.

In: Epidemiology Biostatistics and Public Health, Vol. 14, No. 4, 01.01.2017, p. e12661-1-e12661-10.

Research output: Contribution to journalArticle

Scalone, Luciana ; D’Angiolella, Lucia Sara ; Mantovani, Lorenzo Giovanni ; Galentino, Roberta ; Servello, Domenico ; Dell’Osso, Bernardo ; Zanaboni Dina, Carlotta ; Porta, Mauro. / Obsessive compulsive tic disorder : Appropriate diagnosis and treatment as key elements to improve health and rationalize use of resources. In: Epidemiology Biostatistics and Public Health. 2017 ; Vol. 14, No. 4. pp. e12661-1-e12661-10.
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