This study examined the incidence of behavioral symptoms in youngsters
with tic disorders. A total of 186 patients were studied using the Ch
ild Behavior Checklist and a Motor/Vocal Tic Severity Scale. The relat
ionship between tic severity and the frequency of behavioral symptoms
was found to be not simply linear, but influenced by the presence of p
atients without significant behavioral problems in spite of severe tie
s (resilient patients) and patients with very negative adjustment alth
ough their tic disorder was mild (vulnerable patients). Behavioral pro
blems were not related to age. Patients who were receiving medication
showed behavioral problems of different severity from those who were n
ot receiving such agents; this result emphasizes the need for future s
tudies to consider carefully the effects of medication.