Rr. Silva et al., ENVIRONMENTAL-FACTORS AND RELATED FLUCTUATION OF SYMPTOMS IN CHILDRENAND ADOLESCENTS WITH TOURETTES DISORDER, Journal of child psychology and psychiatry and allied disciplines, 36(2), 1995, pp. 305-312
The purpose of this paper is to assess how 29 different environmental
factors affected Tourette symptomatology in 14 children and adolescent
s (6.6-14.5 years; mean 10.3) who had never received any medication fo
r their disorder. Assessment was based on patients' responses to the T
ourette Syndrome (TS) Questionnaire. Eleven different factors were ass
ociated with a decrease in symptoms and included doctor visits, talkin
g to friends, and reading for pleasure. The 10 factors reported to hav
e no impact on Tourette symptomatology included various foods, weather
, and living away from home. Seventeen factors associated with an incr
ease in Tourette symptoms included events causing anxiety, emotional t
rauma, and social gatherings.