Clinical phenomenology of episodic rage in children with Tourette syndrome

Objective: Episodic rage of unknown etiology causes significant morbidity in children with Tourette's syndrome (TS). Using modified Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for intermittent explosive disorder (IED), we developed a screen and symptom questionnaire...

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Bibliographic Details
Published in:Journal of psychosomatic research 2003-07, Vol.55 (1), p.59-65
Main Authors: Budman, Cathy L, Rockmore, Lori, Stokes, John, Sossin, Mark
Format: Article
Language:English
Subjects:
Adolescent
Aggression
Biological and medical sciences
Child
Children
Cluster Analysis
Disruptive, Impulse Control, and Conduct Disorders - diagnosis
Disruptive, Impulse Control, and Conduct Disorders - psychology
Female
Humans
Male
Medical sciences
Phenomenology
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Rage
Rage attacks
Surveys and Questionnaires
Techniques and methods
Tourette Syndrome - diagnosis
Tourette Syndrome - psychology
Tourette's syndrome
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Summary:Objective: Episodic rage of unknown etiology causes significant morbidity in children with Tourette's syndrome (TS). Using modified Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for intermittent explosive disorder (IED), we developed a screen and symptom questionnaire to explore rage attack phenomenology and to preliminarily investigate whether symptom clusters can identify clinical subgroups of TS children with rage attacks. Methods: 48 children with TS between ages 7 and 17 years consecutively presenting with rage attacks completed the Rage Attacks Screen and Questionnaire. Data was subjected to factor analysis. Cluster analytic procedures were used to identify clinical subgroups. Results: Final cluster solution revealed four homogeneous subgroups of TS children with rage who were differentiated by predominant clinical characteristics: specific urge resolution, environmentally secure reactivity, nonspecific urge resolution or labile nonresolving. Conclusion: Episodic rage in TS has stereotypic features, but diverse and complex etiologies. Identifying particular symptom clusters may facilitate improved treatment strategies.
ISSN:0022-3999
1879-1360
DOI:10.1016/S0022-3999(02)00584-6