Alalwan Anas A, Alkhamis Mohammad A, Samman Ahmad M, Alsharif Enan H M, Tarabzoni Omar E M, Khatri Ismail A
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Division of Neurology, Department of Medicine, King Abdulaziz Medical City, MNGHA, Riyadh, Saudi Arabia.
Neurol Res Int. 2022 Feb 28;2022:3018305. doi: 10.1155/2022/3018305. eCollection 2022.
Tourette's syndrome (TS), a chronic, often disabling neuropsychiatric disorder characterized by motor and vocal tics, is frequently misdiagnosed, or patients are delayed in diagnosis. There is severe deficiency of research about Tourette's syndrome (TS) in the Middle East region.
To evaluate the knowledge and attitude of medical students and primary care physicians (PCPs) about TS and tic disorders.
IRB approved, cross-sectional study. A total of 316 medical students of King Saud bin Abdulaziz University and 59 primary care physicians of Riyadh participated. Convenient, cluster sampling was used. A validated, self-administered questionnaire was used. Sum of all knowledge questions was calculated. Data were analyzed using SPSS software.
Survey was completed by 375 students and physicians, of whom 253 (67.5%) were men. Mean general knowledge score was 61.5 (±12.04) out of 100. Majority (66.1%) knew the diagnostic criteria for TS; only 46.1% considered antipsychotics as effective treatment. Only 25.1% had ever heard of habit reversal; 70% wanted to learn more. Only 10% of physicians had treated a patient with TS. There was no difference in knowledge between men and women (=0.776). Board-certified physicians had a higher knowledge score ( < 0.05). Family physicians demonstrated higher level of knowledge compared to other physicians ( < 0.05). There was no difference between knowledge of students of different years (=0.859) or between students and physicians (=0.569).
There was alarming lack of knowledge about Tourette syndrome at various level of medical training and practice including students and physicians. Those who achieved board certification and practiced as family physicians fared better in knowledge about Tourette's syndrome.
抽动秽语综合征（TS）是一种慢性的、常常导致功能障碍的神经精神疾病，其特征为运动性和发声性抽动，常被误诊，或者患者诊断延迟。中东地区关于抽动秽语综合征（TS）的研究严重不足。
评估医学生和初级保健医生（PCP）对TS及抽动障碍的知识和态度。
经机构审查委员会（IRB）批准的横断面研究。沙特国王阿卜杜勒阿齐兹大学的316名医学生和利雅得的59名初级保健医生参与。采用方便整群抽样。使用经过验证的自填式问卷。计算所有知识问题的总和。使用SPSS软件分析数据。
375名学生和医生完成了调查，其中253人（67.5%）为男性。在满分100分中平均常识得分为61.5（±12.04）。大多数人（66.1%）知道TS的诊断标准；只有46.1%认为抗精神病药物是有效的治疗方法。只有25.1%听说过习惯逆转训练；70%希望了解更多。只有10%的医生治疗过TS患者。男性和女性在知识方面没有差异（P=0.776）。获得委员会认证的医生知识得分更高（P<0.05）。与其他医生相比，家庭医生表现出更高的知识水平（P<0.05）。不同年级的学生在知识方面没有差异（P=0.859），学生和医生之间也没有差异（P=0.569）。
在包括学生和医生在内的医学培训和实践的各个层面，对抽动秽语综合征的知识都存在令人担忧的缺乏。那些获得委员会认证并从事家庭医生工作的人在抽动秽语综合征知识方面表现较好。
