Kano Y, Ohta M, Nagai Y
Department of Neuropsychiatry, Faculty of Medicine, University of Tokyo, Japan.
Psychiatry Clin Neurosci. 1998 Aug;52(4):407-11. doi: 10.1046/j.1440-1819.1998.00412.x.
In order to shed light on the clinical picture of patients with Tourette syndrome (TS) treated at medical institutions in Japan, a nationwide survey covering both pediatric patients and psychiatric patients was conducted. We mailed 316 questionnaires on experience in treating TS cases and the patients' present conditions etc. to specialists such as psychiatrists and pediatricians. A total of 164 responded. The survey found 154 TS patients being treated at the time of survey, 45 (29.2%) had obsessive-compulsive symptoms (OCS), and 10 (6.5%) had family histories of TS. It was suggested that TS is often associated with OCS and that familial cases of TS are slightly less common in Japan than they are in the USA. Of the 116 respondents who described their experiences, 85 (73.2%) said that they had treated one or more patients displaying the symptoms of frequent coprolalia, and 42 (36.2%) said that they had treated one or more patients suffering from developmental disorders. Based on these findings, we speculated that the rate of coprolalia in Japan is a little higher than the previously reported 4% and that TS is often associated with developmental disorders.
为了阐明在日本医疗机构接受治疗的抽动秽语综合征（TS）患者的临床情况，我们开展了一项覆盖儿科患者和精神科患者的全国性调查。我们向精神科医生和儿科医生等专家邮寄了316份关于TS病例治疗经验及患者当前状况等方面的调查问卷。共有164人回复。调查发现，在调查时共有154名TS患者正在接受治疗，其中45人（29.2%）有强迫症状（OCS），10人（6.5%）有TS家族史。这表明TS常与OCS相关，并且在日本，TS的家族性病例比在美国略少见。在描述其经验的116名受访者中，85人（73.2%）表示他们曾治疗过一名或多名表现出频繁秽语症状的患者，42人（36.2%）表示他们曾治疗过一名或多名患有发育障碍的患者。基于这些发现，我们推测日本秽语症的发生率略高于之前报道的4%，并且TS常与发育障碍相关。
