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1. Genetic factors: According to many survey data, tic disorder is related to genetic factors, the twins have the same disease rate, and tic disorders are present in the first and second-degree relatives of children with tic disorder. Tourette syndrome and other mental illnesses are more common than normal. It is generally believed that the inheritance method may be autosomal dominant inheritance or polygenic inheritance.

Behavioral and emotional disorders

1. Genetic factors: According to many survey data, tic disorder is related to genetic factors, the twins have the same disease rate, and tic disorders are present in the first and second-degree relatives of children with tic disorder. Tourette syndrome and other mental illnesses are more common than normal. It is generally believed that the inheritance method may be autosomal dominant inheritance or polygenic inheritance.
2. Nerve serial factors: Through the study of neurotransmitters and behaviors and the mechanism of psychotropic drugs, it is suggested that the disease is related to neurochemical changes in metabolism. Some scholars believe that the disease is due to excessive dopamine activity in the striatum or post-synaptic dopamine exposure Caused by body hypersensitivity; other scholars believe that tics are related to dysfunction of norepinephrine and serotonin, or because of the decrease in the inhibitory function of gamma; -aminobutyric acid (GABA) in the brain, which causes tics. In addition, research on endorphins in recent years has shown that disorders of the central nervous system dopamine, serotonin, and gamma; -aminobutyric acid and other neurotransmitters may be secondary to endogenous opiate system dysfunction, so It is believed that endorphin plays an important role in the pathogenesis of Tourette syndrome. However, the changes in neurobiochemistry need to be further studied.
3. Organic factors; tics may be related to perinatal damage (partum injury, suffocation, etc.). About 50% to 60% of children with Tourette Syndrome have abnormal EEG, mainly slow wave or spike wave increase, but no specific changes. In a few cases, skull CT was abnormal. Nervous system software signs are more common. Some people think that the tics of Tourette syndrome and abnormal movements are related to the amygdala-striatum pathway disorder; involuntary vocalization may be related to the cingulate basal ganglia and irregular discharge of the brain stem, so the disease is considered organic. disease.
4. Psychosocial factors: Children affected by trauma and excessive tension may induce or repetitive tics. Some people think that some stress events during maternal pregnancy and severe reactions in the first three months of pregnancy are risk factors for tic disorder in offspring; postnatal stress also increases the incidence of individuals with genetic susceptibility.
5. Other factors: Infectious diseases, taking drugs (such as taking central stimulants and antipsychotics) may cause tic disorder.
1. Children's behavioral abnormalities are personality changes, stubbornness, hyperactivity, impulsiveness, social withdrawal, forced behavior, aggressive behavior (physical and speech), and even self-harm.
2. Behavioral and emotional abnormalities are one of the clinical manifestations of tic disorders in children. Ticdisorder refers to the onset of childhood and adolescents. It mainly manifests as involuntary, purposeless, repetitive, and rapid motor locomotor and vocaltics in one or more parts of the body. May be accompanied by other behavioral symptoms, including inattention, hyperactivity, self-injury, and obsessive-compulsive disorder. The etiology of tic disorder is not yet understood, and the course is different. If it persists for a long time, it can become a chronic neuropsychiatric disorder.
3. The most common childhood is transient tic disorder, also known as tic disorder or habitual spasm, with a prevalence of about 1% to 7%. There are more males than females, and the majority are aged 5-7. The foreign literature reported that the prevalence of Tourette syndrome (ie, Tourette-Syndrome) was 0.1% to 0.5%. In recent years, the number of reported cases in China has increased, but there is less data on epidemiological investigations. Gao Qingyun (1984) surveyed 17,727 children aged 8 to 12, and found 43 patients with Tourette-Syndrome, with a prevalence of 2.42permil; urban is higher than rural, and found that there is a significant difference between environmentally polluted and non-polluted areas.
5. Diagnostic criteria for tic disorder (transient tic disorder): onset in childhood; motor tics, or vocal tics; tics can be restrained for a short time (minutes to hours) by will; the intensity of symptoms or The tics can be changed; The disease lasts for at least 1 month but does not exceed 1 year; Excludes muscle spasms caused by extrapyramidal neurological diseases and other causes.
6. Diagnostic criteria for Tourette syndrome: onset before the age of 21, mostly between the ages of 2 and 15 years; recurrent, involuntary, repetitive, rapid, purposeless tics, affecting multiple groups of muscles; Multiple tics and one or more vocal tics, both of which occur at some times but do not necessarily exist at the same time; Can be restrained by will for minutes to hours; The intensity of symptoms within weeks or months There are changes; seizures occur several times a day, almost every day. The course of disease is more than 1 year, and the symptom remission does not exceed 2 months in the same year; exclude minor chorea, liver degeneration, epilepsy myoclonic seizures, drug-induced involuntary exercise and other extrapyramidal diseases .
7. Diagnostic criteria for chronic motor or vocal tic disorder: (1) must meet the three items listed in transient tic disorder , , ; (2) muscle twitches or involuntary vocalizations occur multiple times a day, almost every day or Appears intermittently. The intensity is generally unchanged. Illness is over 1 year.
Differential diagnosis of behavioral and emotional disorders:
1. Obsessive-compulsive disorder: Obsessivecompulsive disorder (OCD) is a type of neurosis and anxiety disorder. Patients with this disease are always troubled by a type of forced thinking. Patients repeatedly experience compulsive ideas and behaviors in life. The patient's self-knowledge is intact, knowing that this is unnecessary and even painful, but cannot get rid of it.
2. Emotional ups and downs: When your emotions or psychology are easily ups and downs in a short period of time, then you may have an emotional illness, which is a symptom of mental health. Many people don't pay much attention to emotional illness and think it is just a kind of psychological fluctuation, but if it is not treated at this time, it will lead to more serious mental illness and even harm life safety.
3. Children's behaviors are lonely: children are lonely, afraid to see people, and always unhappy, they are indifferent to everything, or they lose their temper, do not focus on things, and have poor persistence, they must pay attention. For such a situation, many parents think that it is the character of the child and do not care much. In fact, these children have high-rise autism, which is a new kind of mental illness in children.
4. Aggressive behavior: Aggressive behavior, also known as aggression, usually refers to behavior that intentionally harms the physical and mental health of others. Aggressive behavior is an organic part of the social development of children and adolescents. It is an individual development psychology, social psychology, and criminal psychology. And other important topics related to scientific research. In recent years, with the increase of the crime rate of young people in the West, the problem of juvenile crime has attracted great attention from Western scholars. Offensive behavior, which is one of the important characteristics of violent crime, has also become a hot topic in the Western psychology community and has been used as a prediction. The important content of youth anti-social behavior and violent criminal behavior has attracted much attention.It is particularly worth pointing out that some scholars have focused on the cognitive characteristics of adolescents' offensive behaviors and demonstrated the causes of violent crimes by juveniles from a cognitive perspective. This is a major progress in juvenile delinquency research, and it also provides a psychological basis for rationally controlling juvenile aggressive behavior and scientifically correcting its violent behavior. At present, our country's research in this area is relatively weak. In order to learn from the Western experience and strengthen the research on juvenile violent crimes, based on the relevant information, the author makes a brief introduction to the western cognitive research on aggression by criminal youths. And ask your colleagues.
Actively carrying out various mental health education while applying drug treatment plays an important role in the early cure of the disease.
I. Parents' health education for children
2. Health education for children
3. Mental health education for school teachers
Many parents are very concerned about the child's prognosis. This disease is a developmental disorder, which means that it tends to ease with age. In the past, this disease was considered to be a lifelong disease. Recent studies have shown that the disease may have a natural remission, and the prognosis is relatively good. The tic symptoms may gradually decrease or relieve naturally over time. Most children grow up In the adult, the condition develops in a good direction, and they can lead a normal life. The symptoms of a few patients are prolonged, which can affect the quality of life of patients due to tics or associated behavioral abnormalities. According to data, about 50% of patients After puberty, twitch symptoms naturally ease in 25% of patients, and twitch symptoms are significantly reduced in only 25% of patients. That is, after adulthood, there will still be tics.

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