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Cultural influences on diagnosis and perception of Tourette syndrome in Costa Rica.

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Title: Cultural influences on diagnosis and perception of Tourette syndrome in Costa Rica.
Authors: Mathews, Carol A., Herrera Amighetti, Luis Diego, Lowe, Thomas L., van de Wetering, Ben J.M., Freimer, Nelson B., Reus, Victor I., Mathews, C A1 (AUTHOR), Herrera Amighetti, L D (AUTHOR), Lowe, T L (AUTHOR), van de Wetering, B J (AUTHOR), Freimer, N B (AUTHOR), Reus, V I (AUTHOR)
Source: Journal of the American Academy of Child & Adolescent Psychiatry. Apr2001, Vol. 40 Issue 4, p456-463. 8p. 4 Charts.
Subject Terms: Tourette syndrome, Extrapyramidal disorders
Geographic Terms: Costa Rica
Abstract: Background and Objectives: Tourette syndrome (TS) is a neuropsychiatric disorder in which the pattern of symptom presentation can vary greatly between individuals. Although globally described, TS has not been well characterized in many parts of the world. Differences in individual and cultural perceptions of TS may impact its expression and recognition in some countries, confounding the identification of affected individuals. This study examines the phenomenology and presentation of TS in Costa Rica.Method: Clinical data on 85 Costa Rican subjects with TS (aged 5-29 years) initially recruited for a genetic study between 1996 and early 2000 were obtained by direct interview and review of medical records.Results: The clinical characteristics of TS were similar to that found elsewhere. The gender ratio was 4.6:1, the mean age of onset was 6.1 years, and 20% of subjects had coprolalia. However, the perceived impact of TS was different. Many subjects denied that their TS caused impairment or distress, even when objective evidence of impairment was available.Conclusions: TS in Costa Rica is phenomenologically similar to TS seen in other parts of the world, but differs in perceived impairment. In other countries where cultural forces affect disease definition, close scrutiny of symptom expression and possible adjustment of phenotype definition may be important. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Academy of Child & Adolescent Psychiatry is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Availability: 0
Header DbId: ehh
DbLabel: Education Research Complete
An: 5020648
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Data: Cultural influences on diagnosis and perception of Tourette syndrome in Costa Rica.
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  Data: <searchLink fieldCode="AR" term="%22Mathews%2C+Carol+A%2E%22">Mathews, Carol A.</searchLink><br /><searchLink fieldCode="AR" term="%22Herrera+Amighetti%2C+Luis+Diego%22">Herrera Amighetti, Luis Diego</searchLink><br /><searchLink fieldCode="AR" term="%22Lowe%2C+Thomas+L%2E%22">Lowe, Thomas L.</searchLink><br /><searchLink fieldCode="AR" term="%22van+de+Wetering%2C+Ben+J%2EM%2E%22">van de Wetering, Ben J.M.</searchLink><br /><searchLink fieldCode="AR" term="%22Freimer%2C+Nelson+B%2E%22">Freimer, Nelson B.</searchLink><br /><searchLink fieldCode="AR" term="%22Reus%2C+Victor+I%2E%22">Reus, Victor I.</searchLink><br /><searchLink fieldCode="AR" term="%22Mathews%2C+C+A%22">Mathews, C A</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Herrera+Amighetti%2C+L+D%22">Herrera Amighetti, L D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lowe%2C+T+L%22">Lowe, T L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+de+Wetering%2C+B+J%22">van de Wetering, B J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Freimer%2C+N+B%22">Freimer, N B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Reus%2C+V+I%22">Reus, V I</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Academy+of+Child+%26+Adolescent+Psychiatry%22">Journal of the American Academy of Child & Adolescent Psychiatry</searchLink>. Apr2001, Vol. 40 Issue 4, p456-463. 8p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Tourette+syndrome%22">Tourette syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Extrapyramidal+disorders%22">Extrapyramidal disorders</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Costa+Rica%22">Costa Rica</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: <bold>Background and Objectives: </bold>Tourette syndrome (TS) is a neuropsychiatric disorder in which the pattern of symptom presentation can vary greatly between individuals. Although globally described, TS has not been well characterized in many parts of the world. Differences in individual and cultural perceptions of TS may impact its expression and recognition in some countries, confounding the identification of affected individuals. This study examines the phenomenology and presentation of TS in Costa Rica.<bold>Method: </bold>Clinical data on 85 Costa Rican subjects with TS (aged 5-29 years) initially recruited for a genetic study between 1996 and early 2000 were obtained by direct interview and review of medical records.<bold>Results: </bold>The clinical characteristics of TS were similar to that found elsewhere. The gender ratio was 4.6:1, the mean age of onset was 6.1 years, and 20% of subjects had coprolalia. However, the perceived impact of TS was different. Many subjects denied that their TS caused impairment or distress, even when objective evidence of impairment was available.<bold>Conclusions: </bold>TS in Costa Rica is phenomenologically similar to TS seen in other parts of the world, but differs in perceived impairment. In other countries where cultural forces affect disease definition, close scrutiny of symptom expression and possible adjustment of phenotype definition may be important. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of the American Academy of Child & Adolescent Psychiatry is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1097/00004583-200104000-00015
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              Text: Apr2001
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