Association between pre- and perinatal exposures and Tourette syndrome or chronic tic disorder in the ALSPAC cohort

Br J Psychiatry. 2014 Jan;204(1):40-5. doi: 10.1192/bjp.bp.112.125468. Epub 2013 Nov 21.

Abstract

Background: Tourette syndrome and chronic tic disorder are heritable but aetiologically complex. Although environment plays a role in their development, existing studies of non-genetic risk factors are inconsistent.

Aims: To examine the association between pre- and perinatal exposures and Tourette syndrome/chronic tic disorder in the Avon Longitudinal Study of Parents and Children (ALSPAC) prospective longitudinal pre-birth cohort.

Method: Relationships between exposures and Tourette syndrome/chronic tic disorder were examined in 6090 children using logistic regression.

Results: Maternal alcohol and cannabis use, inadequate maternal weight gain and parity were associated with Tourette syndrome or Tourette syndrome/chronic tic disorder. Other previously reported exposures, including birth weight and prenatal maternal smoking, were not associated with Tourette syndrome/chronic tic disorder.

Conclusions: This study supports previously reported relationships between Tourette syndrome/chronic tic disorder and prenatal alcohol exposure, and identifies additional previously unexplored potential prenatal risk factors.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Alcohol Drinking / epidemiology*
  • England / epidemiology
  • Female
  • Humans
  • Logistic Models
  • Longitudinal Studies
  • Marijuana Smoking / epidemiology*
  • Multivariate Analysis
  • Parity
  • Pregnancy
  • Pregnancy Complications / epidemiology*
  • Prenatal Exposure Delayed Effects / epidemiology*
  • Risk Factors
  • Tic Disorders / epidemiology*
  • Tourette Syndrome / epidemiology
  • Vomiting / epidemiology
  • Weight Gain / physiology