Journal of the Korean Academy of Child and Adolescent Psychiatry

대한소아청소년정신의학회 (Korean Academy of Child and Adolescent Psychiatry)
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틱장애의 환경적 요인

Environmental Risk Factors in Tic Disorders

  • 정용우 (미국 예일대학교 의과대학 면역학교실) ;
  • 박태원 (전북대학교 의학전문대학원 정신과학교실)
  • Jung, Yong-Woo (Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut) ;
  • Park, Tae-Won (Department of Psychiatry, Chonbuk National University Medical School)
  • 투고 : 2010.09.09
  • 심사 : 2010.10.02
  • 발행 : 2010.10.30
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초록

Tic disorders, including Tourette syndrome, are known as neurobiologic disorders and as such, much emphasis has been placed on isolating genetic determinants. Although previous reports involving studies of discordance among monozygotic twins have shown the importance of genetic predisposition, they have also supported a role for environmental factors in the development of tic disorders. Therefore, it is important to consider that both genetic and environmental factors contribute to their clinical expression. The goal of this article was to review recent reports regarding the role of environmental factors in development and progression of tics. Specific environmental factors associated either with a more severe course of illness or improved outcomes were discussed. Given that accumulating evidence had suggested the usefulness of behavior therapies in the suppression of tic disorders, particular emphasis was placed on the impact of several contextual factors.

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