ABSTRACT
This article reflects discussion by the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders. After reviewing the historical classification of tic disorders, this article discusses their placement in ICD-11. Existing problems with diagnostic labels and criteria, appropriate placement of the tic disorders category within the ICD-11 system, and pragmatic factors affecting classification are reviewed. The article ends with recommendations to (a) maintain consistency with the DSM-5 diagnostic labels for tic disorders, (b) add a minimum duration guideline for a provisional tic disorder diagnosis, (c) remove the multiple motor tic guideline for the diagnosis of Tourette disorder, and (d) co-parent the tic disorder diagnoses in the disorders of the nervous system and the mental and behavioral disorders categories, with secondary co-parenting in the obsessive-compulsive and related disorders and neurodevelopmental disorders sections.
Subject(s)
Humans , Diagnostic and Statistical Manual of Mental Disorders , International Classification of Diseases , Tic Disorders/classification , Tic Disorders/diagnosis , Obsessive-Compulsive Disorder/classification , Obsessive-Compulsive Disorder/diagnosis , Tourette Syndrome/classification , Tourette Syndrome/diagnosisSubject(s)
Humans , Tic Disorders/classification , Tourette Syndrome/diagnosis , Anxiety/complications , Tic Disorders/complications , Tic Disorders/physiopathology , Obsessive-Compulsive Disorder/complications , Diagnosis, Differential , Tourette Syndrome/classification , Tourette Syndrome/physiopathologySubject(s)
Humans , Male , Female , Child , Adolescent , Fingersucking , Habits , Nail Biting , Psychomotor Disorders , Stereotyped Behavior , Tic Disorders/classification , Tic Disorders/diagnosis , Tourette SyndromeABSTRACT
Los tics en la infancia constituyen una manifestación patológica muy frecuente. Son movimientos involuntarios, sin finalidad concreta y favorecidos pro factores emocionales. Existen tres grupos importantes que deben ser conocidos: tics transitorios, tics motores crónicos y tics múltiples o síndrome de Gilles de la Tourette. Los criterioe diagnósticos de los tics crónicos múltiples han variado con el transcurso de los años, hasta llegar a simplificarse por motivos de mayor conocimiento etiopatogénico. Es un síndrome con una incidencia relativamente frecuente. En este artículo se hace hincapié en el núcleo patológico obsesión-compulsivo, formas monosintomáticas y en la etiopatogenia orgánica del síndrome. Se citan las nuevas investigaciones con unas perspectivas de futuro apasionantes