Intervention spécialisée pour la gestion des épisodes explosifs auprès d'un enfant atteint du syndrome de Gilles de la Tourette et d'un trouble déficitaire de l'attention avec hyperactivité

Motor and phonic tics are the defining characteristics of Tourette syndrome (TS). However, several comorbidities are frequently associated and the most prevalent in children are Attention Deficit Hyperactivity Disorder (ADHD) and Obsessive Compulsive Disorder. Oppositional and aggressive behaviors are also highly rated for children with TS. Explosive outbursts (EO) have been defined as a disproportionate rage attack, which occurs in a sudden intensity and a recurring way according to a situational profile. EO have been viewed as a result of interplay between various comorbidities, particularly ADHD. This study evaluated the effectiveness of an innovative cognitive-behavioral intervention for decreasing frequency and intensity of EO. A case series of a child (10 years old) who participated in the program and who is showing ADHD comorbid to TS is presented. EO frequency and intensity were measured by systematic observation of events and by questionnaires. The child showed trends towards decreased EO frequency, mostly with the implementation of cognitive-behavioral exercises but no changes in EO intensity.