Storch Eric A, Lack Caleb W, Simons Laura E, Goodman Wayne K, Murphy Tanya K, Geffken Gary R
Department of Psychiatry, University of Florida, Box 100234, Gainesville, FL 32610, USA.
J Pediatr Psychol. 2007 Sep;32(8):950-9. doi: 10.1093/jpepsy/jsm034. Epub 2007 May 23.
Tourette's Syndrome (TS) during childhood is linked to varied behavioral and psychological difficulties and functional impairment. The current study was undertaken to examine both tic-related impairment and impairment from other psychological problems in 59 youth (mean age 11.4 years, 69% male) with TS.
Caretakers completed a checklist about the impact of tics and other psychological difficulties on family, school, and social functioning. In addition, a clinician administered a measure of tic severity to families.
Over half of the sample reported one significant problem area due to the presence of tics, with over a third reporting two or more problem areas. Problems were heterogeneous in nature, with no report of a particular problem area in more than 25% of the children. The rate of nontic-related impairment was very high, with 70% of parents reporting at least one problem area.
Treating both tic and nontic-related impairments concurrently may improve functioning more so than treating the symptoms separately.
儿童抽动秽语综合征（TS）与多种行为、心理问题及功能损害相关。本研究旨在调查59名患有TS的青少年（平均年龄11.4岁，69%为男性）的抽动相关损害及其他心理问题导致的损害。
照料者完成一份关于抽动及其他心理问题对家庭、学校和社会功能影响的清单。此外，临床医生对这些家庭进行抽动严重程度测量。
超过半数的样本报告因抽动存在一个显著问题领域，超过三分之一报告两个或更多问题领域。问题性质各异，超过25%的儿童未报告特定问题领域。非抽动相关损害发生率很高，70%的家长报告至少一个问题领域。
同时治疗抽动相关和非抽动相关损害可能比分别治疗症状更能改善功能。
