[慢性抽动障碍儿童习惯逆转疗法中共病症状和主观干扰的变化——一项试点研究]
[Changes in comorbid symptoms and subjective interference in a habit reversal therapy in children with chronic tic disorder - a pilot study].
作者信息
Woitecki Katrin, Döpfner Manfred
机构信息
Institut für Klinische Kinderpsychologie der Christoph-Dornier-Stiftung an der Universität zu Köln.
出版信息
Z Kinder Jugendpsychiatr Psychother. 2012 May;40(3):181-90. doi: 10.1024/1422-4917/a000168.
OBJECTIVE
This pilot study investigates the effects of habit reversal training in a German-speaking population of children and young adults with chronic tic disorders on comorbid symptoms and subjective interference.
METHODS
16 children were treated using a manualized program. Comorbid-symptoms (ADHD, anxiety and OCD, depression) were assessed using parent and self-ratings. Additionally, the correlation of tic symptoms with comorbid symptoms at the beginning of the therapy was analyzed.
RESULTS
We obtained positive results in reducing comorbid symptoms during a primary treatment of tic symptoms. We further found a correlation of tic symptoms and comorbid symptoms especially in parent ratings.
CONCLUSIONS
These first findings show that a primary treatment of tics may be indicated in patients with comorbid symptoms, because a therapy of tic symptoms has also positive effects on comorbid symptoms.
目的
本试点研究调查习惯逆转训练对患有慢性抽动障碍的德语区儿童和青少年共病症状及主观干扰的影响。
方法
16名儿童采用手册化方案进行治疗。使用家长和自我评定评估共病症状（注意力缺陷多动障碍、焦虑和强迫症、抑郁症）。此外，分析了治疗开始时抽动症状与共病症状的相关性。
结果
我们在抽动症状的初步治疗中获得了减少共病症状的积极结果。我们进一步发现抽动症状与共病症状之间存在相关性，尤其是在家长评定中。
结论
这些初步发现表明，对于有共病症状的患者，可能需要对抽动进行初步治疗，因为抽动症状的治疗对共病症状也有积极影响。
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