Rhode Island Hospital/Alpert Medical School of Brown University, Providence, RI, USA.
Compr Psychiatry. 2014 Jan;55(1):123-9. doi: 10.1016/j.comppsych.2013.06.009. Epub 2013 Oct 22.
Tourette Syndrome (TS) is a chronic neuropsychiatric condition that frequently persists into adulthood. Existing research has identified demographic and symptom-level variables associated with psychopathology and poor quality of life in TS. However, behavior patterns associated with enhanced or adaptive psychological and global functioning among adults with TS have yet to be empirically identified. The current study examined whether tic-specific activity restriction is related to emotional functioning and quality of life in adults with TS.
Participants were 509 adults from the Tourette Syndrome Impact Survey who completed self-report measures of demographics, tic severity, emotional functioning, quality of life, and tic-related general and social activity restriction.
Partial correlations controlling for tic severity indicated that tic-related general and social activity restriction were significantly correlated with lower quality of life and poorer emotional functioning. Hierarchical linear regression models indicated that activity restriction significantly predicted lower quality of life and poorer emotional functioning when controlling for tic severity and demographic variables.
Adults who restrict fewer activities due to tics, regardless of tic severity, experience greater quality of life and better emotional functioning. Clinically, adults with chronic tics may benefit from interventions focused on enhancing engagement in valued life activities.
妥瑞氏症(TS)是一种慢性神经精神疾病,常持续到成年期。现有研究已经确定了与 TS 患者的精神病理学和生活质量较差相关的人口统计学和症状水平变量。然而,TS 成年患者中与增强或适应性心理和整体功能相关的行为模式尚未得到实证研究。本研究探讨了特定于抽搐的活动限制是否与 TS 成年患者的情绪功能和生活质量有关。
共有 509 名来自妥瑞氏症影响调查的成年人参与了研究,他们完成了人口统计学、抽搐严重程度、情绪功能、生活质量以及抽搐相关的一般和社会活动限制的自我报告测量。
在控制抽搐严重程度的部分相关分析中,抽搐相关的一般和社会活动限制与较低的生活质量和较差的情绪功能显著相关。分层线性回归模型表明,在控制抽搐严重程度和人口统计学变量后,活动限制显著预测了较低的生活质量和较差的情绪功能。
无论抽搐严重程度如何,限制抽搐活动较少的成年人会经历更好的生活质量和情绪功能。临床上,患有慢性抽搐的成年人可能会从专注于增强参与有价值的生活活动的干预措施中受益。