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儿童拔毛癖的临床特征:与强迫症和抽动障碍的比较。

Clinical Characteristics of Pediatric Trichotillomania: Comparisons with Obsessive-Compulsive and Tic Disorders.

作者信息

Rozenman Michelle, Peris Tara S, Gonzalez Araceli, Piacentini John

机构信息

Division of Child and Adolescent Psychiatry, UCLA Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, 67-455, Los Angeles, CA, 90095, USA.

Department of Psychology, California State University Long Beach, Long Beach, CA, USA.

出版信息

Child Psychiatry Hum Dev. 2016 Feb;47(1):124-32. doi: 10.1007/s10578-015-0550-2.

Abstract

This study compared youth ages 5-17 years with a primary diagnosis of trichotillomania (TTM, n = 30) to those with primary OCD (n = 30) and tic disorder (n = 29) on demographic characteristics, internalizing, and externalizing symptoms. Findings suggest that youth with primary TTM score more comparably to youth with tics than those with OCD on internalizing and externalizing symptom measures. Compared to the OCD group, youth in the TTM group reported lower levels of anxiety and depression. Parents of youth in the TTM group also reported fewer internalizing, externalizing, attention, and thought problems than those in the OCD group. Youth with TTM did not significantly differ from those with primary Tic disorders on any measure. Findings suggest that pediatric TTM may be more similar to pediatric tic disorders than pediatric OCD on anxiety, depression, and global internalizing and externalizing problems.

摘要

本研究将5至17岁初诊为拔毛癖(TTM,n = 30)的青少年与初诊为强迫症(n = 30)和抽动障碍(n = 29)的青少年在人口统计学特征、内化症状和外化症状方面进行了比较。研究结果表明,在症状测量方面,初诊为TTM的青少年在内化和外化症状测量上与患有抽动症的青少年相比,比与患有强迫症的青少年更具可比性。与强迫症组相比,TTM组的青少年报告的焦虑和抑郁水平较低。TTM组青少年的父母报告的内化、外化、注意力和思维问题也比强迫症组少。在任何测量指标上,患有TTM的青少年与患有原发性抽动障碍的青少年均无显著差异。研究结果表明,在焦虑、抑郁以及整体内化和外化问题方面,儿童期TTM可能比儿童期强迫症更类似于儿童期抽动障碍。

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