O'Hare Deirdre, Helmes Edward, Eapen Valsamma, Grove Rachel, McBain Kerry, Reece John
School of Arts and Social Sciences, James Cook University, Townsville, QLD, Australia.
School of Psychiatry, University of New South Wales & Ingham Institute, Sydney, NSW, Australia.
Child Psychiatry Hum Dev. 2016 Aug;47(4):563-73. doi: 10.1007/s10578-015-0590-7.
The aim of this controlled, community-based study based on data from parents of youth (aged 7-16 years) with Tourette's syndrome (TS; n = 86) and parents of age and gender matched peers (n = 108) was to test several hypotheses involving a range of variables salient to the TS population, including peer attachment, quality of life, severity of tics, comorbidity, and psychological, behavioural and social dysfunction. Multivariate between-group analyses confirmed that TS group youth experienced lower quality of life, increased emotional, behavioural and social difficulties, and elevated rates of insecure peer attachment relative to controls, as reported by their primary caregiver. Results also confirmed the main hypothesis that security of peer attachment would be associated with individual variability in outcomes for youth with TS. As predicted, multivariate within-TS group analyses determined strong relationships among adverse quality of life outcomes and insecure attachment to peers, increased tic severity, and the presence of comorbid disorder. Findings suggest that youth with TS are at increased risk for insecure peer attachment and that this might be an important variable impacting the quality of life outcomes for those diagnosed.
这项基于社区的对照研究，以患有妥瑞氏症（TS；n = 86）的青少年（7至16岁）的父母以及年龄和性别匹配的同龄人（n = 108）的父母提供的数据为基础，旨在检验几个假设，这些假设涉及一系列与妥瑞氏症患者群体相关的变量，包括同伴依恋、生活质量、抽动严重程度、共病情况以及心理、行为和社会功能障碍。多变量组间分析证实，与对照组相比，妥瑞氏症组青少年的生活质量较低，情绪、行为和社交方面的困难增加，其主要照顾者报告称他们不安全的同伴依恋发生率更高。结果还证实了主要假设，即同伴依恋的安全性与妥瑞氏症青少年个体结果的变异性相关。正如预测的那样，多变量妥瑞氏症组内分析确定了不良生活质量结果与对同伴的不安全依恋、抽动严重程度增加以及共病障碍的存在之间存在密切关系。研究结果表明，患有妥瑞氏症的青少年不安全同伴依恋的风险增加，这可能是影响那些被诊断出患有该病的青少年生活质量结果的一个重要变量。
