Eaton Cyd K, Jones Anna M, Gutierrez-Colina Ana M, Ivey Emily K, Carlson Olivia, Melville Lauren, Kardon Patricia, Blount Ronald L
Department of Psychology, University of Georgia, 125 Baldwin Street, Athens, GA, 30602, USA.
Tourette Information Center and Support (TICS) of Georgia/Camp Twitch & Shout, Dunwoody, GA, USA.
Child Psychiatry Hum Dev. 2017 Apr;48(2):327-334. doi: 10.1007/s10578-016-0644-5.
Although there is evidence that environmental consequences for displaying tics and internalizing symptoms are related to tic severity in children with TS, less is known about the inter-relationships of these variables or how these factors jointly contribute to tic severity. This study included 45 children with Tourette syndrome. Caregivers reported on children's environmental consequences for displaying tics, internalizing symptoms, and tic severity. Results indicated that children with higher levels of internalizing symptoms experienced significantly more environmental consequences for displaying tics. Children with higher levels of separation anxiety symptoms demonstrated significantly greater tic severity. Environmental consequences for displaying tics accounted for significantly more variance in predicting tic severity than anxiety symptoms. This preliminary evidence suggests that environmental consequences for displaying tics, such as receiving accommodations or attention from others, have a greater influence on children's tic severity than emotional factors.
虽然有证据表明，抽动秽语综合征（TS）患儿出现抽动症状和内化症状的环境后果与抽动严重程度有关，但对于这些变量之间的相互关系，或者这些因素如何共同导致抽动严重程度，人们了解得较少。本研究纳入了45名患有抽动秽语综合征的儿童。照顾者报告了儿童出现抽动症状、内化症状和抽动严重程度的环境后果。结果表明，内化症状水平较高的儿童因出现抽动症状而经历的环境后果显著更多。分离焦虑症状水平较高的儿童表现出明显更高的抽动严重程度。与焦虑症状相比，出现抽动症状的环境后果在预测抽动严重程度方面占的方差显著更多。这一初步证据表明，出现抽动症状的环境后果，如获得他人的便利或关注，对儿童抽动严重程度的影响比情绪因素更大。
