Barfell Kara S Francis, Snyder Ryan R, Isaacs-Cloes Kelly M, Garris Jordan F, Roeckner Alyssa R, Horn Paul S, Guthrie Michael D, Wu Steve W, Gilbert Donald L
1 Division of Neurology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, OH, USA.
2 Department of Psychology, Xavier University, Cincinnati, OH, USA.
J Child Neurol. 2017 Jul;32(8):725-730. doi: 10.1177/0883073817702782. Epub 2017 Apr 21.
The Child Tourette Syndrome Impairment Scale (CTIM) rates 37 problems in school, social, and home domains separately for tics and for comorbid diagnoses. However, a shorter version would be easier to implement in busy clinics. Using published data from 85 children with Tourette syndrome, 92 controls, and parents, factor analysis was used to generate a "mini-CTIM" composed of 12 items applied to tic and comorbid diagnoses. Child- and parent-rated mini-CTIM scores were compared and correlated across raters and accounting for clinician-rated tic severity and presence of attention-deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). The mini-CTIM achieved domain Cronbach alphas ranging from 0.71 to 0.94 and intra-item correlation coefficients ranging from 0.84 to 0.96. The resulting scale correlated with clinician-rated tic severity and reflected the presence of ADHD and OCD. The mini-CTIM appears promising as a practical assessment tool for tic- and non-tic-related impairment in children with Tourette syndrome.
儿童抽动秽语综合征损害量表（CTIM）分别针对抽动症状以及共病诊断，对学校、社交和家庭领域的37个问题进行评分。然而，一个更简短的版本在繁忙的诊所中会更易于实施。利用来自85名抽动秽语综合征儿童、92名对照儿童及其父母的已发表数据，采用因子分析生成了一个由12个项目组成的“迷你CTIM”，这些项目适用于抽动症状和共病诊断。对儿童和父母评定的迷你CTIM分数进行了比较，并在评分者之间进行了相关性分析，同时考虑了临床医生评定的抽动严重程度以及注意力缺陷多动障碍（ADHD）和强迫症（OCD）的存在情况。迷你CTIM各领域的克朗巴哈系数在0.71至0.94之间，项目内相关系数在0.84至0.96之间。所得量表与临床医生评定的抽动严重程度相关，并反映了ADHD和OCD的存在情况。作为评估抽动秽语综合征儿童抽动相关和非抽动相关损害的实用工具，迷你CTIM似乎很有前景。
