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终生患病率、预测因素和 Tic 障碍共病:伊朗儿童和青少年的基于人群的调查。

Lifetime Prevalence, Predictors and Comorbidities of Tic Disorders: A Population-Based Survey of Children and Adolescents in Iran.

机构信息

Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Child Psychiatry Hum Dev. 2022 Oct;53(5):1036-1046. doi: 10.1007/s10578-021-01186-7. Epub 2021 May 9.

DOI:10.1007/s10578-021-01186-7
PMID:33966152
Abstract

In this population-based survey, we have evaluated the lifetime prevalence of tic disorders and related sociodemographic factors and comorbidities of them. The data obtained from face-to-face interviews with 29,885 children and adolescents aged 6-18 years. We used the multistage cluster sampling method and a cross-sectional design. Tic disorders and other psychiatric disorders were assessed using the Persian version of the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL). The lifetime prevalence of tic disorders was 1.5% (95% CI  (1.3-1.7%)). The highest prevalence was in the age range of 15-18 years old with 1.9% (95% CI  (1.6-2.3%)).57.7% (95% CI 51.8-63.3%) of patients with tic disorders had comorbidity with other psychiatric disorders. Increasing the prevalence of tic disorder with increasing age among Iranian children and adolescents, emphasizes the need to pay more attention to use of pharmacological and non-pharmacological treatments and increase education to families in this regard.

摘要

在这项基于人群的调查中,我们评估了抽动障碍的终生患病率以及与之相关的社会人口学因素和共病情况。数据来自对 29885 名 6-18 岁儿童和青少年的面对面访谈。我们使用多阶段聚类抽样方法和横断面设计。使用儿童情感障碍和精神分裂症现状和终生版(K-SADS-PL)的波斯语版本评估抽动障碍和其他精神障碍。抽动障碍的终生患病率为 1.5%(95%置信区间(1.3-1.7%))。患病率最高的年龄段为 15-18 岁,为 1.9%(95%置信区间(1.6-2.3%))。57.7%(95%置信区间 51.8-63.3%)的抽动障碍患者伴有其他精神障碍共病。伊朗儿童和青少年中抽动障碍的患病率随年龄增长而增加,这强调了需要更加关注药物和非药物治疗的使用,并在这方面加强对家庭的教育。

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本文引用的文献

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Development and Open Trial of a Psychosocial Intervention for Young Children With Chronic Tics: The CBIT-JR Study.发展和开放试验的心理社会干预的幼儿慢性抽动:CBIT-JR 研究。
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Why don't children in Uganda have tics? A mixed-methods study of beliefs, knowledge, and attitudes of health professionals.为什么乌干达的儿童没有抽搐症状?一项关于卫生专业人员的信念、知识和态度的混合方法研究。
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Prevalence, Comorbidity and Predictor of Separation Anxiety Disorder in Children and Adolescents.
儿童和青少年分离焦虑症的患病率、共病情况及预测因素。
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Tics and functional tic-like movements: Can we tell them apart?抽动和功能性抽动样运动:我们能区分它们吗?
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Lifetime prevalence, sociodemographic predictors, and comorbidities of oppositional defiant disorder: the National Epidemiology of Iranian Child and Adolescent Psychiatric disorders (IRCAP).对立违抗障碍的终生患病率、社会人口学预测因子和共病:伊朗儿童和青少年精神障碍的国家流行病学研究(IRCAP)。
Braz J Psychiatry. 2020 Apr;42(2):162-167. doi: 10.1590/1516-4446-2019-0416. Epub 2019 Aug 19.
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Effects of comorbidity on Tourette's tic severity and quality of life.共病对抽动秽语综合征抽动严重程度和生活质量的影响。
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