Division of Paediatric Neurology, Department of Paediatrics, MacKay Children Hospital and Department of Medicine, MacKay Medical College, Taipei, Taiwan. #92, Sec. 2, Chung-Shan N. Road, Taipei 10449, Taiwan.
Department of Rehabilitation, Jen-Teh Junior of Medicine Nursing and Management, Miaoli County, Taiwan. 3F.-3, No. 20-3, Ln. 128, Sec. 3, Taichung Port Rd., Situn Dist., Taichung City 40764, Taiwan, ROC.
J Pediatr Nurs. 2023 Nov-Dec;73:e75-e82. doi: 10.1016/j.pedn.2023.07.012. Epub 2023 Aug 5.
Adolescents with Tourette syndrome (TS) may suffer from learning difficulties (attention-deficit/hyperactivity disorder), challenges in interpersonal interactions (especially with peers), disruptions of daily routines (disruptive behavior disorders), and increased psychosocial stress, which can result in internalizing and externalizing behavioral problems, such as venting depression and stress through self-harm. The aim of this study was to investigate peer attachment in adolescents with TS and associated risk factors.
Adolescents with TS aged 13-18 years were recruited from the outpatient departments of 2 hospitals in Taiwan. Participants completed a basic data sheet, the Beck Depression Inventory-II, the Chinese version of the State-Trait Anxiety Inventory, and the Chinese version of the Youth Self-Report. Descriptive statistics were performed. Structural equation modeling was used to verify the model proposed in this study and to analyze the overall fit and internal structure.
A total of 452 adolescents with TS aged 10-19 years participated in this study, which aimed to investigate factors affecting peer attachment, depression, anxiety, and psychosocial maladaptation and to explore causal relationships between these factors. Peer attachment was significantly associated with grade point average (r = -0.240, p < .001), birth order (r = -0.118, p = .012), parental marital status (r = -0.111, p = .018), parenting style (r = -0.138, p = .003), family monthly income (r = 0.124, p = .008), and weekly hours on the internet (r = -0.164, p < .001).
These results suggest that depression, anxiety, and peer attachment affect psychosocial development.
The findings may help clinical staff manage adolescents' severe emotional distress and psychosocial maladaptation.
患有妥瑞氏综合征（TS）的青少年可能会遭受学习困难（注意力缺陷/多动障碍）、人际交往困难（尤其是与同龄人）、日常生活中断（破坏性行为障碍）和增加的心理社会压力，这可能导致内化和外化行为问题，例如通过自残来宣泄抑郁和压力。本研究的目的是调查 TS 青少年的同伴依恋及其相关风险因素。
从台湾 2 家医院的门诊部门招募了 13-18 岁的 TS 青少年。参与者完成了基本数据表、贝克抑郁量表第二版、状态特质焦虑量表中文版和青少年自我报告中文版。进行了描述性统计。结构方程模型用于验证本研究提出的模型，并分析模型的整体拟合度和内部结构。
共有 452 名年龄在 10-19 岁的 TS 青少年参加了这项研究，旨在调查影响同伴依恋、抑郁、焦虑和心理社会适应不良的因素，并探讨这些因素之间的因果关系。同伴依恋与平均绩点（r = -0.240，p <.001）、出生顺序（r = -0.118，p =.012）、父母婚姻状况（r = -0.111，p =.018）、父母教养方式（r = -0.138，p =.003）、家庭月收入（r = 0.124，p =.008）和每周上网时间（r = -0.164，p <.001）显著相关。
这些结果表明，抑郁、焦虑和同伴依恋会影响心理社会发展。
这些发现可能有助于临床工作人员管理青少年严重的情绪困扰和心理社会适应不良。
