Nolan E E, Sverd J, Gadow K D, Sprafkin J, Ezor S N
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook 11794-8790, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Dec;35(12):1622-30. doi: 10.1097/00004583-199612000-00014.
To examine the relation between severity of tic disorder and comorbid psychopathology in 47 prepubertal children with tic disorder who were referred for clinical evaluation of and treatment for attention-deficit hyperactivity disorder (ADHD), oppositional behaviors, and aggressive behaviors.
Parents and teachers completed the Child Behavior Checklist (CBCL) and Teacher's Report Form (TRF) for each child.
Seventy-five percent of the sample was in the clinical range in at least two categories of psychopathology. When the children were divided into two groups on the basis of tic severity, significantly higher scores were obtained for children with more severe tics on the narrow-band Depressed, Uncommunicative, Obsessive-Compulsive, and Aggressive scales, and the broad-band internalizing scale of the CBCL. The severity groups did not differ on TRF scores. Children who were more aggressive also received higher CBCL scores.
The findings from this study suggest that the severity of chronic tics is a clinical indicator of complex psychopathology in children with ADHD who are referred for psychiatric evaluation.
在47名患有抽动障碍的青春期前儿童中，研究抽动障碍的严重程度与共病精神病理学之间的关系，这些儿童因注意力缺陷多动障碍（ADHD）、对立行为和攻击行为接受临床评估和治疗。
家长和教师为每个孩子填写儿童行为检查表（CBCL）和教师报告表（TRF）。
75%的样本在至少两类精神病理学方面处于临床范围。当根据抽动严重程度将儿童分为两组时，抽动更严重的儿童在CBCL的窄带抑郁、不爱交流、强迫和攻击量表以及宽带内化量表上得分显著更高。两组在TRF得分上没有差异。攻击性更强的儿童CBCL得分也更高。
本研究结果表明，慢性抽动的严重程度是转诊进行精神评估的ADHD儿童复杂精神病理学的临床指标。
