Como P G
Department of Neurology, University of Rochester, School of Medicine and Dentistry, Rochester, New York 14642, USA.
Neurol Clin. 1997 May;15(2):255-65. doi: 10.1016/s0733-8619(05)70310-8.
Recent evidence has suggested that the commonly observed comorbid behavioral disorders of Tourette syndrome, including attention deficit hyperactivity disorder and obsessive-compulsive disorder clearly have an impact on cognitive, educational, and psychosocial function. These behavioral features of Tourette syndrome can be more debilitating than the cardinal motor features of the disorder and they require careful clinical assessment so that appropriate treatment intervention can be offered to patients and their families. This article focuses on objective neuropsychological and behavioral assessment of obsessive-compulsive disorder and attention deficit hyperactivity disorder which have proven useful for both the clinical evaluation and treatment of obsessive-compulsive disorder and attention deficit hyperactivity disorder associated with Tourette syndrome and in the research setting. Instruments with proven psychometric reliability and validity for assessing obsessive-compulsive disorder and attention deficit hyperactivity disorder which also have been useful in Tourette syndrome populations are discussed. Objective and quantitative assessment of these comorbid behavioral conditions greatly enhance our ability to treat the full neurobehavioral spectrum of Tourette syndrome.
最近的证据表明，抽动秽语综合征常见的共病行为障碍，包括注意力缺陷多动障碍和强迫症，显然会对认知、教育和心理社会功能产生影响。抽动秽语综合征的这些行为特征可能比该疾病的主要运动特征更具致残性，需要进行仔细的临床评估，以便为患者及其家属提供适当的治疗干预。本文重点关注强迫症和注意力缺陷多动障碍的客观神经心理学和行为评估，这些评估已被证明对与抽动秽语综合征相关的强迫症和注意力缺陷多动障碍的临床评估和治疗以及研究都很有用。文中讨论了在评估强迫症和注意力缺陷多动障碍方面具有可靠心理测量学可靠性和有效性且在抽动秽语综合征人群中也有用的工具。对这些共病行为状况进行客观和定量评估，极大地提高了我们治疗抽动秽语综合征全神经行为谱的能力。
