Clinical Correlates and Mediators of Self-Concept in Youth with Chronic Tic Disorders
Clinical Correlates and Mediators of Self-Concept in Youth with Chronic Tic Disorders
复制标题
DOI：
10.1007/s10578-015-0544-0
复制
发表时间：
2016-02-01
影响因子：
2.9
通讯作者：
Murphy, Tanya K.
中科院分区：
文献类型：
--
作者：
Hanks, Camille E.;McGuire, Joseph F.;Murphy, Tanya K.
本研究旨在探讨慢性抽动障碍（CTD）青少年自我概念的临床相关因素和介质。对97名6-17岁的CTD青少年（M = 11.1 +/- A 2.89; 79.4%为男性）进行了耶鲁整体抽动严重程度量表、Piers-Harris儿童自我概念量表-第二版以及自我报告和临床医生管理的评估行为和心理困难以及共病状况的测量。CTD青少年的自我概念略低于平均水平，20%（n = 19）表现出低自我概念。相对于CTD和强迫症（OCD）（p = 0.04）或CTD，OCD和注意缺陷多动障碍（ADHD）组合（p = 0.009），仅CTD的青年具有更大的自我概念。在青年的自我概念和临床特征之间观察到了中等到大的关联（例如，ADHD、OCD和抑郁症状的严重程度）。青少年的自我概念部分介导抽动严重程度和抑郁症状严重程度之间的关系，抽动障碍和青少年的依赖回避应对策略之间的交互作用调节青少年的自我概念。影响，局限性，并为今后的干预措施的建议进行了讨论。
This study investigated the clinical correlates and mediators of self-concept in youth with Chronic Tic Disorders (CTD). Ninety-seven youth aged 6-17 (M = 11.1 +/- A 2.89; 79.4 % male) with CTD were administered the Yale Global Tic Severity Scale, the Piers-Harris Children's Self-Concept Scale-Second Edition, and self-report and clinician-administered measures assessing behavioral and psychological difficulties and comorbid conditions. Youth with CTD had a slightly below average level of self-concept, with 20 % (n = 19) exhibiting low self-concept. Youth with CTD-only had greater self-concept relative to youth with CTD and obsessive-compulsive disorder (OCD) (p = 0.04) or CTD, OCD, and attention deficit hyperactivity disorder (ADHD) combined (p = 0.009). Medium-to-large-sized associations were observed between youth's self-concept and clinical characteristics (e.g., severity of ADHD, OCD and depressive symptoms). Youth's self-concept partially mediated the relationship between tic severity and depressive symptom severity, and the interaction between tic impairment and youth's reliance on avoidant coping strategies moderated youth's self-concept. Implications, limitations, and recommendations for future interventions are discussed.