Brief youth self-report screener for tics: Can a subscale of the Motor tic, Obsession and compulsion, and Vocal tic Evaluation Survey (MOVES) identify tic disorders in youth?
Brief youth self-report screener for tics: Can a subscale of the Motor tic, Obsession and compulsion, and Vocal tic Evaluation Survey (MOVES) identify tic disorders in youth?
复制标题
青少年抽动症自我报告筛查表：运动抽动症、强迫症和发声抽动症评估调查 (MOVES) 的子量表能否识别青少年抽动症？
DOI：
10.1080/23794925.2023.2191354
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Bitsko,RebeccaH
中科院分区：
文献类型：
--
作者：
Lewin,AdamB;Murphy,TanyaK;Mink,JonathanW;Small,BrentJ;Adams,HeatherR;Brennan,Erin;Augustine,ErikaF;Vermilion,Jennifer;Vierhile,Amy;Collins,Alyssa;Kudryk,Kelly;Dickinson,Sarah;Danielson,MelissaL;Bitsko,RebeccaH
抽搐是儿童时期经常出现的不必要的，重复的动作和声音。它们通常是短暂的和无症状的，但可以为个人创造显着的痛苦，并经常与其他神经精神疾病同时发生。因此，早期识别抽搐是必要的。不幸的是，抽搐经常被误诊，因为抽搐可能会增加和减少，识别可能是困难的，特别是在常规临床访问的背景下。在临床实践中，特别是在非专业环境中，可用于可靠识别抽搐的工具有限。本研究的目的是评估运动性抽动、强迫症和发声性抽动评估调查（MOVES）的表现，MOVES是一种自我报告量表，具有一定的支持作为筛选工具。此外，评估了一个问题子集（MOVES-6）的性能，以进行快速筛选。参与者在两个研究地点招募，包括被诊断患有Tourette综合征（n= 151）或其他持续性抽动障碍（n= 10）的儿童和青少年以及社区对照（n= 74）。结果表明，与专家评估的抽动障碍相比，MOVES和MOVES-6具有高灵敏度（分别为90%和88%）和至少可接受的特异性（分别为77%和86%），这表明两个版本都可以识别抽动障碍，而不会出现高比例的假阴性。无论性别、人种/种族和年龄如何，两种版本均具有高度敏感性和可接受的特异性。MOVES和MOVES-6显示出作为抽搐或抽搐障碍筛查的前景，但需要进行更多的研究，特别是在一般人群中。
Tics are unwanted, repetitive movements and sounds that frequently present during childhood. They are typically brief and purposeless, but can create significant distress for individuals, and often co-occur with other neuropsychiatric conditions. Thus, early identification of tics is warranted. Unfortunately, tics are often misdiagnosed, and because tics may wax and wane, identification can be difficult, especially in the context of routine clinical visits. There are limited tools that can be used to reliably identify tics in clinical practice, especially in non-specialty settings. The purpose of the current study was to evaluate the performance of the Motor tic, Obsession and compulsion, and Vocal tic Evaluation Survey (MOVES), a self-report scale with some support as a screening tool. In addition, the performance of a subset of questions (the MOVES-6) was evaluated for rapid screening. Participants were recruited across two study sites and included children and adolescents diagnosed with Tourette syndrome (n= 151) or another persistent tic disorder (n= 10) and community controls (n= 74). Results suggest that both MOVES and the MOVES-6 have high sensitivity (90% and 88%, respectively) and at least acceptable specificity (77% and 86%, respectively) compared with expert assessment of tic disorders, suggesting that both versions can identify tic disorders without high proportions of false negatives. Both versions were highly sensitive with acceptable specificity regardless of sex, race/ethnicity, and age. The MOVES and MOVES-6 show promise as a screener for tics or tic disorders, but additional research is needed, particularly in a general population setting.