Clinical Characteristics of Children and Adolescents with a Primary Tic Disorder.
Clinical Characteristics of Children and Adolescents with a Primary Tic Disorder.
复制标题
DOI：
10.1007/s10882-010-9223-z
复制
发表时间：
2011-02
影响因子：
1.8
通讯作者：
Walkup, John T.
中科院分区：
文献类型：
--
作者：
Specht, Matt W.;Woods, Douglas W.;Piacentini, John;Scahill, Lawrence;Wilhelm, Sabine;Peterson, Alan L.;Chang, Susanna;Kepley, Hayden;Deckersbach, Thilo;Flessner, Christopher;Buzzella, Brian A.;McGuire, Joseph F.;Levi-Pearl, Sue;Walkup, John T.
研究了寻求慢性抽动障碍（CTD）治疗的年轻人的临床特征和共发精神疾病的发生率。招募主要诊断为CTD的儿童和青少年（N = 126）进行随机对照治疗试验。专家临床医生通过半结构化访谈建立诊断状态。参与者为男性（78.6%），白人（84.9%），平均年龄11.7岁（SD = 2.3），有中度至重度抽搐，符合抽动秽语障碍标准（93.7%）。常见的合并症包括注意力缺陷多动障碍（ADHD; 26%）、社交恐惧症（21%）、广泛性焦虑症（20%）和强迫症（OCD; 19%）。强度、复杂性和干扰性更大的运动和发声抽搐与损害增加相关。患有CTD寻求治疗抽搐的青少年除了ADHD和OCD外，还应评估非OCD焦虑障碍。尽管存在共同发生的条件，儿童更有力的，复杂的，和/或直接干扰抽搐可能会寻求治疗，以减少抽搐的严重程度。
The clinical characteristics and rates of co-occurring psychiatric conditions in youth seeking treatment for a chronic tic disorder (CTD) were examined. Children and adolescents (N = 126) with a primary CTD diagnosis were recruited for a randomized controlled treatment trial. An expert clinician established diagnostic status via semi-structured interview. Participants were male (78.6%), Caucasians (84.9%), mean age 11.7 years (SD = 2.3) with moderate-to-severe tics who met criteria for Tourette’s disorder (93.7%). Common co-occurring conditions included attention-deficit/hyperactivity disorder (ADHD; 26%), social phobia (21%), generalized anxiety disorder (20%), and obsessive-compulsive disorder (OCD; 19%). Motor and vocal tics with greater intensity, complexity, and interference were associated with increased impairment. Youth with a CTD seeking treatment for tics should be evaluated for non-OCD anxiety disorders in addition to ADHD and OCD. Despite the presence of co-occurring conditions, children with more forceful, complex, and/or directly interfering tics may seek treatment to reduce tic severity.
登录
查看更多内容
DOI：
10.1097/00004583-200005000-00007
发表时间：
2000-05-01
影响因子：
13.3
作者：
Kadesjö, B;Gillberg, C
通讯作者：
Gillberg, C
影响因子：
3.8
作者：
Freeman, RD;Fast, DG;Sandor, P
通讯作者：
Sandor, P
影响因子：
6.1
作者：
LECKMAN, JF;RIDDLE, MA;COHEN, DJ
通讯作者：
COHEN, DJ
影响因子：
9.9
作者：
Kurlan, R;McDermott, MP;Miller, B
通讯作者：
Miller, B
DOI：
10.1097/00004583-200402000-00017
发表时间：
2004-02-01
影响因子：
13.3
作者：
Gilbert, DL;Batterson, JR;Sallee, FR
通讯作者：
Sallee, FR