Tourette's disorder:: Epidemiology and comorbidity in primary school children
Tourette's disorder:: Epidemiology and comorbidity in primary school children
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DOI：
10.1097/00004583-200005000-00007
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发表时间：
2000-05-01
影响因子：
13.3
通讯作者：
Gillberg, C
中科院分区：
文献类型：
--
作者：
Kadesjö, B;Gillberg, C
目的：研究抽动秽语障碍（Tourette’s disorder）在一般儿童人群和临床环境中的患病率和合并症。方法：一般人群中的学龄儿童和参加全县抽动障碍诊所的儿童由同一名医生进行筛查和检查。使用了具有可靠性和有效性的行为心理测量工具。结果：根据样本特征，所有儿童中有0.15%至1.1%患有抽动秽语障碍。注意力缺陷和移情/自闭症谱系障碍（包括抽动秽语障碍）非常常见，每种类型的合并症影响约三分之二的抽动秽语障碍患者。整体行为问题得分高，受影响的儿童表现出明显程度的功能障碍。结论：抽动秽语障碍是一种常见的疾病，有很高的合并症发生率。在大多数情况下，注意力缺陷和移情问题可能比抽搐本身造成更多的痛苦。
Objective: To study prevalence and comorbidity of Tourette's disorder in the general population of children and in a clinical setting. Method: School-age children in the general population and children attending a county-wide tic disorder clinic were screened and examined by the same doctor. Behavioral-psychometric instruments with demonstrated reliability and validity were used. Results: Depending on the sample characteristics, 0.15% to 1.1% of all children had Tourette's disorder. Boys outnumbered girls by 4:1 through 6:1.Attention deficits and empathy/autism spectrum problems (including Asperger's disorder) were Very common, each type of comorbidity affecting approximately two thirds of individuals with Tourette's disorder. Overall behavior problem scores were high, and affected children exhibited a marked degree of functional impairment. Conclusions: Tourette's disorder is a common disorder with high rates of significant comorbidity. in most cases, attention deficits and empathy problems are likely to cause more suffering than the tics per se.