Clinical Correlates and Predictors of Caregiver Strain in Children with Chronic Tic Disorders.
Clinical Correlates and Predictors of Caregiver Strain in Children with Chronic Tic Disorders.
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DOI：
10.1080/02739615.2014.948166
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Piacentini J
中科院分区：
文献类型：
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作者：
Ramanujam K;Himle MB;Hayes LP;Woods DW;Scahill L;Sukhodolsky DG;Wilhelm S;Deckersbach T;Peterson AL;Specht M;Walkup JT;Chang S;Piacentini J
尽管抽搐是慢性抽动障碍(CTD)的典型特征，但许多儿童经历了内化和外化并存的问题，这些问题导致了包括家庭功能在内的几个领域的损害。目前的研究调查了CTD儿童父母中照顾者压力的临床相关性和预测因素。参与者是123名被诊断为CTD的儿童和青少年，他们参加了一项减少抽搐的行为疗法的随机对照试验。结果表明，干扰行为、注意力不集中/多动和抽动强度的组合最能解释客观紧张，而注意力不集中/多动和抽动强度的组合是主观照顾者紧张的最佳预测因子。本文还讨论了这些发现对护理提供者的影响。
Although tics are the defining feature of chronic tic disorders (CTD), many children experience comorbid internalizing and externalizing problems that contribute to impairment across several domains, including family functioning. The current study examined clinical correlates and predictors of caregiver strain in parents of children with CTD. Participants were 123 children and adolescents diagnosed with a CTD who participated in a randomized-controlled trial of behavior therapy for reducing tics. Results showed that a combination of disruptive behavior, inattention/hyperactivity, and tic intensity best explained objective strain and a combination of inattention/hyperactivity and tic intensity were the best predictors of subjective caregiver strain. Implications of these findings for care providers are discussed.