Implementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions.

Implementation of the Mini-Child Tourette Syndrome Impairment Scale: Relationships to Symptom Severity and Treatment Decisions.
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DOI:
10.1177/0883073820967518
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发表时间:
2021-03
影响因子:
1.9
通讯作者:
Gilbert DL
Gilbert DL
中科院分区:
医学4区
文献类型:
--
作者:
Garris JF;Huddleston DA;Jackson HS;Horn PS;Gilbert DL

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功能障碍是抽动障碍治疗决策的一个重要因素。我们评估了迷你儿童抽动秽语综合征损害量表(mini-CTIM)与症状严重程度的相关性以及与干预措施的相关性。对随机选择的61例抽动发作与症状严重程度评分的微型CTIM相关性进行了回顾性分析,并对接受治疗的患者和未接受治疗的患者进行了比较。回归模型确定了与治疗决策相关的因素。迷你CTIM-抽动评分与抽动严重程度相关,迷你CTIM-非抽动评分与注意缺陷多动障碍(ADHD)严重程度相关。抽动治疗与儿童迷你CTIM-抽动评分较高有关,但与父母无关。回归模型表明,ADHD严重程度、强迫症严重程度和父母而不是儿童的Mini-CTIM-Non-Tic评分可以预测共病治疗。这些发现表明,儿童对其抽动相关损害有有价值的洞察力,但父母评估对于评估共病相关损害是重要的。Mini-CTIM可能是一种评估抽动相关损害的有用的临床工具。
Functional impairment is an important factor in Tic Disorder treatment decisions. We evaluated the mini Child Tourette Syndrome Impairment Scale (mini-CTIM) for correlation with symptom severity and association with interventions. 61 randomly-selected tic encounters were retrospectively analyzed for mini-CTIM correlation with symptom severity scores and compared between patients who received treatment and those who did not. Regression models identified factors associated with treatment decisions. Mini-CTIM-tic scores correlated with tic severity and mini-CTIM-non-tic scores correlated with Attention Deficit Hyperactivity Disorder (ADHD) severity. Tic treatment was associated with higher child, but not parent, mini-CTIM-tic scores. Regression models identified that comorbidity treatment was predicted by ADHD severity, Obsessive Compulsive Disorder severity, and parent but not child mini-CTIM-non-tic scores. These findings suggest children have valuable insight into their tic related impairment, but parent assessment is important for evaluating comorbidity related impairment. The mini-CTIM may be a useful clinical tool for assessing tic-related impairment.
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