中国实用儿科杂志

中国实用儿科杂志

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Tourette综合征患儿情绪问题和适应行为及视感知功能研究

刘智胜,吴革菲,胡家胜,王芳琳,熊学琴   

  1. 武汉市儿童医院神经内科(430016)
  • 收稿日期:2005-02-05 修回日期:2005-05-10 出版日期:2005-08-25 发布日期:2005-08-25

Emotion question,adaptive behavior and visual perception in children with Tourette’s syndrome.

Liu Zhisheng,Wu Gefei,Hu Jiasheng,et al.   

  1. Department of Neurology,Wuhan Children’s Hospital,Wuhan 430016,China
  • Received:2005-02-05 Revised:2005-05-10 Online:2005-08-25 Published:2005-08-25

摘要： 目的探讨Tourette综合征(TS)患儿的情绪问题、社会适应能力和视感知功能。 方法采用儿童社交焦虑量表(SAS)、儿童抑郁自评量表(DSRS)、儿童适应行为量表(SAB)和本顿视觉保持测验(BVRT)，对2003年10月至2004年12月武汉市儿童医院收治的48例8~12岁TS患儿的焦虑、抑郁、适应行为和视感知功能进行测试，并与46名正常儿童相比较。 结果TS组的SAS总分和DSRS总分均明显高于对照组儿童(P<0.01)；在SAB测试中，TS组的独立功能因子及社会/自制因子T分明显低于对照组儿童(P<0.01)，而适应行为商和认知功能因子T分与对照组相比差异无显著性意义(P>0.05)；TS组的BVRT测试中所有正确得分及错误得分与对照组相比差异均无显著性意义(P>0.05)。 结论TS患儿存在焦虑、抑郁和社会适应能力低下，其独立生活、社会交往及自制能力差，而视感知功能正常。

关键词: Tourette综合征, 焦虑, 抑郁, 适应行为, 视感知

Abstract: To explore the emotion problem,social adaptive ability and visual perception function in children with Tourette's syndrome (TS). MethodsThe anxiety,depression,adaptive behavior and visual perception function of 48 children with TS aged 8~12 years (29 males and 19 females) were measured by means of the Social Anxiety Scale for Children (SAS),Depression Self-rating Scale for Children (DSRS),Scale of Adaptive Behaviors for Children (SAB) and Benton Visual Retention Test (BVRT),and 46 healthy children formed the control group. ResultsTotal scores of SAS and DSRS in TS group were significantly higher than those in control group (P<0.01).T scores of independent function factor and social/self-direction factor of SAB in TS group were significantly lower than those in control group (P<0.01),and T score of cognitive function factor and adaptability quotient (ADQ) in TS group showed no significant difference as compared with control group (P>0.05).All right and wrong scores of VRT in TS group showed no significant difference as compared with control group (P>0.05). ConclusionChildren with TS show anxiety,depression,and poor social adaptability.They possess lower ability of independent life,social intercourse and self-direction.Children with TS have no visual perception deficit.

Key words: Adaptive behavior, Visual perception , Anxiety, Depression