儿童抽动秽语综合征患者的社交反应能力及其影响因素  

The social responsiveness in children with Tourette's syndrome and its influence factors

作　　者：魏琼[1] 贾忠莉 李志鑫 鲁志力 杨璐菱 饶睿[1] WEI Qiong;JIA Zhongli;LI Zhixin(Department of Pediatrics,Leshan People's Hospital,Leshan 614000,China)

机构地区：[1]乐山市人民医院儿科,乐山614000

出　　处：《国际精神病学杂志》2024年第2期449-452,共4页Journal Of International Psychiatry

摘　　要：目的探讨儿童抽动秽语综合征(tourette syndrome,TS)患者的社交反应能力及其影响因素。方法纳入乐山市人民医院2019年6月~2022年12月80例儿童TS患者,采用社交反应量表(social responsiveness scale,SRS)评估患者的社交反应能力,根据SRS评分≥60分、<60分设为社交反应能力差、社交反应能力良好两个组别。调查并比较两组患者发病年龄、父母最高学历、居住地等一般资料,以SRS评分为因变量,组间差异显著的资料为自变量进行多元逐步回归分析调查社交反应能力影响因素。结果80例TS患者32例SRS评分平均(50.18±6.82)分,≥60分31例,<60分49例;两组发病年龄、智力、病情严重程度、主要照顾者、父母最高学历、家庭月收入、年龄、是否规范治疗差异具有统计学意义(P<0.05),两组性别、居住地差异无统计学意义(P>0.05);多元逐步回归分析显示,发病年龄、智力低下、重度TS、父母不是主要照顾者、父母最高学历初中、家庭月收入<3千元、未进行规范治疗是TS患者社交反应能力的影响因素。结论TS中有相当一部分患者社交反应能力差,影响因素包括发病年龄、智力低下、病情严重程度等,应重视这类患者的社交反应能力。Objective To investigate the social responsiveness of children with tourette syndrome(TS)and analyze the factors affecting it.Methodss Eighty pediatric TS patients in Leshan People's Hospital from June 2019 to December 2022 were included.The social responsiveness scale(SRS)was used to assess the patients'social responsiveness.Two groups were set up as poor social responsiveness and good social responsiveness according to SRS score≥60 and<60.General information such as age of onset,highest parental education,and place of residence were investigated and compared between the two groups.Multiple stepwise regression analysis was performed to investigate the factors affecting social responsiveness with SRS score as the dependent variable and significant differences between groups as the independent variable.Results The average SRS score of 32 of the 80 TS patients was(50.18±6.82)points,≥60 points in 31 cases and<60 points in 49 cases.The differences in age of onset,intelligence,severity of illness,primary caregiver,highest parental education,monthly family income,age,and whether or not the treatment was standardized were statistically significant between the two groups(P<0.05).The differences in gender and place of residence between the two groups were not statistically significant(P>0.05).Multiple stepwise regression analysis showed that age of onset,mental retardation,severe TS,parents not being the primary caregiver,highest parental education junior high school or below,monthly family income<3 o00 yuan,and no standardized treatment were the factors influencing the social responsiveness of TS patients.Conclusion A significant proportion of patients with TS have poor social responsiveness,and factors affecting this include age of onset,mental retardation,and severity of the disease,which should be emphasized in this group of patients.

关 键 词：儿童 抽动秽语综合征 社交反应能力 影响因素 

分 类 号：R749.94[医药卫生—神经病学与精神病学]