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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。
Objective To investigate the emotional problems, social adaptability and visual perception in children with Tourette syndrome (TS). Methods Children’s Social Anxiety Scale (SAS), Children’s Depression Self-rating Scale (DSRS), Children’s Adaptive Behavior Scale (SAB) and Bentley Visual Retention Test (BVRT) were used in this study. From October 2003 to December 2004, 48 cases of TS children aged 8-12 years old admitted to Children’s Hospital of Shanghai Municipality were tested for anxiety, depression, adaptive behavior and visual perception function, and compared with 46 normal children. Results The scores of SAS and DSRS in TS group were significantly higher than those in control group (P <0.01). In SAB test, the scores of independent function factor and social / self-regulatory factor T in TS group were significantly lower than those in control group <0.01), while there was no significant difference between adaptation and cognitive function factor T scores in control group (P> 0.05). All the correct scores and error scores of BVRT in TS group were significantly lower than those in control group No significant (P> 0.05). Conclusions The children with TS have anxiety, depression and low social adaptability. Their independent living, social interaction and self-control abilities are poor while their visual perception is normal.