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【目的】对不同性别的Tourette综合征(Tourette syndrome,TS)儿童的行为特征进行分析,为临床治疗提供参考。【方法】采用Achenbach儿童行为量表(Child Behavior Checklist,CBCL)对66名TS男童(TS男童组)、23名TS女童(TS女童组)分别与40名正常男童(对照男童组)、20名正常女童(对照女童组)进行对照研究。【结果】 TS组的行为问题发生率(52.8%)较对照组(15.0%)明显增高;TS男童强迫性、体诉及攻击三种行为问题发生率高于对照组男童(P<0.05),其9个行为因子的得分均显著高于对照组男童(P<0.01);TS女童的抑郁、社交退缩行为问题发生率高于对照组女童(P<0.01),其抑郁、残忍、社交退缩、体诉、攻击、违纪行为因子分值高于对照组女童。【结论】不同性别的TS儿童具有不同的行为特征,在临床治疗上应根据其特征进行相应的心理行为治疗。
【Objective】 To analyze the behavioral characteristics of children with Tourette syndrome (TS) of different genders and provide reference for clinical treatment. [Methods] 66 TS boys (TS boys) and 23 TS girls (TS girls) were divided into four groups with 40 normal boys (control boys group) using Achenbach Child Behavior Checklist (CBCL) ), 20 normal girls (control girls group) control study. 【Results】 The incidence of behavioral problems in TS group (52.8%) was significantly higher than that in control group (15.0%). The incidence of compulsive, physical abuse and attack of TS boys was higher than that of control boys (P <0.05) (P <0.01). The incidence of depression and social withdrawal in TS girls was significantly higher than that in control girls (P <0.01). The depression, cruelness, Social withdrawal, physical prosecution, attack, disciplinary factors score higher than the control group of girls. 【Conclusion】 TS children of different genders have different behavioral characteristics, and should be treated according to their characteristics in clinical treatment.