抽动秽语综合征患者父母的情感表达及其对患者治疗效果的影响

摘要

目的:探讨抽动秽语综合征(TS)患者父母的情感表达(EE)及其对患者治疗效果的影响.方法:对61例TS患者给予阿立哌唑治疗8周,治疗前后进行耶鲁综合抽动严重程度量表(YGTSS)测评,治疗后患者YGTSS减分率≥50％为有效.对TS患者父母进行坎伯威尔家庭问卷(CFI-CV)评估,并据此将患者家庭分为低EE家庭和高EE家庭;分析患者父母EE对TS患者治疗效果的影响. 结果:TS患者的父亲和母亲在对患者情感表达上差异有统计学意义.Logistic回归分析显示,中度以下情感表达是TS治疗效果的有利因素,而TS患者父亲的敌对或者拒绝的家庭监护及母亲的敌对是TS治疗效果的不利因素. 结论:TS患者父母的情感表达有差异,并且影响治疗效果.%Objective:To explore parents' expressed emotion of patients with Tourette syndrome (TS) and its influence on therapeutic effect.Method:Sixty one TS patients who received aripiprazole treatment were assessed using Yale global Tie severity scale (YGTSS) at the baseline and week 8.The treatment was effectiive if YGTSS score deducted rate ≥50％ through the treatment.Camberwell family interview-Chinese version(CFI-CV) was adminstered to their parents.The parents were grouped into high and low emotional expression according to CFI-CV scores.The influence of the parents' emotional expression on therapeutic effects was analyzed.Results:There was statistical significance between the fathers and mothers'emotional expression for TS patients.Logistical regression result indicated that lower expressed emotion of parents was protective factor,the parents'hostility and fathers'rejection were risk factor for TS treatment effect.Conclusion:The TS parents 'emotional expression demonstrates different features and can affect the therapeutic effects.