【摘要】 【目的】探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)与抽动障碍(tic disorder,TD)共病(comorbid attention deficit hyperactivity disorder and tic disorder,CAT)患儿的生活质量。【方法】采用儿少主观生活质量问卷(Inventory of Subjective Life quality,ISLQ)对CAT组60例,ADHD组79例,TD组60例,正常对照组71名儿童分别进行评估。【结果】CAT组在生活环境方面得分高于ADHD组(P<0.05),其他方面两者比较差异无统计学意义(P>0.05)。CAT组儿童在家庭生活、同伴交往、学校生活、自我认识、抑郁体验、总体满意度方面得分低于TD组(P<0.05)。CAT组儿童家庭生活、同伴交往、学校生活、自我认识、认知成分、总体满意度得分低于正常对照组(P<0.01)。【结论】CAT患儿主观生活质量明显下降,主要与存在ADHD有关,治疗应采取包括心理治疗在内的综合干预措施。更多还原

【Abstract】 【Objective】 To investigate the quality of life in children with comorbid attention deficit hyperactivity dis-order(ADHD) and tic disorder(TD)(CAT).【Methods】 60 children with comorbid ADHD and TD(CAT),79 children with ADHD,60 children with TD and 71 normal control children were collected.All of those cases were evaluated with In-ventory of Subjective Life quality(ISLQ).【Results】 The score of the living environment was higher in CAT group than ADHD group(P<0.05),there were no significant differences in the scores in other factors between the two groups(P> 0.05).Compared with the TD group,those children with CAT had lower scores in the family life,peer relations,school life,self-awareness,depression experience and overall satisfaction(P<0.05).In comparison with the control group,the children in CAT group had lower scores in the family life,peer relations,school life,self-awareness,cognitive component and overall satisfaction(P<0.01).【Conclusions】 The subjective quality of life children with CAT decrease significant-ly,it is attributed to the existence of ADHD primarily.The comprehensive treatment including psychological treatment should be taken.更多还原