抽动障碍患儿一级亲属焦虑特点及对患儿焦虑情绪的影响

The anxious traits of the first-degree relatives and its influence on anxiety emotion of children with Tic disorders

目的探讨抽动障碍患儿一级亲属焦虑特点对患儿焦虑情绪的影响。方法对31名抽动障碍患儿与32名正常儿童进行焦虑性情绪障碍筛查表（screen for child anxiety related emotional disorders，SCARED）调查，对其一级亲属进行状态一特质焦虑问卷（the state-tait anxiety inventory，STAI）调查，比较两组儿童一级亲属焦虑特点的差异及其对儿童焦虑情绪的影响。结果抽动障碍组患儿一级亲属特质焦虑评分[（40．10±8．24）分]较对照组一级亲属评分高[（36．66±8．24）分]，差异有统计学意义（P〈0．05）。但状态焦虑评分在抽动障碍患儿和对照组儿童一级亲属间差异无统计学意义[（40．90±10．22）分，（35．00±9．09）分]（P〉0．05）。抽动障碍患儿焦虑性情绪障碍的学校恐怖与母亲的文化程度呈正相关（r=0．407，P〈0．05）。结论抽动障碍患儿一级亲属较正常儿童一级亲属更容易产生焦虑情绪，且焦虑呈现出稳定的人格特质；抽动障碍患儿母亲文化程度越高，患儿越容易出现学校恐怖。

Objective To explore the effects of first-degree relatives＇ anxious traits on the anxious emotion in children with Tie disorders （TD）. Methods A total of 31 children with TD and 32 normal children were assessed by The Screen for Child Anxiety Related Emotional Disorders （SCARED） , and their first-degree relatives were assessed by State-Trait Anxiety Inventory （STAI）. The differences of first-degree relatives＇ personality traits between two groups were compared, and the effects of these personality traits on children＇s anxious emotion were further analyzed. Results Compared with the control group（36.66±8.24） ,the first-degree relatives of children with TD had higher scores in trait anxiety （40.10±8.24, P〈0.05 ） , but there was no significant difference in state anxiety between TD group and control group（（35.00±9.09） vs （40.90±10.21） ,P〉0.05）. The school phobia in children with TD was positively correlated with the education levels of their mothers （ r=0.407, P〈0.05）. Conclusion The first-degree relatives of children with TD are more anxious emotion than normal children. Children with TD are more likely to have School phobia if their mothers have better education.