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. 2017 Jan 9:7:213.
doi: 10.3389/fpsyt.2016.00213. eCollection 2016.

Non-Motor Aspects of Tic Disorders-New Developments

Daphna Ruhrman  1 , Ella Gev  1 , Noa Benaroya-Milshtein  1 , Silvana Fennig  1 , Orit Krispin  2 , Alan Apter  1 , Tamar Steinberg  1
Affiliations

Non-Motor Aspects of Tic Disorders-New Developments

Daphna Ruhrman et al. Front Psychiatry. .

Abstract

The cardinal characteristics of tic-related disorders are stereotyped motor movements and vocalizations. However, they may be accompanied by non-motor features that appear sequentially during the course of the disorder and can sometimes be more disabling than the tics themselves. This review presents our perspectives on several non-motor aspects of Tourette syndrome based on the long experience of the Neuropsychiatric Tourette Clinic of a tertiary pediatric medical center. The effect of premonitory urges, sensory modulation disorder, tic-related cognitions, and environmental conditions on the expression and intensity of tics is elaborated, with suggestions for treatment approaches to each. We also describe the mediatory effect of parental attachment style on the link between maternal stress and ticcing intensity and the need to adjust psychotherapy interventions to account for the importance of this factor in emotion regulation. This review is intended to direct attention to the non-motor aspects of Tourette syndrome. An in-depth understanding of this complex and debilitating disorder will facilitate the formulation of innovative therapeutic protocols.

Keywords: acceptance; attachment; emotion dysregulation; environmental influences; premonitory urge; sensory modulation; tic disorders.

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References

    1. Barnea M. Environmental influence on tic expression. Presented at the 1st World Congress on Tourette Syndrome & Tic Disorders June 24-26. London: (2015).
    1. Leckman JF, Walker DE, Cohen DJ. Premonitory urges in Tourette’s syndrome. Am J Psychiatry (1993) 150:98–102.10.1176/ajp.150.1.98 - DOI - PubMed
    1. Leckman JF. Tourette’s syndrome. Lancet (2002) 360:1577–86.10.1016/S0140-6736(02)11526-1 - DOI - PubMed
    1. Verdellen CWJ, Keijsers GPJ, Cath DC, Hoogduin CAL. Exposure with response prevention versus habit reversal in Tourette’s syndrome: a controlled study. Behav Res Ther (2004) 42:501–11.10.1016/S0005-7967(03)00154-2 - DOI - PubMed
    1. Woods DW, Piacentini J, Himle MB, Chang S. Premonitory urge for tics scale (PUTS): initial psychometric results and examination of the premonitory urge phenomenon in youths with tic disorders. J Dev Behav Pediatr (2005) 26:397–403.10.1097/00004703-200512000-00001 - DOI - PubMed

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