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. 2024 Mar;11(3):276-281.
doi: 10.1002/mdc3.13951. Epub 2023 Dec 22.

Premonitory Urge in Patients with Tics and Functional Tic-like Behaviors

Natalia Szejko  1   2 , Julian Fletcher  1 , Davide Martino  1 , Tamara Pringsheim  1   3
Affiliations

Premonitory Urge in Patients with Tics and Functional Tic-like Behaviors

Natalia Szejko et al. Mov Disord Clin Pract. 2024 Mar.

Abstract

Background: Premonitory urges (PU) are well described in primary tics, but their frequency and intensity in functional tic-like behaviors (FTLB) are unclear.

Objective: To study the experience of PU in patients with FTLB.

Methods: We compared the results of the premonitory urge for tics scale (PUTS) in adults with tics and FTLB in the University of Calgary Adult Tic Registry.

Results: We included 83 patients with tics and 40 with FTLB. When comparing patients with tics, FTLB with tics and FTLB only, we did not detect significant differences either in the total PUTS score (P = 0.39), or in any of the individual PUTS item sub-scores (P values ranging between 0.11 and 0.99).

Conclusions: Patients with FTLB report PU at similar frequency and intensity to patients with tics. This finding confirms that PU are not a useful feature to discriminate FTLB from tics.

Keywords: Tourette syndrome; functional tic-like behaviors; premonitory urge; the premonitory urge for tics scale; tics.

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References

    1. Kyriazi M, Kalyva E, Vargiami E, Krikonis K, Zafeiriou D. Premonitory urges and their link with tic severity in children and adolescents with tic disorders. Front Psych 2019;10:569. - PMC - PubMed
    1. Reese HE, Scahill L, Peterson AL, Crowe K, Woods DW, Piacentini J, et al. The premonitory urge to tic: measurement, characteristics, and correlates in older adolescents and adults. Behav Ther 2014;45(2):177. - PMC - PubMed
    1. Essing J, Jakubovski E, Psathakis N, Cevirme SN, Leckman JF, Müller‐Vahl KR. Premonitory urges reconsidered: urge location corresponds to tic location in patients with primary tic disorders. J Mov Disord 2022;15(1):43. - PMC - PubMed
    1. Leckman JF, Walker DE, Cohen DJ. Premonitory urges in Tourette's syndrome. Am J Psychiatry 1993;150(1):98–102. Available from:. https://pubmed.ncbi.nlm.nih.gov/8417589/. - PubMed
    1. Jackson SR, Sigurdsson HP, Dyke K, Condon M, Jackson GM. The role of the cingulate cortex in the generation of motor tics and the experience of the premonitory urge‐to‐tic in Tourette syndrome. J Neuropsychol 2021;15(3):340–362. Available from:. https://pubmed.ncbi.nlm.nih.gov/33774919/. - PubMed