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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
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Published on: November 25, 2025

Tic disorders and the premonitory urge.

Tamar Steinberg1, Sharona Shmuel Baruch, Adva Harush

  • 1The Matta and Harry Freund Neuropsychiatric Tourette Clinic, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Journal of Neural Transmission (Vienna, Austria : 1996)
|December 25, 2009
PubMed
Summary
This summary is machine-generated.

The Hebrew version of the Premonitory Urge for Tics Scale (PUTS) reliably measures premonitory urges in children with tic disorders. In older children, these urges correlate with obsessions, compulsions, and depression.

Related Experiment Videos

Last Updated: Jun 17, 2026

Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
11:17

Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder

Published on: November 25, 2025

Area of Science:

  • Child and Adolescent Psychiatry
  • Neurodevelopmental Disorders
  • Psychometric Validation

Background:

  • Tic disorders, including Tourette Syndrome (TS), significantly impact children's lives.
  • Understanding the premonitory urge, a sensory phenomenon preceding tics, is crucial for treatment.
  • A validated instrument to measure premonitory urges in non-English speaking populations is needed.

Purpose of the Study:

  • To validate a Hebrew version of the Premonitory Urge for Tics Scale (PUTS) in children with tic disorders.
  • To investigate the correlations between premonitory urges and demographic/clinical features of Tourette Syndrome.

Main Methods:

  • Forty children and adolescents with tics were assessed.
  • Utilized the Hebrew version of the PUTS, Yale Global Tic Severity Scale (YGTSS), CYBOCS, ADHD Rating Scale IV, SCARED, and CDI.
  • Internal consistency and correlations were analyzed.

Main Results:

  • The Hebrew PUTS demonstrated good internal consistency (α = 0.79) in the overall sample.
  • Internal consistency was higher in older children (α = 0.83) compared to younger children (α = 0.69).
  • Premonitory urge did not correlate with tic severity but was associated with obsessions, compulsions, and depression in children over 10 years old.

Conclusions:

  • The Hebrew PUTS is a reliable instrument for assessing premonitory urges in children with tic disorders.
  • Premonitory urges appear linked to obsessive-compulsive symptoms and depression in older children, suggesting developmental psychopathology implications.
  • Further research can explore these associations and inform therapeutic strategies.