The Premonitory Urge to Tic in Children and Adolescents: Measuring, Describing, and Correlating

Liping Yu1, Yanlin Li2, Hanxue Yang3

  • 1Department of Psychiatry, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Pediatric Neurology
|January 26, 2025
PubMed

Insights

Premonitory urges (PUs) in children with tic disorders (TDs) are linked to age, tic severity, and impairments. Understanding these urges is key for developing effective treatments for TD.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Psychiatry

Background:

  • Tic disorders (TDs) significantly impact children's lives.
  • Premonitory urges (PUs) are a key feature of TDs, but their characteristics in children require further exploration.

Purpose of the Study:

  • To investigate the premonitory urges (PUs) in children diagnosed with tic disorders (TDs).
  • To describe the nature of PUs and correlate them with demographic factors, tic severity, and comorbidities.

Main Methods:

  • Recruitment of first-episode, drug-naive patients with TDs.
  • Utilized the Premonitory Urge for Tics Scale (PUTS) to quantify PU severity.
  • Employed regression analysis to identify predictors of PUs.

Main Results:

  • Age, motor tic severity, vocal tic severity, and tic-related impairments were significant predictors of PUs.
  • The study identified specific factors associated with the intensity of premonitory urges in pediatric TD patients.

Conclusions:

  • This research offers valuable insights into the premonitory urges experienced by children with TD.
  • Further studies should examine PUs across diverse age groups and inform the development of targeted interventions for tic reduction.
Abstract

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