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Premonitory Awareness Facilitates Tic Suppression

Subscales of the Premonitory Urge for Tics Scale and a New Self-Report Questionnaire for Tic-Associated Sensations

Bibliographic Data

ID15523950
AuthorsNatsumi Matsuda (0000-0002-8966-2806, Shirayuri University, corresponding author), Maiko Nonaka (University of Tokyo Hospital), Toshiaki Kono (National Center of Neurology and Psychiatry), Miyuki Fujio (0000-0002-0726-3255, Teikyo University), Marina Nobuyoshi (Japan Graduate School of Education University), Yukiko Kano (0000-0002-2341-5095, The University of Tokyo)
Year2020
Volume11
Publication date2020-07-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.00592
OpenAlexW3040269766
LanguageEN
Citations received3
References cited27

Awareness of premonitory urge in Tourette Syndrome (TS) may facilitate tic suppression; however, previous studies have not supported this observation. We aimed to clarify the relationship between tic-associated sensation and tic suppression by identifying the subtypes of tic-associated sensations, including the Premonitory Urge for Tics Scale (PUTS). We developed a new questionnaire called "Rumination and Awareness Scale for Tic-associated sensations" (RASTS) to assess the two additional aspects of tic-associated sensations: the intensity of somatosensory hyperawareness and the ability to identify signals of emerging tics. Sixty-two individuals with TS participated in the study (mean age = 19.1 ± 10.3 years). All participants completed the RASTS, PUTS, and Tic Suppression Scale. Of all participants, 41 were evaluated by the Yale Global Tic Severity Scale (YGTSS), while another group of 41 completed both the Leyton Obsessional Inventory-Child Version (LOI-CV) and the Tics Symptom Self-Report (TSSR). Factor analyses including nine items of the PUTS and the RASTS were conducted, and their relationships with patients’ tic suppression ability were examined. The results support using RASTS for the two supposed dimensions (Rumination about Sensation and Premonitory Awareness) for assessing the two different tic-associated sensations, and PUTS for three dimensions for assessing the two types of quality of premonitory urges and intensity of premonitory urges. Premonitory awareness correlated with tic suppression ability. Conversely, rumination about sensation, PUTS total score, and the three subscales of PUTS correlated with obsessive-compulsive symptoms. In summary, being aware of signals for emerging tics facilitated self-initiated tic suppression, while ruminative tic-associated sensations did not. This study provides new insights into behavioral therapy for tics by identifying two distinct aspects of tic-associated sensations that include premonitory urges

Cognition · Cognitive psychology · Personality · Psychiatry · Rumination · Sensation · Sensation Seeking · Tic disorder · Tics · Tourette syndrome · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Eating Disorders and Behaviors · Obsessive-Compulsive Spectrum Disorders · Psychology · Social Psychology

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Unique citing works3
Citations per year0,75
Citation span2022 - 2024 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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