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Gepubliceerd in: Child Psychiatry & Human Development 5/2021

23-10-2020 | Original Article

Urge Intolerance and Impairment Among Youth with Tourette’s and Chronic Tic Disorders

Auteurs: Kesley A. Ramsey, Joey K.-Y. Essoe, Eric A. Storch, Adam B. Lewin, Tanya K. Murphy, Joseph F. McGuire

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 5/2021

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Abstract

Individuals with Tourette’s Disorder and Persistent Tic Disorders (TD) often experience premonitory urges—aversive sensations that precede tics and are relieved by tic expression. Given its role in the neurobehavioral model of TD, understanding factors that influence premonitory urges and associated relief can advance understanding of urge phenomenology and optimize treatments for individuals with TD. This study examined whether the novel construct of urge intolerance—difficulty tolerating premonitory urges—predicted tic severity and tic-related disability. Participants included 75 youth with TD and their caregivers. Assessments characterized tic severity, premonitory urge, distress tolerance, internalizing symptoms, and tic-related disability. Structural equation modeling revealed that higher levels of urge intolerance predicted greater levels of tic-related disability. Furthermore, the relationship between urge intolerance and tic-related disability was more robust for youth with clinically-elevated levels of internalizing symptoms. While further investigation is needed, urge intolerance represents a promising treatment target to improve tic-related disability in youth with TD.
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Metagegevens
Titel
Urge Intolerance and Impairment Among Youth with Tourette’s and Chronic Tic Disorders
Auteurs
Kesley A. Ramsey
Joey K.-Y. Essoe
Eric A. Storch
Adam B. Lewin
Tanya K. Murphy
Joseph F. McGuire
Publicatiedatum
23-10-2020
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 5/2021
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-020-01085-3

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