Premonitory urges for tics in adult patients with Tourette syndrome.

Abstract:

OBJECTIVE:Patients with Tourette syndrome (TS) often report characteristic sensory experiences, also called premonitory urges (PUs), which precede tic expression and have high diagnostic relevance. This study investigated the usefulness of a scale developed and validated in children and adolescents-the Premonitory Urge for Tics Scale (PUTS, Woods et al., 2005 [13])-for the assessment of PUs in adult patients with TS. METHOD:Standard statistical methods were applied to test the psychometric properties of the PUTS in 102 adult TS outpatients recruited from two specialist clinics in the United Kingdom. RESULTS:The PUTS showed good acceptability and endorsement rates, with evenly distributed scores and low floor and ceiling effects. Item-total correlations were moderate to strong; PUTS total scores were significantly correlated with quantitative measures of TS severity. The PUTS showed excellent internal consistency reliability (Cronbach's alpha=0.85) and Spearman's correlations demonstrated satisfactory convergent and discriminant validity. CONCLUSIONS:Although originally devised to assess urges to tic in young patients with TS, the PUTS demonstrated good psychometric properties in a large sample of adults recruited at specialist TS clinics. This instrument is therefore recommended for use across the life span as a valid and reliable self-report measure of sensory experiences accompanying tic expression.

journal_name

Brain Dev

journal_title

Brain & development

authors

Crossley E,Seri S,Stern JS,Robertson MM,Cavanna AE

doi

10.1016/j.braindev.2012.12.010

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

45-50

issue

1

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(13)00002-8

journal_volume

36

pub_type

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