Urge Intolerance and Impairment Among Youth with Tourette's and Chronic Tic Disorders.
Disability
Distress tolerance
Premonitory urge
Tourette’s syndrome
Journal
Child psychiatry and human development
ISSN: 1573-3327
Titre abrégé: Child Psychiatry Hum Dev
Pays: United States
ID NLM: 1275332
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
accepted:
15
10
2020
pubmed:
24
10
2020
medline:
27
10
2021
entrez:
23
10
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33095406
doi: 10.1007/s10578-020-01085-3
pii: 10.1007/s10578-020-01085-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
761-771Informations de copyright
© 2020. Springer Science+Business Media, LLC, part of Springer Nature.
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