Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics Scale

BackgroundPremonitory urges (PUs) have been the focus of recent efforts to assess the severity and develop interventions for tic disorders (TD). We aimed to investigate the PUs in TD and its comorbidities from multiple dimensions, using the Chinese version of the Premonitory Urge for Tics Scale (C-P...

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Main Authors: Guanghua Che, Wenjing Ren, Joseph F. McGuire, Ping Li, Zhiruo Zhao, Jing Tian, Jinyuan Zhang, Yue Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1224825/full
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author Guanghua Che
Guanghua Che
Wenjing Ren
Joseph F. McGuire
Ping Li
Zhiruo Zhao
Jing Tian
Jinyuan Zhang
Yue Zhang
author_facet Guanghua Che
Guanghua Che
Wenjing Ren
Joseph F. McGuire
Ping Li
Zhiruo Zhao
Jing Tian
Jinyuan Zhang
Yue Zhang
author_sort Guanghua Che
collection DOAJ
description BackgroundPremonitory urges (PUs) have been the focus of recent efforts to assess the severity and develop interventions for tic disorders (TD). We aimed to investigate the PUs in TD and its comorbidities from multiple dimensions, using the Chinese version of the Premonitory Urge for Tics Scale (C-PUTS) and the Chinese version of the Individualized Premonitory Urge for Tics Scale (C-IPUTS), in order to provide perspectives for the diagnosis and management of TD in children and adolescents.MethodsA total of 123 cases were included in the study. The IPUTS was translated, back-translated, culturally adjusted, and pre-investigated to determine the items of the C-IPUTS. The reliability and validity of the C-IPUTS scale were evaluated by a questionnaire survey on children and adolescents with TD at the Developmental Pediatrics Department of the Second Hospital of Jilin University. Meanwhile, the C-PUTS, which had been evaluated and used in China, Yale Global Tic Severity Scale (YGTSS), Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Depression Self-Rating Scale (DSRS), Screen for Childhood Anxiety-Related Disorders (SCARED), Achenbach Child Behavior Checklist (CBCL), and Swanson, Nolan and Pelham, Version IV (SNAP-IV), were used to assess the association of PUs with tics and comorbidities of TD.ResultsAll dimensions of the C-IPUTS demonstrated good reliability and validity. Our findings suggested that PUs in children and adolescents in China occurred primarily at the head/face and neck/throat. The different dimensions of the C-IPUTS (number, frequency, and intensity) and C-PUTS were positively correlated with the YGTSS total score, while the C-PUTS was positively correlated with the Y-BOCS, SCARED, DSRS, and SNAP-IV scale total scores. The three dimensions of the C-IPUTS demonstrated correlations with anxiety severity and obsessive-compulsive symptoms.ConclusionThe C-IPUTS can be used to assess PUs reliably and effectively and provide further information for the C-PUTS from various dimensions in a Chinese setting. PUs relate to obsessive-compulsive symptoms, anxiety, attention deficit hyperactivity, and behavioral problems in children and adolescents with TDs. Accordingly, PUs evaluation using the C-IPUTS combined with the PUTS might provide useful information for future therapies for TDs to achieve greater tic reduction.
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spelling doaj.art-5c4b0515dbab408aac207d67d803a0e52023-11-16T12:00:55ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-11-011410.3389/fpsyt.2023.12248251224825Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics ScaleGuanghua Che0Guanghua Che1Wenjing Ren2Joseph F. McGuire3Ping Li4Zhiruo Zhao5Jing Tian6Jinyuan Zhang7Yue Zhang8Department of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, ChinaPediatrics Centre, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, ChinaCenter for Obsessive-Compulsive Disorder (OCD), Anxiety, and Related Disorders for Children, Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United StatesDepartment of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Developmental Pediatrics, The Second Hospital of Jilin University, Changchun, ChinaBackgroundPremonitory urges (PUs) have been the focus of recent efforts to assess the severity and develop interventions for tic disorders (TD). We aimed to investigate the PUs in TD and its comorbidities from multiple dimensions, using the Chinese version of the Premonitory Urge for Tics Scale (C-PUTS) and the Chinese version of the Individualized Premonitory Urge for Tics Scale (C-IPUTS), in order to provide perspectives for the diagnosis and management of TD in children and adolescents.MethodsA total of 123 cases were included in the study. The IPUTS was translated, back-translated, culturally adjusted, and pre-investigated to determine the items of the C-IPUTS. The reliability and validity of the C-IPUTS scale were evaluated by a questionnaire survey on children and adolescents with TD at the Developmental Pediatrics Department of the Second Hospital of Jilin University. Meanwhile, the C-PUTS, which had been evaluated and used in China, Yale Global Tic Severity Scale (YGTSS), Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Depression Self-Rating Scale (DSRS), Screen for Childhood Anxiety-Related Disorders (SCARED), Achenbach Child Behavior Checklist (CBCL), and Swanson, Nolan and Pelham, Version IV (SNAP-IV), were used to assess the association of PUs with tics and comorbidities of TD.ResultsAll dimensions of the C-IPUTS demonstrated good reliability and validity. Our findings suggested that PUs in children and adolescents in China occurred primarily at the head/face and neck/throat. The different dimensions of the C-IPUTS (number, frequency, and intensity) and C-PUTS were positively correlated with the YGTSS total score, while the C-PUTS was positively correlated with the Y-BOCS, SCARED, DSRS, and SNAP-IV scale total scores. The three dimensions of the C-IPUTS demonstrated correlations with anxiety severity and obsessive-compulsive symptoms.ConclusionThe C-IPUTS can be used to assess PUs reliably and effectively and provide further information for the C-PUTS from various dimensions in a Chinese setting. PUs relate to obsessive-compulsive symptoms, anxiety, attention deficit hyperactivity, and behavioral problems in children and adolescents with TDs. Accordingly, PUs evaluation using the C-IPUTS combined with the PUTS might provide useful information for future therapies for TDs to achieve greater tic reduction.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1224825/fulltic disorderspremonitory urgesPremonitory Urge for Tics ScaleIndividualized Premonitory Urge for Tics Scalereliabilityvalidity
spellingShingle Guanghua Che
Guanghua Che
Wenjing Ren
Joseph F. McGuire
Ping Li
Zhiruo Zhao
Jing Tian
Jinyuan Zhang
Yue Zhang
Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics Scale
Frontiers in Psychiatry
tic disorders
premonitory urges
Premonitory Urge for Tics Scale
Individualized Premonitory Urge for Tics Scale
reliability
validity
title Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics Scale
title_full Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics Scale
title_fullStr Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics Scale
title_full_unstemmed Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics Scale
title_short Clinical evaluation of premonitory urges in children and adolescents using the Chinese version of Individualized Premonitory Urge for Tics Scale
title_sort clinical evaluation of premonitory urges in children and adolescents using the chinese version of individualized premonitory urge for tics scale
topic tic disorders
premonitory urges
Premonitory Urge for Tics Scale
Individualized Premonitory Urge for Tics Scale
reliability
validity
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1224825/full
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