Department of Child Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bukyo-ku, Tokyo 113-8655, Japan.
Department of Child Psychiatry, The University of Tokyo Hospital, 7-3-1 Hongo, Bukyo-ku, Tokyo 113-8655, Japan.
Compr Psychiatry. 2015 Oct;62:141-6. doi: 10.1016/j.comppsych.2015.07.006. Epub 2015 Jul 17.
Sensory phenomena, including premonitory urges, are experienced by patients with Tourette syndrome (TS) and obsessive-compulsive disorder (OCD). The goal of the present study was to investigate such phenomena related to tics, obsessive-compulsive symptoms (OCS), and global functioning in Japanese patients with TS.
Forty-one patients with TS were assessed using the University of São Paulo Sensory Phenomena Scale (USP-SPS), the Premonitory Urge for Tics Scale (PUTS), the Yale Global Tic Severity Scale (YGTSS), the Dimensional Yale-Brown Obsessive-Compulsive Scale (DY-BOCS), and the Global Assessment of Functioning (GAF) Scale.
USP-SPS and PUTS total scores were significantly correlated with YGTSS total and vocal tics scores. Additionally, both sensory phenomena severity scores were significantly correlated with DY-BOCS total OCS scores. Of the six dimensional OCS scores, the USP-SPS scores were significantly correlated with measures of aggression and sexual/religious dimensions. Finally, the PUTS total scores were significantly and negatively correlated with GAF scores.
By assessing premonitory urges and broader sensory phenomena, and by viewing OCS from a dimensional approach, this study provides significant insight into sensory phenomena related to tics, OCS, and global functioning in patients with TS.
抽动秽语综合征(TS)和强迫症(OCD)患者会经历感觉现象,包括预感冲动。本研究的目的是调查与 TS 患者的抽动、强迫症状(OCS)和整体功能相关的此类现象。
41 名 TS 患者使用圣保罗大学感觉现象量表(USP-SPS)、预感冲动量表(PUTS)、耶鲁全球抽动严重程度量表(YGTSS)、耶鲁-布朗强迫症量表(DY-BOCS)和全球功能评估(GAF)量表进行评估。
USP-SPS 和 PUTS 总分与 YGTSS 总分和发声抽动评分显著相关。此外,两种感觉现象严重程度评分均与 DY-BOCS 总分 OCS 评分显著相关。在六个维度的 OCS 评分中,USP-SPS 评分与攻击性和性/宗教维度的测量值显著相关。最后,PUTS 总分与 GAF 评分呈显著负相关。
通过评估预感冲动和更广泛的感觉现象,并从多维角度看待 OCS,本研究深入了解了与 TS 患者的抽动、OCS 和整体功能相关的感觉现象。